E290 - ADHD and Substance Use Disorders: Treatment Challenges with Dr. Timothy Wilens

E290 - ADHD and Substance Use Disorders: Treatment Challenges with Dr. Timothy Wilens

Author: Neuroscience Education Institute September 9, 2026 Duration: 57:56

In this episode, Dr. Andy Cutler speaks with Dr. Tim Wilens about the complex relationship between attention-deficit/hyperactivity disorder (ADHD) and substance use disorders. They discuss how to distinguish ADHD from substance-related cognitive symptoms, determine when co-occurring conditions should be treated concurrently, and select appropriate ADHD medications based on the substance involved. Dr. Wilens also examines stimulant misuse and diversion, the role of nonstimulants, what is known about centanafadine's abuse potential, and practical approaches to monitoring treatment without undermining the therapeutic relationship. 

Timothy E. Wilens, MD, is chief of the Division of Child and Adolescent Psychiatry and is co-director of the Center for Addiction Medicine at Massachusetts General Hospital. He is the MGH Trustees Chair in Addiction Medicine and a professor of psychiatry at Harvard Medical School. Dr. Wilens' research interests include the relationship among ADHD, bipolar disorder, and substance use disorders, embedded health care models, and the pharmacotherapy of ADHD across the lifespan.    

Andrew J. Cutler, MD, is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and EMA Wellness. He is a Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York. 

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The NEI Podcast, from the Neuroscience Education Institute, moves beyond standard medical lectures to explore the nuanced realities of psychiatric practice. This series connects directly with the clinicians and researchers shaping modern thought, offering detailed conversations on psychopharmacology, emerging therapies, and the complex nature of neuropsychiatric diseases. You'll hear experts break down current challenges, from diagnosis to treatment strategies, in a format designed for deep understanding. It’s a resource built for those who care for the mind, providing continuing education that feels less like a requirement and more like a vital dialogue. The discussions naturally evolve from the latest evidence and clinical experience, ensuring each episode addresses the practical questions faced in daily practice. Tune in for a thoughtful examination of mental health science, where learning is woven into every conversation. This podcast serves as an ongoing forum for anyone dedicated to advancing their knowledge in psychiatry and neurology, emphasizing the critical connection between education and improved patient outcomes. The Neuroscience Education Institute grounds each session in its mission to elevate the standard of care through imaginative, high-level learning.
Author: Language: English Episodes: 50

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