# E290 - ADHD and Substance Use Disorders: Treatment Challenges with Dr. Timothy Wilens Page: https://stenobird.com/podcast/nei-podcast-385769/e290-adhd-and-substance-use-disorders-treatment-challenges-with-dr-timothy-wilens Text version: https://stenobird.com/podcast/nei-podcast-385769/e290-adhd-and-substance-use-disorders-treatment-challenges-with-dr-timothy-wilens.md Podcast: [NEI Podcast](https://stenobird.com/podcast/nei-podcast-385769) Published: 2026-09-09T09:00:00+00:00 Episode link: https://neiglobal.libsyn.com/e290-adhd-and-substance-use-disorders-treatment-challenges-with-dr-timothy-wilens Audio file: https://traffic.libsyn.com/secure/neiglobal/202609_Wilens_A01SD.mp3?dest-id=507143 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/nei-podcast-385769/episodes/e290-adhd-and-substance-use-disorders-treatment-challenges-with-dr-timothy-wilens Duration seconds: 3476 ## Resource 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. Fall Congress Get $100 off NEI Fall Congress registration with code POD26. Go to https://nei.global/fal l to sign up today! Membership As a valued NEI Podcast listener, Dr. Cutler's offering you 20% off new NEI Membership with code CUTLER20. Go to https://nei.global/member and join now! Never miss an episode! πŸŽ™ SUBSCRIBE to the NE… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/nei-podcast-385769/episodes/e290-adhd-and-substance-use-disorders-treatment-challenges-with-dr-timothy-wilens/transcription-requests` β€” Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/nei-podcast-385769/e290-adhd-and-substance-use-disorders-treatment-challenges-with-dr-timothy-wilens.md` β€” Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.