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Anyone with ADHD should be advised about the risks of substance abuse, especially if they have any crime, said Wilens. We still need to understand why some children with ADHD develop substance abuse and others do not, that particular treatment approaches can prevent the underlying problems and how best to treat young adults with both ADHD and substance abuse. Wilens is an associate professor of Psychiatry at Harvard Medical School.

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In both studies, more than a decade of follow-up information was available for a total of 268 participants with ADHD and 220 control participants, both groups equally divided by sex. Among the participants, ADHD, 32 % had developed some kind of substance abuse, including smoking during follow-up, while only 25 % of the control participants had substance abuse problems. Factors such as gender, cognitive difficulties, mood disorders, school problems or family history of substance abuse does not affect the risk. The only additional diagnosis that had an effect was conduct disorder, which tripled the risk when combined with ADHD.