The Hidden Link Between ADHD and Alcohol

This Alcohol Awareness Week, we’re shining a light on a silent but serious connection: the link between ADHD and alcohol misuse. While alcohol use is often discussed in the context of peer pressure, mental health, or addiction, one of the most overlooked risk factors is Attention-Deficit/Hyperactivity Disorder (ADHD).

Let’s unpack why early awareness could change lives.

What Is ADHD and Why Does It Matter?

ADHD is a neurodevelopmental condition affecting both children and adults. It involves symptoms such as:

• Inattention and distractibility

• Hyperactivity or restlessness

• Impulsivity and emotional dysregulation

ADHD has powerful, long-term impacts on health and behavior—including increased vulnerability to alcohol misuse.

The Risk: Earlier Drinking, Higher Harm

Research shows that people with ADHD are:

• More likely to start drinking at a younger age

• Twice as likely to develop alcohol use disorder (AUD)

• More prone to binge drinking and risky behaviors under the influence

In fact, by age 25, nearly 44% of young adults with ADHD will meet criteria for alcohol abuse or dependence—compared to just 27% of their peers without ADHD.

This isn’t just coincidence. It’s biology and behavior at play.

The ADHD–Alcohol Cycle

1. Self-Medication

Many people with ADHD describe alcohol as a way to “slow down” their thoughts, reduce anxiety, or mask emotional discomfort. It provides temporary relief—but long-term damage.

2. Impulsivity & Risk-Taking

ADHD often involves poor impulse control. That can translate into:

• Drinking more than intended

• Difficulty stopping once started

• Making unsafe choices while intoxicated

3. Neurochemical Vulnerability

Both ADHD and alcohol misuse involve dopamine dysregulation. In short, people with ADHD are biologically more prone to seeking out intense stimulation—like that provided by alcohol.

The Hidden Danger: Undiagnosed ADHD

A major concern during Alcohol Awareness Week is how often ADHD goes undiagnosed, especially in adults and women. Many people don’t realize their drinking problems may be rooted in an untreated condition they’ve had since childhood.

Undiagnosed ADHD can lead to:

• Higher risk of alcohol and drug misuse

• Mislabeling behavior as "just addiction"

• Missed opportunities for targeted treatment

Prevention and Support: What Can We Do?

• Early Screening

Identifying ADHD in children, teens, and young adults can reduce the chance of self-medication with alcohol later on.

• Open Dialogue

Parents, teachers, and healthcare providers should talk honestly about the risks of alcohol use for people with ADHD—before it becomes a problem.

• Integrated Treatment

When both ADHD and alcohol misuse are present, treating both together leads to better outcomes. That may include:

• Therapy focused on impulse control

• Medication management

• ADHD coaching and life skills support

Awareness Saves Lives

Alcohol Awareness Week isn’t just about drinking—it’s about understanding the why behind drinking. And for many individuals with ADHD, alcohol becomes a coping mechanism for a deeper struggle. By acknowledging the connection between ADHD and alcohol, we move closer to compassionate, informed prevention, and long-term healing.

If you or someone you know struggles with ADHD and alcohol use, help is available. Speak to us at Montrose Health Group for support.