Substance use disorder

And you've alluded to addiction and you've alluded to some of the other harms.

But if you want to take a minute and take a deep dive into some of these issues, these adverse consequences like addiction, like the connection with SUD, the connection with mental health, what are some of the things you'd like to highlight for our listeners?

Yeah, and again, public health impact, that's how we look at it.

The vast majority of people who do gamble do so recreationally without any harm, without any long-lasting damage.

Here's another question about your programs in the chat over here.

Does your men's SUD programs include a mental health focus?

Absolutely.

These days, you pretty much have to.

Same thing with any sort of, you know.

opioids or cannabis and people get addicted to that, that's called a substance use disorder, SUD.

Same thing.

And then when people, what's known as a relapse, if they're going along very well and all of a sudden they couldn't take it anymore and they picked up the drink or they picked up the drug and that conventionally is called a slip or I fell off the wagon or which is like an ancient term from like the 20s in America anyway.

So fascinating for the, for the list.

I kind of, when I started my career in about 2007 or so, Percy at DMH kind of came over from the department or from the Senate and, and came kind of over to DMH and was really kind of watching, I think this transformation of our system and incorporating medications and hearing presentations on that and, And obviously, you know, Mark was a leader in bringing SUD and behavioral health together, as well as then kind of took over for the department as a department head.

But that whole time he kept kind of pushing and then subsequent leaders and kind of me hearing about, you know, Missouri is a national leader and people are asking, how did you get people to adopt medications? And Mark said, well, we just basically the science is there and we demanded programs do it.

And, you know, states were just in shock that we were getting the rates we were getting.

So just, we're running out of time, but like one last question to kind of end on.

We just had a board meeting today.

We had an SUD committee report talking about a new type of opiate that's hitting the marketplace.

It has a different name.

And unfortunately, the stigma behind having those disorders leads folks to self-medicate so that they can feel all right.

But then that also comes with the abuse and the need for more medication and everything and then creates that SUD problem or, you know, makes the mental health problem even worse before they go reach out for help.

Well, I appreciate you chatting with us, Larry.

I mean, this is, like I said, this is such a great event.

so when you look at two people let's say kids even if you have two twins right or even a brother and sister different age groups but they grow up in the exact same environment they don't always get the exact same experience so even though the environment is the same so it's how they also cope with things it's how they are as a person it's the resiliency skills that maybe they have adapted versus the other sibling hasn't adapted And it could also be the role in the family that they take on.

A lot of times with more than one sibling, especially if you have a parent who is, say, a substance user, and they have a substance use disorder, one of the children may take on a parentified role.

And they may step up to be that parent where the other child doesn't

have

And what does that look like for them? And it could be different for every single person.

The person who uses substances can put them down and walk away.

The person who has, say, a substance use disorder or a gambling disorder can't walk away from it.

It's not the person who walks into a casino and may lose, say, $1,000.

[upbeat music] Welcome to the Attention-Deficit Disorder Expert podcast series by ADDitude Magazine.

[upbeat music] Everyone, I'm Carol Fleck, and on behalf of the ADDitude team, I'm delighted to welcome you to today's ADHD Experts presentation titled ADHD Treatment and Substance Use Problems, the Latest Research on Stimulants and SUD.

Leading today's presentation is Dr. Brooke Molina and Dr. Brian D'Onofrio.

Dr. Molina is a professor of psychiatry, psychology, pediatrics, and clinical and translational science at the University of Pittsburgh.