07/02/2025
Alcoholism, OCD, and ADHD: The Overlap Nobody Talks About
We don’t talk about the overlap between alcoholism and neurodivergence—especially OCD and ADHD.
But we need to. Because for many of us, alcohol wasn’t just partying or a trauma response.
Alcohol was a form of self-medication.
If you’ve lived with the constant mental chatter that is OCD—the racing thoughts, the looping thoughts, the compulsions you hide, the need to feel “just right”—then you know how tempting it is to shut your brain off by any means necessary.
Alcohol does that. Until it doesn’t.
If you’ve lived with untreated ADHD—impulsivity, emotional dysregulation, rejection sensitivity, chaos—alcohol feels like your saving grace.
Alcohol is a depressant.
It slows things down. It makes you feel “normal.” It lets you exist without the constant internal overwhelm.
But here’s the catch:
The very wiring that made us vulnerable to SUD is the same wiring that makes traditional recovery spaces feel inaccessible.
• Telling someone with ADHD to sit still in a chair and “listen quietly for an hour” doesn’t make sense. (I don’t even go to meetings anymore…)
• Telling someone with OCD to “let go and let God” might activate more anxiety than it relieves.
• And expecting neurodivergent people to engage in sponsor-heavy, people-pleasing, unspoken-rule-based community/culture?
That’s not recovery. That’s performance.
We need to start designing recovery spaces that honor neurological differences.
We need clinicians and peer leaders who understand the brain/body, not just the bottle.
Because sometimes, it’s not that you were weak.
It’s that your brain was wired differently—and you were never given the tools necessary to get by in the real world.
Healing happens when you stop trying to fix what’s not broken and start learning how to support what’s been misunderstood.
Call it Alcoholism. Call it OCD/ADHD.
The goal is still to help people overcome their drinking and drug use … and learn to utilize things like CBT, DBT, and breath work