ADHD and Addiction
A conversation with Dr. Shane Calhoun
In my recent podcast episode of ADHD Big Brother, I had the honor of chatting with Dr. Shane Calhoun about ADHD and addiction. For many adults with ADHD, addictions to substances or behaviors—like nicotine, alcohol, or even porn—aren’t just bad habits. They’re often a response to the brain’s unique struggles with dopamine regulation. I can 1000% relate, as I’ve had many bouts with addictions over my 49 years on this planet.
On the podcast, Dr. Shane explained that our ADHD brains constantly seek “easy dopamine.” When dopamine levels drop, we feel an unbearable itch—a yearning that leads us to reach for substances or activities that provide a quick hit of pleasure or relief. Unfortunately, these can spiral into addictive behaviors. Just hearing him talk about how our brains are looking for homeostasis is worth it to listen to this episode!
He also highlighted the role of stress in this cycle. Many of us unknowingly pile on more stress (think withdrawal symptoms from cigarettes or alcohol) in an attempt to balance our dopamine levels. This makes breaking free from addiction incredibly challenging.
What’s the way out? Great question! I’m glad you asked it….Dr. Shane suggests that part of the solution lies in consciously choosing “healthy suffering.” That might mean embracing temporary discomfort through activities like exercise, meditation, or even sensory deprivation—practices that reduce stress and teach us to regulate our dopamine naturally. That is such a hard pill for me to swallow, but it makes so much sense!
For those struggling with addiction, it's crucial to understand that this isn’t about willpower or moral failure—it’s about brain chemistry. With tools like mindfulness and community support, recovery becomes not only possible but empowering.
You can catch the full podcast episode here and watch the video of my conversation with Dr. Shane here. It’s a must-listen for anyone navigating the intersection of ADHD and addiction!
My question/challenge to you is this: how are you going to incorporate this “healthy suffering” into your daily life to help with your ADHD? Let me know!
Binge drinking, smoking and gambling all played a part in my formative years, I can see looking back how addiction and ADHD are interlocked.
I ditched the alcohol in my 20's, the cigarettes in my 30's and the gambling, I still like a flutter now and again but it's controlled.
I'll definitely have a listen to the podcast.