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How Does Alcohol Affect ADHD? Does Alcohol Make ADHD Worse?

Alcohol and ADHD: it’s a complicated relationship that often prompts questions and concerns. Many individuals with ADHD wonder how alcohol affects their condition, and whether indulging in alcohol worsens their symptoms. Understanding this relationship means exploring ADHD neurobiology and the potential consequences of alcohol consumption.
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How Does Alcohol Affect ADHD? Does Alcohol Make ADHD Worse?


Alcohol and ADHD: it’s a complicated relationship that often prompts questions and concerns. Many individuals with ADHD wonder how alcohol affects their condition, and whether indulging in alcohol worsens their symptoms. Understanding this relationship means exploring ADHD neurobiology and the potential consequences of alcohol consumption.

Certainly, many people find that moderate consumption of alcohol is an enjoyable, essentially-harmless thing. Adults with ADHD might find that it temporarily alleviates symptoms such as hyperactivity or racing thoughts – yet, these short-term benefits may come at the expense of long-term health.

ADHD is characterised by difficulties in impulse control, executive function, and attention regulation – all of which play a crucial role in making informed decisions either about or following alcohol intake.

Additionally, some individuals with ADHD may turn to alcohol as a means of self-medication, seeking relief from ADHD-related stress, anxiety, or impulsivity. However, this coping strategy can lead to alcohol abuse or dependency.

In this blog post, we’ll explore the relationship between alcohol and ADHD. We’ll delve into the scientific evidence, discuss common signs of alcohol-related problems in individuals with ADHD, and offer guidance, aiming to answer the questions: how does alcohol affect ADHD?, and Does alcohol make ADHD worse?

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The Neurological Interplay Between ADHD and Alcohol

ADHD is associated with dysregulation in neurotransmitter systems, particularly dopamine and noradrenaline, which play crucial roles in attention, impulse control, and executive function.

Individuals with ADHD often exhibit differences in brain structure and function, including altered activity in the prefrontal cortex and basal ganglia regions – responsible for executive functions and reward processing.

Alcohol consumption affects the neurotransmitter systems in our brains, leading to changes in dopamine and noradrenaline levels.

Initially, alcohol may produce feelings of relaxation or excitement, as it stimulates the release of dopamine; however, excessive alcohol intake can disrupt neurotransmitter balance – impairing cognitive function, decision-making, and emotional regulation.

For individuals with ADHD, this neurological interplay can manifest in various ways.

  • Some may experience heightened impulsivity and risk-taking behaviour when drinking alcohol, leading to impulsive decisions or reckless actions.
  • Others may find that alcohol temporarily alleviates ADHD symptoms such as hyperactivity or racing thoughts, providing a brief respite from the challenges of ADHD.

But reliance on alcohol as a coping mechanism can lead to dependency and exacerbate ADHD-related problems in the long run.

Let’s consider Sarah, a young adult with ADHD, who struggles with impulsivity and inattention. When Sarah drinks alcohol at social gatherings, she initially feels more relaxed and outgoing. As she continues to drink though, her impulsivity increases, leading her to act recklessly and engage in risky behaviours that she later regrets. The next day, Sarah often experiences a ‘crash, – feeling overwhelmed by ADHD symptoms, and regretful of her actions while under the influence of alcohol.

This cycle of short-term relief followed by worsened symptoms highlights the complex interaction between ADHD and alcohol at a neurological level.


How Does Alcohol Consumption Impact ADHD Medication?

Stimulant medications – commonly prescribed for ADHD – work by increasing the availability of dopamine and noradrenaline in the brain. Alcohol consumption can alter the metabolism and absorption of these medications, potentially reducing their effectiveness.

Additionally, combining stimulant ADHD medications with alcohol can lead to or exacerbate side effects such as dizziness, drowsiness, and impaired judgement.

For instance, an adult with ADHD may be prescribed methylphenidate to manage their symptoms. One evening, this person attends a party and consumes alcohol: the combination of alcohol and methylphenidate increases their heart rate and blood pressure, leading to feelings of agitation and anxiety. They may also experience difficulty concentrating and heightened impulsivity.

Non-stimulant medications may also interact with alcohol. For example, atomoxetine is a non-stimulant medication that alters the reuptake of noradrenaline. Consuming alcohol while taking atomoxetine can increase the risk of liver damage, and may worsen any side effects.

Safety Considerations

It’s important for individuals taking ADHD medication to be mindful of the potential risks associated with alcohol consumption.

Mixing alcohol with ADHD medication can potentially lead to adverse effects, including:

  • Cardiovascular complications
  • Liver damage
  • Impaired cognitive function.

Furthermore, alcohol may interfere with the body’s ability to metabolise medication properly, leading to unpredictable drug levels in the bloodstream.

Always consult your healthcare provider before consuming alcohol while taking ADHD medication. They can provide personalised guidance based on individual health status, medication type, and dosage. In some cases, healthcare providers may recommend abstaining from alcohol altogether to ensure the safe and effective management of ADHD symptoms. Contact us now to learn more on this.


Why People Turn to Alcohol

People with ADHD may turn to alcohol for various reasons, seeking relief from their symptoms or attempting to self-medicate. Understanding these motivations is a first step towards addressing the complex relationship between ADHD and alcohol consumption.

Coping Mechanism

Individuals may use alcohol as a coping mechanism to alleviate symptoms. Alcohol’s sedative effects can temporarily soothe racing thoughts and feelings of restlessness, providing a sense of calmness and relaxation.


Many individuals with ADHD struggle with emotional dysregulation, experiencing intense mood swings, anxiety, and depression. Alcohol may offer temporary relief from these emotional challenges.

Social Pressure and Peer Influence

Social situations, such as parties or gatherings, often involve alcohol consumption. People may feel pressure to conform to social norms, or may perceive alcohol as a means to enhance interactions.

Impulsivity and Risk-Taking Behaviour

Individuals may engage in impulsive behaviours, including excessive alcohol consumption, without fully considering the consequences. Alcohol’s disinhibiting effects can further exacerbate impulsivity.

Escapism and Distraction

For some, alcohol serves as a form of escapism from the challenges of daily life. Alcohol consumption may provide a temporary distraction from overwhelming tasks, responsibilities, or negative thoughts.


Is ADHD a Risk Factor For Other Substance Uses?

ADHD has been identified as a significant risk factor for the development of substance use disorders (SUDs), as well as other addictive behaviours. Aside from alcohol, those substances can include tobacco, cannabis, prescription medications (e.g., stimulants), and illicit drugs (e.g., cocaine, methamphetamine).

Several factors contribute to this heightened risk among individuals with ADHD:

  • Impulsivity and Sensation-Seeking: Impulsivity and sensation-seeking behaviour can predispose individuals to experimentation with substances, potentially without fully considering the consequences.
  • Self-Medication: Many individuals turn to substance use as a form of self-medication to alleviate symptoms of ADHD.
  • Dopamine Dysregulation: ADHD is characterised by dysregulation of dopamine neurotransmission in the brain’s reward pathways. Substance use can further dysregulate dopamine levels, leading to a reinforcing cycle of substance-seeking behaviour.
  • Executive Functioning Deficits: ADHD is also associated with deficits in executive functions, such as impulse control, planning, and decision-making. These deficits may impair individuals’ ability to resist peer pressure or temptations to use substances.
  • Comorbidity with Other Mental Health Conditions: ADHD commonly co-occurs with other mental health disorders, such as depression, anxiety, and conduct disorder, which can further increase the risk of substance use and dependence.

Recognising the elevated risk of substance use among individuals with ADHD underscores the importance of early intervention and prevention efforts. Comprehensive treatment approaches that address ADHD symptoms, teach coping skills, and provide support for co-occurring mental health conditions can help mitigate the risk of substance use and promote healthier outcomes.

Final Thoughts

Navigating the relationship between ADHD and alcohol consumption can be challenging. While alcohol may offer temporary relief from ADHD symptoms for some individuals, it often exacerbates symptoms and can lead to detrimental consequences in the long run.

It’s essential to recognise the potential risks associated with alcohol use, particularly for individuals with ADHD, and to approach alcohol consumption with caution. Seeking professional guidance and support is crucial.

Remember: effective management of ADHD involves a comprehensive approach that may include medication, therapy, lifestyle modifications, and support from healthcare professionals and loved ones.

By addressing ADHD symptoms and related challenges proactively, individuals can improve their overall well-being and reduce the likelihood of negative outcomes associated with alcohol use.

Contact us today if you or a loved one is struggling with ADHD and you don’t know how to help.

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