The Treatment of Adult ADHD in the Context of Stimulant Use

Speaker Name: Dr. Nickie Matthew

Session Description:

Stimulant use and ADHD often occur concurrently. There are many factors that can lead to difficulty in diagnosis. In addition, there are risks of under treatment of ADHD or inappropriate treatment. This talk aims to provide the best evidence in management of this population.

Learning Objectives:

  1. Understand the performance enhancing nature of stimulant medication
  1. Understand the process of diagnosing and treating ADHD in those with a stimulant use disorder.
  2. Understand the evidence behind utilizing stimulants to treat stimulant use disorder.

References:

  1. Volkow ND, Wang GJ, Fowler JS et al., Evidence that methylphenidate enhances the saliency of a mathematical task by increasing dopamine in the human brain. Am J Psychiatry 2004, 161[7]:1173-1180
  1. Kirkpatrick, M. G., Gunderson, E. W., Johanson, C. E., Levin, F. R., Foltin, R. W., & Hart, C. L. (2012). Comparison of intranasal methamphetamine and d‐amphetamine self‐administration by humans. Addiction, 107(4), 783-791.
  2. Tardelli, V. S., Bisaga, A., Arcadepani, F. B., Gerra, G., Levin, F. R., & Fidalgo, T. M. (2020). Prescription psychostimulants for the treatment of stimulant use disorder: a systematic review and meta-analysis. Psychopharmacology, 1-23.

BIO

Dr. Mathew completed an addiction psychiatry fellowship at Yale University and a forensic psychiatry fellowship at the University of British Columbia. He is a Clinical Professor at the University of British Columbia. He is currently serving as the medical director for complex concurrent disorders at the Provincial Health Services Authority.