{"formatVersion":"1.1","id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk","path":"/library/adolescents-with-adhd-and-internet-addiction-risk","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk","title":"ADHD in Adolescents and the Risk of Internet Addiction","family":"Library detail","description":"Learn how ADHD increases the risk of internet addiction, impacting behavior and screen time, and how therapy and medication help manage it.","language":"en-US","access":{"audience":"custom-shared-preview","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/adolescents-with-adhd-and-internet-addiction-risk","wordpressId":"4371","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/allan-schwartz#person","name":"Allan Schwartz, Ph.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/allan-schwartz"},{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/samantha-pieterse#person","name":"Samantha Pieterse","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/samantha-pieterse"}],"reviewer":{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/morgan-blair#person","name":"Morgan Blair","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/morgan-blair"},"dates":{"datePublished":"2025-05-17T15:57:49Z","dateModified":"2025-08-12T06:08:51Z","lastReviewed":"2025-01-31"},"content":{"html":"<nav class=\"breadcrumbs\" aria-label=\"Breadcrumb\"><ol><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/\">Home</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library\">Library</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adhd\">Attention Deficit Hyperactivity Disorder</a></li><li><span aria-current=\"page\">ADHD in Adolescents and the Risk of Internet Addiction</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>Attention-deficit/hyperactivity disorder (ADHD) in Adolescents and the Risk of Internet Addiction</h1><p class=\"article-inline-credits\">Medically reviewed by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/morgan-blair\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3070.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Morgan Blair</a> <span class=\"article-credit-divider\" aria-hidden=\"true\">–</span> Written by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/allan-schwartz\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9429.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Allan Schwartz, Ph.D.</a> and <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/samantha-pieterse\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9843.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Samantha Pieterse</a></p><div class=\"article-dates\"><span>Published on <time datetime=\"2025-05-17T15:57:49Z\">May 17, 2025</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2025-08-12T06:08:51Z\">August 12, 2025</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>The internet has become a lifeline used by young and old alike, whether for academics, socialization, or entertainment. For the first time, we see substantial internet usage over five distinct generations: Generation Alpha, Generation Z, Millennials, Generation X, and Baby Boomers. In 2023, an average of 94.75% of adults between the ages of 18 and 65+ used the internet. <a href=\"#internet-usage-age-u-s\" aria-label=\"Reference 1\" class=\"article-inline-link article-citation\"><sup>[1]</sup></a></p></div><p>With more people online, there have been increasing incidences of internet addiction, especially among younger generations (the youth). <a href=\"#internet-addiction-relationship-attention-deficit-hyperactivity-disorder-adhd-symptoms\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a> The American Society of Addiction Medicine (ASAM) defines addiction as a psychiatric disorder where an individual displays problematic patterns in both behaviors and with substances. There is also a growing understanding of the importance of prevention in addiction and recovery. <a href=\"#definition-addiction\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\"><sup>[3]</sup></a>\n</p><figure class=\"article-feature\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-14480.webp\" alt=\"A father and young child build together with colorful blocks.\" width=\"1199\" height=\"800\" loading=\"eager\" decoding=\"async\"></figure><section class=\"article-takeaways\" aria-labelledby=\"key-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>Attention-deficit/hyperactivity disorder (ADHD)-related impulsivity and attention difficulties can increase adolescents’ vulnerability to problematic internet use.</li><li>Preoccupation with the internet, withdrawal symptoms, declining school performance, and lost interest in other activities can signal impairment.</li><li>Structured screen habits and treatment addressing both ADHD and problematic internet use can support healthier functioning.</li></ul></section><span id=\"adhd-and-addiction-what-s-the-link-there-has-been-substantial-research-conducted-on-attention-deficit-hyperactivity-disorder-adhd-and-addiction-disorders-with-researchers-finding-that-those-with-adhd-have-an-increased-risk-for-addiction-disorders\" class=\"section-anchor-alias\" data-section-alias=\"adhd-and-addiction-whats-the-link\" aria-hidden=\"true\"></span><h2 id=\"adhd-and-addiction-whats-the-link\">Attention-deficit/hyperactivity disorder (ADHD) and Addiction: What’s the Link?</h2><p>\nThere has been substantial research conducted on attention-deficit/hyperactivity disorder (ADHD) and addiction disorders, with researchers finding that those with ADHD have an increased risk for addiction disorders. <a href=\"#attention-deficit-hyperactivity-disorder-relation-addictive-behaviors-moderated-mediatio\" aria-label=\"Reference 4\" class=\"article-inline-link article-citation\"><sup>[4]</sup></a>\n</p><p>One of the main characteristics of ADHD is impulsivity, which significantly increases the chances of engaging in addictive behaviors. When someone (especially a young person) has ADHD, it is difficult to think through the consequences of actions. Difficulty considering consequences can lead to impulsive decision-making, such as engaging in risky activities like excessive or complusive internet usage, without fully considering the long-term impact. <a href=\"#adhd-addiction\" aria-label=\"Reference 5\" class=\"article-inline-link article-citation\"><sup>[5]</sup></a></p><p>\nFor most people diagnosed with ADHD, the symptoms decrease as they age, although some adults may still have significant psychological symptoms that interfere with their daily functioning. <a href=\"#adhd-adults-4-things-know\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a> Because symptoms decline in adulthood, youth are most often affected by addiction as a result of ADHD.\n</p><span id=\"how-does-adhd-impact-behavior-according-to-dsm-5-attention-deficit-hyperactivity-disorder-adhd-is-defined-as-having-severe-symptoms-of-inattentiveness-and-or-hyperactivity-impulsivity-which-has-lasted-more-than-six-months\" class=\"section-anchor-alias\" data-section-alias=\"how-does-adhd-impact-behavior\" aria-hidden=\"true\"></span><h2 id=\"how-does-adhd-impact-behavior\">How Does Attention-deficit/hyperactivity disorder (ADHD) Impact Behavior?</h2><p>\nAccording to DSM-5, Attention-Deficit/Hyperactivity Disorder (ADHD) is defined as having severe symptoms of inattentiveness and/or hyperactivity-impulsivity, which has lasted more than six months. <a href=\"#addicted-pixels-understanding-screen-addiction-strategies-prevention\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>\n</p><h3 id=\"adhd-symptoms-in-children-and-teenagers-adhd-symptoms-are-grouped-into-two-main-types-of-behavior-problems-namely-inattentiveness-and-hyperactivity-impulsiveness-with-many-people-diagnosed-with-adhd-having-symptoms-that-fall-into-both-categories\">Attention-deficit/hyperactivity disorder (ADHD) Symptoms in Children and Teenagers</h3><p>\nADHD symptoms are grouped into two main types of behavior problems, namely inattentiveness and hyperactivity/impulsiveness, with many people diagnosed with ADHD having symptoms that fall into both categories. <a href=\"#screen-use-association-adhd-symptoms-among-children-systematic-review\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a>\n</p><h3 id=\"inattentiveness-symptoms\">Inattentiveness Symptoms</h3><ul>\n    <li>Short attention span</li>\n    <li>Easily distractible</li>\n    <li>Careless mistake-making</li>\n    <li>Forgetfulness or losing things</li>\n    <li>Inability to complete time-consuming tasks</li>\n    <li>Inability to listen or follow instructions</li>\n    <li>Constant changing of activities or tasks</li>\n    <li>Difficulty organizing tasks</li>\n</ul><h3 id=\"hyperactivity-and-impulsiveness\">Hyperactivity and Impulsiveness</h3><ul>\n    <li>Inability to sit still</li>\n    <li>Fidgeting</li>\n    <li>Inability to concentrate on tasks</li>\n    <li>Excessive movement</li>\n    <li>Excessive talking</li>\n    <li>Inability to wait</li>\n    <li>Impulsive actions</li>\n    <li>Interrupting conversations</li>\n    <li>Little or no sense of danger</li>\n</ul><span id=\"the-link-between-adhd-symptoms-and-internet-use-one-study-of-100-children-50-with-adhd-and-50-without-found-that-54-of-the-children-with-adhd-had-a-probable-internet-addiction-and-2-of-the-children-with-adhd-had-a-definite-internet-addiction-in-comparison-only-12-of-the-children-without-adhd-had-internet-addiction-all-12-had-probable-internet-addiction-the-same-study-also-found-that-children-with-adhd-were-9-3-times-more-likely-to-develop-internet-addiction-disorder-as-compared-to-children-without-adhd\" class=\"section-anchor-alias\" data-section-alias=\"the-link-between-adhd-symptoms-and-internet-use\" aria-hidden=\"true\"></span><h2 id=\"the-link-between-adhd-symptoms-and-internet-use\">The Link Between Attention-deficit/hyperactivity disorder (ADHD) Symptoms and Internet Use</h2><p>\nOne study of 100 children (50 with ADHD and 50 without) found that 54% of the children with ADHD had a “probable Internet addiction,” and 2% of the children with ADHD had a “definite Internet addiction.” In comparison, only 12% of the children without ADHD had Internet addiction (all 12% had “probable Internet addiction”). The same study also found that children with ADHD were 9.3 times more likely to develop Internet addiction disorder as compared to children without ADHD. <a href=\"#attention-deficit-hyperactivity-disorder-adhd\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\"><sup>[9]</sup></a>\nA commonly overlooked symptom of ADHD is hyperfocus, which is defined as an intense concentration on a particular object. Hyperfocus is known to disrupt attention control, resulting in a focus on inappropriate behaviors such as problematic internet usage. <a href=\"#study-internet-addiction-children-attention-deficit-hyperactivity-disorder-normal\" aria-label=\"Reference 10\" class=\"article-inline-link article-citation\"><sup>[10]</sup></a>\n</p><h3 id=\"adhd-and-screen-addiction-screen-addiction-is-defined-as-excessive-use-of-technology-such-as-a-smartphone-tablet-laptop-or-television-that-causes-dependency-screen-addiction-includes-video-game-addiction-social-media-addiction-internet-addiction-and-pornography-addiction\">Attention-deficit/hyperactivity disorder (ADHD) and Screen Addiction</h3><p>\nScreen addiction is defined as excessive use of technology, such as a smartphone, tablet, laptop, or television, that causes dependency. Screen addiction includes video game addiction, social media addiction, internet addiction, and pornography addiction. <a href=\"#addicted-pixels-understanding-screen-addiction-strategies-prevention\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>\n</p><p>Each of these addictions has unique features but has excessive screen time in common. Screen addiction is on the rise across all age groups. In children and teenagers, excessive screen time has been shown to have a significant impact on their physical health, including issues such as sleep disturbance, eye strain, low physical activity, poor mental health, or attention deficits. <a href=\"#screen-use-association-adhd-symptoms-among-children-systematic-review\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a></p><p>\nChildren with ADHD are more prone to excessive screen time use because people with ADHD don’t have challenges concentrating; they have difficulty maintaining concentration on things that do not stimulate the ADHD brain. Video games and the internet provide stimulating visual graphics, sound effects, action, constant change, immediate feedback, and incentive to get to the next level. <a href=\"#adhd-adults-4-things-know\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>\n</p><h3 id=\"adhd-and-social-media-addiction-the-use-of-social-media-websites-such-as-facebook-x-previously-twitter-and-instagram-are-prevalent-among-internet-users-surveys-suggest-that-over-93-of-teens-use-social-media-approximately-37-million-teenagers-in-the-usa-alone\">Attention-deficit/hyperactivity disorder (ADHD) and Social Media Addiction</h3><p>\nThe use of social media websites, such as Facebook, X (previously Twitter), and Instagram are prevalent among Internet users. Surveys suggest that over 93% of teens use social media (approximately 37 million teenagers in the USA alone). <a href=\"#interplay-between-adhd-symptoms-time-perspective-addictive-social-media\" aria-label=\"Reference 12\" class=\"article-inline-link article-citation\"><sup>[12]</sup></a><a href=\"#percentage-teens-use-social-media\" aria-label=\"Reference 13\" class=\"article-inline-link article-citation\"><sup>[13]</sup></a>\nResearch has found that ADHD-related symptoms and time perspective (which relates to whether we focus on our past, present, or future when a person makes decisions) <a href=\"#psychology-time-lives-5-types-time-perspective\" aria-label=\"Reference 14\" class=\"article-inline-link article-citation\"><sup>[14]</sup></a> are factors that may worsen the addictive use of social media among adolescents. Addictive use of social media can cause issues in many areas of a person's personal life, including negatively affecting academics and mental health. <a href=\"#interplay-between-adhd-symptoms-time-perspective-addictive-social-media\" aria-label=\"Reference 12\" class=\"article-inline-link article-citation\"><sup>[12]</sup></a>\n</p><h3 id=\"adhd-and-technology-addiction-technology-addiction-is-defined-as-excessive-use-of-technology-that-leads-to-problems-and-distress-a-person-who-is-addicted-to-technology-could-engage-in-excessive-technology-use-to-alleviate-feelings-of-anxiety-or-irritability-rather-than-for-fun-technology-addiction-causes-psychiatric-symptoms-of-tolerance-dependency-and-withdrawal-similar-to-those-who-have-substance-use-disorders\">Attention-deficit/hyperactivity disorder (ADHD) and Technology Addiction</h3><p>\nTechnology addiction is defined as excessive use of technology that leads to problems and distress. A person who is addicted to technology could engage in excessive technology use to alleviate feelings of anxiety or irritability rather than for fun. Technology addiction causes psychiatric symptoms of tolerance, dependency, and withdrawal similar to those who have substance use disorders. <a href=\"#technology-addictions-social-media-online-gaming-more\" aria-label=\"Reference 15\" class=\"article-inline-link article-citation\"><sup>[15]</sup></a>\nOne specific facet of technology addiction is gaming disorder (GD), also known as internet gaming disorder (IGD). Adolescents with ADHD and GD are more dysfunctional video gamers. Adolescents with ADHD and GD also display dysfunctional sleeping patterns, such as going to sleep between 2 and 4 a.m., compared to those without ADHD, who went to sleep between 8:30 and 10:30 p.m. <a href=\"#adhd-gaming-disorder-comorbidity-children-adolescents-narrative-review\" aria-label=\"Reference 16\" class=\"article-inline-link article-citation\"><sup>[16]</sup></a>\n</p><h3 id=\"adhd-and-pornography-addiction-in-recent-years-there-has-been-much-research-on-behavioral-addictions-with-some-focus-on-online-pornography-addiction-however-researchers-still-cannot-agree-on-when-engaging-in-online-pornography-becomes-an-addiction\">Attention-deficit/hyperactivity disorder (ADHD) and Pornography Addiction</h3><p>\nIn recent years, there has been much research on behavioral addictions, with some focus on online pornography addiction. However, researchers still cannot agree on when engaging in online pornography becomes an addiction<a href=\"#online-porn-addiction-we-know-we-donta-systematic-review\" aria-label=\"Reference 17\" class=\"article-inline-link article-citation\"><sup>[17]</sup></a>. While excessive pornography usage displays similar characteristics to other behavioral addictions, such as compulsive behavior with negative consequences, it is not classified as an addiction. The World Health Organization's ICD-11 (2022) <em>has</em> recognized compulsive sexual behavior disorder (CSBD) as an \"impulsive control disorder,\" and this may extend to pornography. <a href=\"#asam-principles-addiction-medicine\" class=\"article-inline-link article-citation\" aria-label=\"Reference 18\"><sup>[18]</sup></a>\nThe reason why excessive pornography use can be treated as an addiction and is an issue faced by adolescents diagnosed with ADHD is because it provides a quick, intense stimulus. These intense stimuli work with the ADHD brain's craving for instant gratification and stimulation. <a href=\"#adhd-addiction-source\" aria-label=\"Reference 19\" class=\"article-inline-link article-citation\"><sup>[19]</sup></a>\n</p><span id=\"identifying-signs-of-internet-addiction-in-adolescents-with-adhd-while-the-risk-of-internet-addiction-is-higher-in-adolescents-with-adhd-the-signs-of-internet-addiction-are-the-same-in-those-with-or-without-adhd-and-include\" class=\"section-anchor-alias\" data-section-alias=\"internet-addiction-signs-in-adolescents-with-adhd\" aria-hidden=\"true\"></span><h2 id=\"internet-addiction-signs-in-adolescents-with-adhd\">Identifying Signs of Internet Addiction in Adolescents with Attention-deficit/hyperactivity disorder (ADHD)</h2><p>\nWhile the risk of internet addiction is higher in adolescents with ADHD, the signs of internet addiction are the same in those with or without ADHD and include:\n</p><ol>\n    <li>Preoccupation with the Internet</li>\n</ol><p>\nThe first and most apparent sign of internet addiction in adolescents is a preoccupation with the internet. Those who have an internet addiction may constantly think about being online. These cravings may lead to excessive Internet usage and neglecting other responsibilities. <a href=\"#current-research-viewpoints-internet-addiction-adolescents\" aria-label=\"Reference 20\" class=\"article-inline-link article-citation\"><sup>[20]</sup></a>\n</p><ol start=\"2\">\n    <li>Withdrawal Symptoms</li>\n</ol><p>\nWithdrawal symptoms, such as anxiety and moodiness, are indicators of Internet addiction. When an adolescent is addicted to the internet and is unable to engage in online activities, they may experience symptoms similar to those seen in substance withdrawal. The intensity of withdrawal symptoms differs depending on the level of addiction. <a href=\"#internet-addiction\" aria-label=\"Reference 21\" class=\"article-inline-link article-citation\"><sup>[21]</sup></a>\n</p><ol start=\"3\">\n    <li>Loss of Interest in Other Activities</li>\n</ol><p>\nA noticeable loss of interest in activities previously enjoyed is a common symptom of addiction. When people become addicted to the internet, they may prioritize online activities over other important ones. Loss of interest in other activities can impact overall well-being and may lead to a decline in academic performance and a reduced quality of life. <a href=\"#internet-addiction-new-addiction\" aria-label=\"Reference 22\" class=\"article-inline-link article-citation\"><sup>[22]</sup></a>\n</p><ol start=\"4\">\n    <li>Declining Academic Performance</li>\n</ol><p>\nResearch has shown a negative association between internet addiction and academic performance among teenagers. One study in Australia found that non-academic internet use of more than four hours during weekdays negatively affects academic performance. Students with higher levels of internet addiction also tend to have lower academic achievements. <a href=\"#effect-internet-use-electronic-game-play-academic-performance-australian\" aria-label=\"Reference 23\" class=\"article-inline-link article-citation\"><sup>[23]</sup></a>\n</p><span id=\"strategies-for-managing-screen-time-there-are-several-strategies-that-parents-can-put-into-place-to-manage-screen-time-and-reduce-the-risk-of-internet-addiction-in-adolescents-these-include\" class=\"section-anchor-alias\" data-section-alias=\"strategies-for-managing-screen-time\" aria-hidden=\"true\"></span><h2 id=\"strategies-for-managing-screen-time\">Strategies for Managing Screen Time</h2><p>\nThere are several strategies that parents can put into place to manage screen time and reduce the risk of internet addiction in adolescents; these include:\n</p><ol>\n    <li>Mindful Screen Time</li>\n</ol><p>\nParents should ensure that the screen time they allow their children is of good quality. Apps and videos should be previewed before children watch them. Parents should also seek out engaging apps or games rather than those that require pushing and swiping. Parents may also consider parental control apps to control their children's screen time. <a href=\"#tips-reducing-screen-time-reduce-screen-time-nhlbi-nih\" aria-label=\"Reference 24\" class=\"article-inline-link article-citation\"><sup>[24]</sup></a>\n</p><ol start=\"2\">\n    <li>Set Screen Time Limits</li>\n</ol><p>\nScreen time for adolescents should be limited to a maximum of two hours per day, and parents must enforce this rule. <a href=\"#tips-reducing-screen-time-reduce-screen-time-nhlbi-nih\" aria-label=\"Reference 24\" class=\"article-inline-link article-citation\"><sup>[24]</sup></a>\n</p><ol start=\"3\">\n    <li>Create Screen-Free Zones</li>\n</ol><p>\nParents can create areas in the home where screens are not allowed. Examples of these areas could be the dining room and bedroom. When screen-free zones are created, parents minimize the impulsive use of the internet and encourage adolescents to engage in other activities. <a href=\"#too-much-screen-time\" aria-label=\"Reference 25\" class=\"article-inline-link article-citation\"><sup>[25]</sup></a>\n</p><ol start=\"4\">\n    <li>Lead By Example</li>\n</ol><p>\nOlder adults and parents should teach children to safely use screens by practicing good screen habits. Adolescents are keen observers (they model behavior) and often copy the behaviors of adults around them. <a href=\"#create-healthy-screen-time-habits-teenager\" aria-label=\"Reference 26\" class=\"article-inline-link article-citation\"><sup>[26]</sup></a>\n</p><span id=\"treatment-approaches-for-co-occurring-adhd-and-internet-addiction-adolescents-with\" class=\"section-anchor-alias\" data-section-alias=\"treating-adhd-and-internet-addiction-together\" aria-hidden=\"true\"></span><h2 id=\"treating-adhd-and-internet-addiction-together\">Treatment Approaches for Co-occurring Attention-deficit/hyperactivity disorder (ADHD) and Internet Addiction</h2><p>\nAdolescents with <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adhd-comorbidity\" class=\"article-inline-link\">co-occurring ADHD and addiction disorders</a> will often require a combination of treatments, including medications and therapy, to achieve improvement. <a href=\"#treatment-substance-use-disorder-co-occurring-mental-illness\" aria-label=\"Reference 27\" class=\"article-inline-link article-citation\"><sup>[27]</sup></a>\n</p><h3 id=\"medication-therapy-there-are-five-medicines-licensed-for-the-treatment-of-adhd\">Medication Therapy</h3><p>\nThere are five medicines licensed for the treatment of ADHD:\n</p><ol>\n    <li>Methylphenidate</li>\n    <li>Atomoxetine</li>\n    <li>Lisdexamfetamine</li>\n    <li>Dexamfetamine</li>\n    <li>Guanfacine</li>\n</ol><p>\nWhile these medicines may help to improve the symptoms of ADHD, <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/other-stimulants\" class=\"article-inline-link\">they are not a cure</a>. Some must be taken daily, while others may be taken as needed, such as on days when the person is attending school. Sometimes, a psychiatrist may recommend a treatment break to assess whether the medicine is still needed. <a href=\"#attention-deficit-hyperactivity-disorder-adhd\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\"><sup>[9]</sup></a>\nOf the five licensed drugs, methylphenidate (Ritalin, Ritalin LA, Concerta, Metadate CD, Methylin, Methylin ER, Daytrana, Quillivant XR, Quillichew ER, Aptensio XR, Cotempla XR-ODT, Jornay PM, and Adhansia XR<a href=\"#brands-methylphenidate\" aria-label=\"Reference 28\" class=\"article-inline-link article-citation\"><sup>[28]</sup></a>) is the most commonly used for ADHD. It belongs to a group of medicines called stimulants, which increase activity in brain areas that control attention and behavior. <a href=\"#methylphenidate\" aria-label=\"Reference 29\" class=\"article-inline-link article-citation\"><sup>[29]</sup></a>\n</p><h3 id=\"psychotherapy-therapy-in-adolescents-with-adhd-is-a-helpful-resource-if-the-adolescent-has-a-co-occurring-mental-disorder-such-as-addiction-it-can-become-even-more-necessary-a-few-different-types-of-therapy-have-been-found-to-help-parents-and-adolescents-manage-symptoms-and-improve-functioning\">Psychotherapy</h3><p>\nTherapy in adolescents with ADHD is a helpful resource. If the adolescent has a co-occurring mental disorder, such as addiction, it can become even more necessary. A few different types of therapy have been found to help parents and adolescents manage symptoms and improve functioning.\n</p><ol>\n    <li><strong>Behavioral therapy</strong> may help an adolescent with ADHD and addiction to change their behavior. Behavioral therapy may involve practical assistance, such as teaching parents and adolescents how to organize tasks or complete schoolwork and learning social skills, such as controlling behavior.</li>\n    <li><strong>Cognitive behavioral therapy</strong> can help adolescents with ADHD become aware of their concentration challenges and help them develop strategies to improve focus and complete daily tasks.</li>\n    <li><strong>Family and marital therapy</strong> may be important for family members of ADHD adolescents to help them learn to manage disruptive behaviors.</li>\n</ol><p>\nEach or a combination of these therapies can teach adolescents with ADHD or their family members skills to improve daily functioning. <a href=\"#attention-deficit-hyperactivity-disorder-you-need-know\" aria-label=\"Reference 30\" class=\"article-inline-link article-citation\"><sup>[30]</sup></a>\n</p><span id=\"conclusion-screens-and-the-internet-are-so-ingrained-in-the-lives-of-children-whether-for-academic-or-entertainment-purposes-and-their-use-is-nearly-inescapable-because-adolescents-with-adhd-often-have-impulse-control-issues-and-the-internet-is-designed-to-engage-and-draw-users-in-these-adolescents-have-an-increased-risk-of-becoming-addicted\" class=\"section-anchor-alias\" data-section-alias=\"conclusion\" aria-hidden=\"true\"></span><h2 id=\"conclusion\">Conclusion</h2><p>\nScreens and the internet are so ingrained in the lives of children, whether for academic or entertainment purposes, and their use is nearly inescapable. Because adolescents with ADHD often have impulse control issues and the internet is designed to engage and draw users in, these adolescents have an increased risk of becoming addicted.\n</p><p>Parents have the responsibility to ensure that routine use of the internet and technology does not become an addiction, especially in at-risk adolescents like those with ADHD.</p><p>Treatment options are vast and very effective, <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adhd\" class=\"article-inline-link\">including medication treatment</a> and psychotherapy.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" id=\"references\" data-source-references=\"\" data-reference-list=\"\" data-reference-style=\"author-date-numbered\"><h2 id=\"references-2\">References</h2><ol>\n<li id=\"internet-usage-age-u-s\" data-reference-number=\"1\">Petrosyan, A. (2024, February 29). Internet usage by age in U.S. 2023. Statista. <a href=\"https://www.statista.com/statistics/266587/percentage-of-internet-users-by-age-groups-in-the-us/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">statista.com</a></li>\n<li id=\"internet-addiction-relationship-attention-deficit-hyperactivity-disorder-adhd-symptoms\" data-reference-number=\"2\">Zakaria, H., Hussain, I., Zulkifli, N. S., Ibrahim, N., Noriza, N. J., Wong, M., Nik Jaafar, N. R., Mohd Salleh Sahimi, H., &amp; Abd Latif, M. H. (2023). Internet addiction and its relationship with attention deficit hyperactivity disorder (ADHD) symptoms, anxiety and stress among university students in Malaysia. PloS One, 18(7), e0283862. <a href=\"https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0283862\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">PLOS</a></li>\n<li id=\"definition-addiction\" data-reference-number=\"3\">The American Society of Addiction Medicine. (2019, September 15). What is the Definition of Addiction? 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Nhs.Uk. <a href=\"https://www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/symptoms/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">NHS</a></li>\n<li id=\"study-internet-addiction-children-attention-deficit-hyperactivity-disorder-normal\" data-reference-number=\"10\">Enagandula, R., Singh, S., Adgaonkar, G. W., Subramanyam, A. A., &amp; Kamath, R. M. (2018). Study of Internet addiction in children with attention-deficit hyperactivity disorder and normal control. Industrial Psychiatry Journal, 27(1), 110–114. <a href=\"https://journals.lww.com/inpj/fulltext/2018/27010/study_of_internet_addiction_in_children_with.18.aspx\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Lippincott Journals</a></li>\n<li id=\"hyperfocus-symptom-internet-addiction-individuals-attention-deficit-hyperactivity-disord\" data-reference-number=\"11\">Ishii, S., Takagi, S., Kobayashi, N., Jitoku, D., Sugihara, G., &amp; Takahashi, H. (2023). 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Teen Social Media Usage Statistics 2024. Sentiment Digital Customer Service Platform. <a href=\"https://www.sentiment.io/how-many-teens-use-social-media/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">sentiment.io</a></li>\n<li id=\"psychology-time-lives-5-types-time-perspective\" data-reference-number=\"14\">Positran. (2020, June 25). The psychology of time in our lives: 5 types of time perspective. Positran. <a href=\"https://www.positran.eu/psychology-time-live-perspective/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">positran.eu</a></li>\n<li id=\"technology-addictions-social-media-online-gaming-more\" data-reference-number=\"15\">Sherer, J. (2024). Technology addictions: Social media, online gaming, and more. American Psychiatric Association. <a href=\"https://www.psychiatry.org/patients-families/technology-addictions-social-media-and-more\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">American Psychiatric Association</a></li>\n<li id=\"adhd-gaming-disorder-comorbidity-children-adolescents-narrative-review\" data-reference-number=\"16\">Salerno, L., Becheri, L., &amp; Pallanti, S. (2022). ADHD-Gaming disorder comorbidity in children and adolescents: A narrative review. Children, 9(10). <a href=\"https://www.mdpi.com/2227-9067/9/10/1528\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">MDPI</a></li>\n<li id=\"online-porn-addiction-we-know-we-donta-systematic-review\" data-reference-number=\"17\">de Alarcón, R., Iglesia, J. I. de la, Casado, N. M., &amp; Montejo, A. L. (2019). Online porn addiction: What we know and what we don’t—a systematic review. 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Kolli Psychiatric &amp; Associates. <a href=\"https://kollipsych.com/create-healthy-screen-time-habits-for-your-teenager/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">kollipsych.com</a></li>\n<li id=\"treatment-substance-use-disorder-co-occurring-mental-illness\" data-reference-number=\"27\">Iqbal, M. N., Levin, C. J., &amp; Levin, F. R. (2019). Treatment for substance use disorder with co-occurring mental illness. Focus, 17(2), 88–97. <a href=\"https://psychiatryonline.org/doi/10.1176/appi.focus.20180042\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">PsychiatryOnline</a></li>\n<li id=\"brands-methylphenidate\" data-reference-number=\"28\">Stewart, J. (2024, February 14). What are the brands of methylphenidate? Drugs.Com. <a href=\"https://www.drugs.com/medical-answers/brands-methylphenidate-3510739/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Drugs.com</a></li>\n<li id=\"methylphenidate\" data-reference-number=\"29\">Entringer, S. (2023, January 11). Methylphenidate. Drugs.Com. <a href=\"https://www.drugs.com/methylphenidate.html\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Drugs.com</a></li>\n<li id=\"attention-deficit-hyperactivity-disorder-you-need-know\" data-reference-number=\"30\">National Institutes of Health. (2024). Attention-Deficit/Hyperactivity disorder: What you need to know. National Institute of Mental Health (NIMH). <a href=\"https://www.nimh.nih.gov/health/publications/attention-deficit-hyperactivity-disorder-what-you-need-to-know\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Institute of Mental Health</a></li>\n</ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9429.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Author</p><h3 id=\"allan-schwartz-ph-d\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/allan-schwartz\">Allan Schwartz, Ph.D.</a></h3><p class=\"article-bio-credentials\">LCSW, Ph.D.</p><p>Allan Schwartz, LCSW, Ph.D. is a medical writer with more than 30 years of clinical experience as a Licensed Clinical Social Worker. He writes on a wide range of mental health topics, including mood and anxiety disorders, eating disorders, trauma, abuse, stress, and relationship challenges.</p><dl><div><dt>Published</dt><dd><time datetime=\"2025-05-17T15:57:49Z\">May 17, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2025-08-12T06:08:51Z\">August 12, 2025</time></dd></div></dl></div></section><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9843.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Author</p><h3 id=\"samantha-pieterse\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/samantha-pieterse\">Samantha Pieterse</a></h3><p class=\"article-bio-credentials\">Writer</p><p>Samantha Pieterse is a registered psychiatric nurse and medical writer with extensive clinical experience in mental health care.</p><dl><div><dt>Published</dt><dd><time datetime=\"2025-05-17T15:57:49Z\">May 17, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2025-08-12T06:08:51Z\">August 12, 2025</time></dd></div></dl></div></section><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/3070.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"morgan-blair\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/morgan-blair\">Morgan Blair</a></h3><p class=\"article-bio-credentials\">MA, LPCC</p><p>Morgan Blair is a licensed therapist, writer and medical reviewer, holding a master’s degree in clinical mental health counseling from Northwestern University.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2025-01-31\">January 31, 2025</time></dd></div></dl></div></section></div></section><section class=\"article-expert article-expert-mobile\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/11503.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/holly-schiff\">Holly Schiff <span class=\"expert-credentials\">Psy.D.</span></a></h2></div><p class=\"article-expert-focus\">Children, adolescents, and families</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/holly-schiff\">View experience</a></section><section class=\"article-topic-community article-topic-community-mobile\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-9906.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Attention Deficit Hyperactivity Disorder</h2><p>Share perspectives on attention, daily routines, and life with ADHD.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/attention-deficit-hyperactivity-disorder\">Explore community</a></section></div></div><aside class=\"article-sidebar\" tabindex=\"0\" data-bounded-rail=\"\" aria-label=\"Article navigation and related information\"><details class=\"article-contents\" open data-section-preview=\"3\" data-expanded=\"false\" data-scrolled-past=\"false\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"#adhd-and-addiction-whats-the-link\" title=\"ADHD and Addiction: What’s the Link?\" aria-label=\"ADHD and Addiction: What’s the Link?\">ADHD and Addiction: What’s the Link?</a></li><li><a href=\"#how-does-adhd-impact-behavior\" title=\"How Does ADHD Impact Behavior?\" aria-label=\"How Does ADHD Impact Behavior?\">How Does ADHD Impact Behavior?</a></li><li><a href=\"#the-link-between-adhd-symptoms-and-internet-use\" title=\"The Link Between ADHD Symptoms and Internet Use\" aria-label=\"The Link Between ADHD Symptoms and Internet Use\">The Link Between ADHD Symptoms and Internet Use</a></li><li><a href=\"#internet-addiction-signs-in-adolescents-with-adhd\" title=\"Identifying Signs of Internet Addiction in Adolescents with ADHD\" aria-label=\"Internet addiction signs in adolescents with ADHD\">Internet addiction signs in adolescents with ADHD</a></li><li><a href=\"#strategies-for-managing-screen-time\" title=\"Strategies for Managing Screen Time\" aria-label=\"Strategies for Managing Screen Time\">Strategies for Managing Screen Time</a></li><li><a href=\"#treating-adhd-and-internet-addiction-together\" title=\"Treatment Approaches for Co-occurring ADHD and Internet Addiction\" aria-label=\"Treating ADHD and internet addiction together\">Treating ADHD and internet addiction together</a></li><li><a href=\"#conclusion\" title=\"Conclusion\" aria-label=\"Conclusion\">Conclusion</a></li></ol><button type=\"button\" class=\"article-sections-toggle\" data-sections-toggle aria-controls=\"article-section-list\" aria-expanded=\"false\">View more</button></nav></details><section class=\"article-expert\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/11503.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/holly-schiff\">Holly Schiff <span class=\"expert-credentials\">Psy.D.</span></a></h2></div><p class=\"article-expert-focus\">Children, adolescents, and families</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/holly-schiff\">View experience</a></section><section class=\"article-topic-community\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-9906.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Attention Deficit Hyperactivity Disorder</h2><p>Share perspectives on attention, daily routines, and life with ADHD.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/attention-deficit-hyperactivity-disorder\">Explore community</a></section></aside></div></div></div>","text":"HomeLibraryAttention Deficit Hyperactivity DisorderADHD in Adolescents and the Risk of Internet AddictionAttention-deficit/hyperactivity disorder (ADHD) in Adolescents and the Risk of Internet AddictionMedically reviewed by Morgan Blair – Written by Allan Schwartz, Ph.D. and Samantha PietersePublished on May 17, 2025 · Updated on August 12, 2025The internet has become a lifeline used by young and old alike, whether for academics, socialization, or entertainment. For the first time, we see substantial internet usage over five distinct generations: Generation Alpha, Generation Z, Millennials, Generation X, and Baby Boomers. In 2023, an average of 94.75% of adults between the ages of 18 and 65+ used the internet. [1]With more people online, there have been increasing incidences of internet addiction, especially among younger generations (the youth). [2] The American Society of Addiction Medicine (ASAM) defines addiction as a psychiatric disorder where an individual displays problematic patterns in both behaviors and with substances. There is also a growing understanding of the importance of prevention in addiction and recovery. [3] Key takeawaysAttention-deficit/hyperactivity disorder (ADHD)-related impulsivity and attention difficulties can increase adolescents’ vulnerability to problematic internet use.Preoccupation with the internet, withdrawal symptoms, declining school performance, and lost interest in other activities can signal impairment.Structured screen habits and treatment addressing both ADHD and problematic internet use can support healthier functioning.Attention-deficit/hyperactivity disorder (ADHD) and Addiction: What’s the Link? There has been substantial research conducted on attention-deficit/hyperactivity disorder (ADHD) and addiction disorders, with researchers finding that those with ADHD have an increased risk for addiction disorders. [4] One of the main characteristics of ADHD is impulsivity, which significantly increases the chances of engaging in addictive behaviors. When someone (especially a young person) has ADHD, it is difficult to think through the consequences of actions. Difficulty considering consequences can lead to impulsive decision-making, such as engaging in risky activities like excessive or complusive internet usage, without fully considering the long-term impact. [5] For most people diagnosed with ADHD, the symptoms decrease as they age, although some adults may still have significant psychological symptoms that interfere with their daily functioning. [6] Because symptoms decline in adulthood, youth are most often affected by addiction as a result of ADHD. How Does Attention-deficit/hyperactivity disorder (ADHD) Impact Behavior? According to DSM-5, Attention-Deficit/Hyperactivity Disorder (ADHD) is defined as having severe symptoms of inattentiveness and/or hyperactivity-impulsivity, which has lasted more than six months. [7] Attention-deficit/hyperactivity disorder (ADHD) Symptoms in Children and Teenagers ADHD symptoms are grouped into two main types of behavior problems, namely inattentiveness and hyperactivity/impulsiveness, with many people diagnosed with ADHD having symptoms that fall into both categories. [8] Inattentiveness Symptoms Short attention span Easily distractible Careless mistake-making Forgetfulness or losing things Inability to complete time-consuming tasks Inability to listen or follow instructions Constant changing of activities or tasks Difficulty organizing tasks Hyperactivity and Impulsiveness Inability to sit still Fidgeting Inability to concentrate on tasks Excessive movement Excessive talking Inability to wait Impulsive actions Interrupting conversations Little or no sense of danger The Link Between Attention-deficit/hyperactivity disorder (ADHD) Symptoms and Internet Use One study of 100 children (50 with ADHD and 50 without) found that 54% of the children with ADHD had a “probable Internet addiction,” and 2% of the children with ADHD had a “definite Internet addiction.” In comparison, only 12% of the children without ADHD had Internet addiction (all 12% had “probable Internet addiction”). The same study also found that children with ADHD were 9.3 times more likely to develop Internet addiction disorder as compared to children without ADHD. [9] A commonly overlooked symptom of ADHD is hyperfocus, which is defined as an intense concentration on a particular object. Hyperfocus is known to disrupt attention control, resulting in a focus on inappropriate behaviors such as problematic internet usage. [10] Attention-deficit/hyperactivity disorder (ADHD) and Screen Addiction Screen addiction is defined as excessive use of technology, such as a smartphone, tablet, laptop, or television, that causes dependency. Screen addiction includes video game addiction, social media addiction, internet addiction, and pornography addiction. [7] Each of these addictions has unique features but has excessive screen time in common. Screen addiction is on the rise across all age groups. In children and teenagers, excessive screen time has been shown to have a significant impact on their physical health, including issues such as sleep disturbance, eye strain, low physical activity, poor mental health, or attention deficits. [8] Children with ADHD are more prone to excessive screen time use because people with ADHD don’t have challenges concentrating; they have difficulty maintaining concentration on things that do not stimulate the ADHD brain. Video games and the internet provide stimulating visual graphics, sound effects, action, constant change, immediate feedback, and incentive to get to the next level. [6] Attention-deficit/hyperactivity disorder (ADHD) and Social Media Addiction The use of social media websites, such as Facebook, X (previously Twitter), and Instagram are prevalent among Internet users. Surveys suggest that over 93% of teens use social media (approximately 37 million teenagers in the USA alone). [12][13] Research has found that ADHD-related symptoms and time perspective (which relates to whether we focus on our past, present, or future when a person makes decisions) [14] are factors that may worsen the addictive use of social media among adolescents. Addictive use of social media can cause issues in many areas of a person's personal life, including negatively affecting academics and mental health. [12] Attention-deficit/hyperactivity disorder (ADHD) and Technology Addiction Technology addiction is defined as excessive use of technology that leads to problems and distress. A person who is addicted to technology could engage in excessive technology use to alleviate feelings of anxiety or irritability rather than for fun. Technology addiction causes psychiatric symptoms of tolerance, dependency, and withdrawal similar to those who have substance use disorders. [15] One specific facet of technology addiction is gaming disorder (GD), also known as internet gaming disorder (IGD). Adolescents with ADHD and GD are more dysfunctional video gamers. Adolescents with ADHD and GD also display dysfunctional sleeping patterns, such as going to sleep between 2 and 4 a.m., compared to those without ADHD, who went to sleep between 8:30 and 10:30 p.m. [16] Attention-deficit/hyperactivity disorder (ADHD) and Pornography Addiction In recent years, there has been much research on behavioral addictions, with some focus on online pornography addiction. However, researchers still cannot agree on when engaging in online pornography becomes an addiction[17]. While excessive pornography usage displays similar characteristics to other behavioral addictions, such as compulsive behavior with negative consequences, it is not classified as an addiction. The World Health Organization's ICD-11 (2022) has recognized compulsive sexual behavior disorder (CSBD) as an \"impulsive control disorder,\" and this may extend to pornography. [18] The reason why excessive pornography use can be treated as an addiction and is an issue faced by adolescents diagnosed with ADHD is because it provides a quick, intense stimulus. These intense stimuli work with the ADHD brain's craving for instant gratification and stimulation. [19] Identifying Signs of Internet Addiction in Adolescents with Attention-deficit/hyperactivity disorder (ADHD) While the risk of internet addiction is higher in adolescents with ADHD, the signs of internet addiction are the same in those with or without ADHD and include: Preoccupation with the Internet The first and most apparent sign of internet addiction in adolescents is a preoccupation with the internet. Those who have an internet addiction may constantly think about being online. These cravings may lead to excessive Internet usage and neglecting other responsibilities. [20] Withdrawal Symptoms Withdrawal symptoms, such as anxiety and moodiness, are indicators of Internet addiction. When an adolescent is addicted to the internet and is unable to engage in online activities, they may experience symptoms similar to those seen in substance withdrawal. The intensity of withdrawal symptoms differs depending on the level of addiction. [21] Loss of Interest in Other Activities A noticeable loss of interest in activities previously enjoyed is a common symptom of addiction. When people become addicted to the internet, they may prioritize online activities over other important ones. Loss of interest in other activities can impact overall well-being and may lead to a decline in academic performance and a reduced quality of life. [22] Declining Academic Performance Research has shown a negative association between internet addiction and academic performance among teenagers. One study in Australia found that non-academic internet use of more than four hours during weekdays negatively affects academic performance. Students with higher levels of internet addiction also tend to have lower academic achievements. [23] Strategies for Managing Screen Time There are several strategies that parents can put into place to manage screen time and reduce the risk of internet addiction in adolescents; these include: Mindful Screen Time Parents should ensure that the screen time they allow their children is of good quality. Apps and videos should be previewed before children watch them. Parents should also seek out engaging apps or games rather than those that require pushing and swiping. Parents may also consider parental control apps to control their children's screen time. [24] Set Screen Time Limits Screen time for adolescents should be limited to a maximum of two hours per day, and parents must enforce this rule. [24] Create Screen-Free Zones Parents can create areas in the home where screens are not allowed. Examples of these areas could be the dining room and bedroom. When screen-free zones are created, parents minimize the impulsive use of the internet and encourage adolescents to engage in other activities. [25] Lead By Example Older adults and parents should teach children to safely use screens by practicing good screen habits. Adolescents are keen observers (they model behavior) and often copy the behaviors of adults around them. [26] Treatment Approaches for Co-occurring Attention-deficit/hyperactivity disorder (ADHD) and Internet Addiction Adolescents with co-occurring ADHD and addiction disorders will often require a combination of treatments, including medications and therapy, to achieve improvement. [27] Medication Therapy There are five medicines licensed for the treatment of ADHD: Methylphenidate Atomoxetine Lisdexamfetamine Dexamfetamine Guanfacine While these medicines may help to improve the symptoms of ADHD, they are not a cure. Some must be taken daily, while others may be taken as needed, such as on days when the person is attending school. Sometimes, a psychiatrist may recommend a treatment break to assess whether the medicine is still needed. [9] Of the five licensed drugs, methylphenidate (Ritalin, Ritalin LA, Concerta, Metadate CD, Methylin, Methylin ER, Daytrana, Quillivant XR, Quillichew ER, Aptensio XR, Cotempla XR-ODT, Jornay PM, and Adhansia XR[28]) is the most commonly used for ADHD. It belongs to a group of medicines called stimulants, which increase activity in brain areas that control attention and behavior. [29] Psychotherapy Therapy in adolescents with ADHD is a helpful resource. If the adolescent has a co-occurring mental disorder, such as addiction, it can become even more necessary. A few different types of therapy have been found to help parents and adolescents manage symptoms and improve functioning. Behavioral therapy may help an adolescent with ADHD and addiction to change their behavior. Behavioral therapy may involve practical assistance, such as teaching parents and adolescents how to organize tasks or complete schoolwork and learning social skills, such as controlling behavior. Cognitive behavioral therapy can help adolescents with ADHD become aware of their concentration challenges and help them develop strategies to improve focus and complete daily tasks. Family and marital therapy may be important for family members of ADHD adolescents to help them learn to manage disruptive behaviors. Each or a combination of these therapies can teach adolescents with ADHD or their family members skills to improve daily functioning. [30] Conclusion Screens and the internet are so ingrained in the lives of children, whether for academic or entertainment purposes, and their use is nearly inescapable. Because adolescents with ADHD often have impulse control issues and the internet is designed to engage and draw users in, these adolescents have an increased risk of becoming addicted. Parents have the responsibility to ensure that routine use of the internet and technology does not become an addiction, especially in at-risk adolescents like those with ADHD.Treatment options are vast and very effective, including medication treatment and psychotherapy.References Petrosyan, A. (2024, February 29). Internet usage by age in U.S. 2023. Statista. statista.com Zakaria, H., Hussain, I., Zulkifli, N. S., Ibrahim, N., Noriza, N. J., Wong, M., Nik Jaafar, N. R., Mohd Salleh Sahimi, H., & Abd Latif, M. H. (2023). Internet addiction and its relationship with attention deficit hyperactivity disorder (ADHD) symptoms, anxiety and stress among university students in Malaysia. PloS One, 18(7), e0283862. PLOS The American Society of Addiction Medicine. (2019, September 15). What is the Definition of Addiction? Default. asam.org Davis, C., Cohen, A., Davids, M., & Rabindranath, A. (2015). Attention-deficit/hyperactivity disorder in relation to addictive behaviors: A moderated-mediation analysis of personality-risk factors and sex. Frontiers in Psychiatry, 6, 1–9. Frontiers Stride, B. (2024, September 25). ADHD and addiction. Think ADHD. thinkadhd.co.uk National Institute of Mental Health (NIMH). (2024). ADHD in adults: 4 things to know. National Institute of Mental Health (NIMH). National Institute of Mental Health Khan, F. A., Alnaher, S., Ismail, M., Ahmad Khan Zalmay, & Zeshan, M. (2024). Addicted to pixels: Understanding screen addiction and strategies for prevention. Journal of Sociology, Psychology & Religious Studies, 6(1), 58–74. stratfordjournal.org Yifei, P., Xuechun, L., & Yu, Y. (2023). Screen use and its association with ADHD symptoms among children: A systematic review. MEDS Public Health and Preventive Medicine, 3(3). clausiuspress.com NHS UK. (2021, December 24). Attention deficit hyperactivity disorder (ADHD). Nhs.Uk. NHS Enagandula, R., Singh, S., Adgaonkar, G. W., Subramanyam, A. A., & Kamath, R. M. (2018). Study of Internet addiction in children with attention-deficit hyperactivity disorder and normal control. Industrial Psychiatry Journal, 27(1), 110–114. Lippincott Journals Ishii, S., Takagi, S., Kobayashi, N., Jitoku, D., Sugihara, G., & Takahashi, H. (2023). Hyperfocus symptom and internet addiction in individuals with attention-deficit/hyperactivity disorder trait. Frontiers in Psychiatry, 14. Frontiers Settanni, M., Marengo, D., Fabris, M. A., & Longobardi, C. (2018). The interplay between ADHD symptoms and time perspective in addictive social media use: A study on adolescent Facebook users. Children and Youth Services Review, 89, 165–170. ScienceDirect Chaddock, L. (2024, January 11). What Percentage of teens use Social Media? Teen Social Media Usage Statistics 2024. Sentiment Digital Customer Service Platform. sentiment.io Positran. (2020, June 25). The psychology of time in our lives: 5 types of time perspective. Positran. positran.eu Sherer, J. (2024). Technology addictions: Social media, online gaming, and more. American Psychiatric Association. American Psychiatric Association Salerno, L., Becheri, L., & Pallanti, S. (2022). ADHD-Gaming disorder comorbidity in children and adolescents: A narrative review. Children, 9(10). MDPI de Alarcón, R., Iglesia, J. I. de la, Casado, N. M., & Montejo, A. L. (2019). Online porn addiction: What we know and what we don’t—a systematic review. Journal of Clinical Medicine, 8(1). MDPI Miller, S. (2018). The ASAM principles of addiction medicine. LWW. Centres, U. A. T. (2024, January 12). ADHD and addiction. UK Addiction Treatment Centres. ukat.co.uk Bickham, D. S. (2021). Current research and viewpoints on internet addiction in adolescents. Current Pediatrics Reports, 9(1), 1–10. Springer Victoria State Government & Better Health Channel. (2024). Internet addiction. Better Health Channel. Better Health Channel Kurniasanti, K. S., Assandi, P., Ismail, R. I., Nasrun, M. W. S., & Wiguna, T. (2019). Internet addiction: A new addiction? Medical Journal of Indonesia, 28(1), 82–91. mji.ui.ac.id Islam, M. I., Biswas, R. K., & Khanam, R. (2020). Effect of internet use and electronic game-play on academic performance of Australian children. Scientific Reports, 10(1), 1–10. Nature National Heart, Lung and Blood Insitute. (2013, February 13). Tips for reducing screen time, reduce screen time, NHLBI, NIH. Tips to Reduce Screen Time. nhlbi.nih.gov Kutscher, M. L., & Rosin, N. (2015, June). Too much screen time? When Your Child with ADHD Over-Connects to Technology. CHADD. chadd.org KolliPsych. (2024, June 26). Create healthy screen time habits for your teenager. Kolli Psychiatric & Associates. kollipsych.com Iqbal, M. N., Levin, C. J., & Levin, F. R. (2019). Treatment for substance use disorder with co-occurring mental illness. Focus, 17(2), 88–97. PsychiatryOnline Stewart, J. (2024, February 14). What are the brands of methylphenidate? Drugs.Com. Drugs.com Entringer, S. (2023, January 11). Methylphenidate. Drugs.Com. Drugs.com National Institutes of Health. (2024). Attention-Deficit/Hyperactivity disorder: What you need to know. National Institute of Mental Health (NIMH). National Institute of Mental Health Medical ContentThe Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy.About MentalHealth.comMentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.AuthorAllan Schwartz, Ph.D.LCSW, Ph.D.Allan Schwartz, LCSW, Ph.D. is a medical writer with more than 30 years of clinical experience as a Licensed Clinical Social Worker. He writes on a wide range of mental health topics, including mood and anxiety disorders, eating disorders, trauma, abuse, stress, and relationship challenges.PublishedMay 17, 2025UpdatedAugust 12, 2025AuthorSamantha PieterseWriterSamantha Pieterse is a registered psychiatric nurse and medical writer with extensive clinical experience in mental health care.PublishedMay 17, 2025UpdatedAugust 12, 2025Medical ReviewerMorgan BlairMA, LPCCMorgan Blair is a licensed therapist, writer and medical reviewer, holding a master’s degree in clinical mental health counseling from Northwestern University.ReviewedJanuary 31, 2025Subject matter expertHolly Schiff Psy.D.Children, adolescents, and familiesView experienceRelated communitiesAttention Deficit Hyperactivity DisorderShare perspectives on attention, daily routines, and life with ADHD.Explore communityTable of contentsChoose a sectionADHD and Addiction: What’s the Link?How Does ADHD Impact Behavior?The Link Between ADHD Symptoms and Internet UseInternet addiction signs in adolescents with ADHDStrategies for Managing Screen TimeTreating ADHD and internet addiction togetherConclusionView moreSubject matter expertHolly Schiff Psy.D.Children, adolescents, and familiesView experienceRelated communitiesAttention Deficit Hyperactivity DisorderShare perspectives on attention, daily routines, and life with ADHD.Explore 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Blair","level":3,"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#morgan-blair"}],"references":[{"number":1,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#internet-usage-age-u-s","text":"Petrosyan, A. (2024, February 29). Internet usage by age in U.S. 2023. Statista. statista.com","links":[{"url":"https://www.statista.com/statistics/266587/percentage-of-internet-users-by-age-groups-in-the-us/","label":"statista.com"}],"url":"https://www.statista.com/statistics/266587/percentage-of-internet-users-by-age-groups-in-the-us/"},{"number":2,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#internet-addiction-relationship-attention-deficit-hyperactivity-disorder-adhd-symptoms","text":"Zakaria, H., Hussain, I., Zulkifli, N. S., Ibrahim, N., Noriza, N. J., Wong, M., Nik Jaafar, N. R., Mohd Salleh Sahimi, H., & Abd Latif, M. H. (2023). Internet addiction and its relationship with attention deficit hyperactivity disorder (ADHD) symptoms, anxiety and stress among university students in Malaysia. PloS One, 18(7), e0283862. PLOS","links":[{"url":"https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0283862","label":"PLOS"}],"url":"https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0283862"},{"number":3,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#definition-addiction","text":"The American Society of Addiction Medicine. (2019, September 15). What is the Definition of Addiction? Default. asam.org","links":[{"url":"https://www.asam.org/quality-care/definition-of-addiction","label":"asam.org"}],"url":"https://www.asam.org/quality-care/definition-of-addiction"},{"number":4,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#attention-deficit-hyperactivity-disorder-relation-addictive-behaviors-moderated-mediatio","text":"Davis, C., Cohen, A., Davids, M., & Rabindranath, A. (2015). Attention-deficit/hyperactivity disorder in relation to addictive behaviors: A moderated-mediation analysis of personality-risk factors and sex. Frontiers in Psychiatry, 6, 1–9. Frontiers","links":[{"url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2015.00047/full","label":"Frontiers"}],"url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2015.00047/full"},{"number":5,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#adhd-addiction","text":"Stride, B. (2024, September 25). ADHD and addiction. Think ADHD. thinkadhd.co.uk","links":[{"url":"https://thinkadhd.co.uk/adhd-and/adhd-and-addiction/","label":"thinkadhd.co.uk"}],"url":"https://thinkadhd.co.uk/adhd-and/adhd-and-addiction/"},{"number":6,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#adhd-adults-4-things-know","text":"National Institute of Mental Health (NIMH). (2024). ADHD in adults: 4 things to know. National Institute of Mental Health (NIMH). National Institute of Mental Health","links":[{"url":"https://www.nimh.nih.gov/health/publications/adhd-what-you-need-to-know","label":"National Institute of Mental Health"}],"url":"https://www.nimh.nih.gov/health/publications/adhd-what-you-need-to-know"},{"number":7,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#addicted-pixels-understanding-screen-addiction-strategies-prevention","text":"Khan, F. A., Alnaher, S., Ismail, M., Ahmad Khan Zalmay, & Zeshan, M. (2024). Addicted to pixels: Understanding screen addiction and strategies for prevention. Journal of Sociology, Psychology & Religious Studies, 6(1), 58–74. stratfordjournal.org","links":[{"url":"https://www.stratfordjournal.org/journals/index.php/Journal-of-Sociology-Psychology/article/view/2274","label":"stratfordjournal.org"}],"url":"https://www.stratfordjournal.org/journals/index.php/Journal-of-Sociology-Psychology/article/view/2274"},{"number":8,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#screen-use-association-adhd-symptoms-among-children-systematic-review","text":"Yifei, P., Xuechun, L., & Yu, Y. (2023). Screen use and its association with ADHD symptoms among children: A systematic review. MEDS Public Health and Preventive Medicine, 3(3). clausiuspress.com","links":[{"url":"https://www.clausiuspress.com/article/7696.html","label":"clausiuspress.com"}],"url":"https://www.clausiuspress.com/article/7696.html"},{"number":9,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#attention-deficit-hyperactivity-disorder-adhd","text":"NHS UK. (2021, December 24). Attention deficit hyperactivity disorder (ADHD). Nhs.Uk. NHS","links":[{"url":"https://www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/symptoms/","label":"NHS"}],"url":"https://www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/symptoms/"},{"number":10,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#study-internet-addiction-children-attention-deficit-hyperactivity-disorder-normal","text":"Enagandula, R., Singh, S., Adgaonkar, G. W., Subramanyam, A. A., & Kamath, R. M. (2018). Study of Internet addiction in children with attention-deficit hyperactivity disorder and normal control. Industrial Psychiatry Journal, 27(1), 110–114. Lippincott Journals","links":[{"url":"https://journals.lww.com/inpj/fulltext/2018/27010/study_of_internet_addiction_in_children_with.18.aspx","label":"Lippincott Journals"}],"url":"https://journals.lww.com/inpj/fulltext/2018/27010/study_of_internet_addiction_in_children_with.18.aspx"},{"number":11,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#hyperfocus-symptom-internet-addiction-individuals-attention-deficit-hyperactivity-disord","text":"Ishii, S., Takagi, S., Kobayashi, N., Jitoku, D., Sugihara, G., & Takahashi, H. (2023). Hyperfocus symptom and internet addiction in individuals with attention-deficit/hyperactivity disorder trait. Frontiers in Psychiatry, 14. Frontiers","links":[{"url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1127777/full","label":"Frontiers"}],"url":"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1127777/full"},{"number":12,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#interplay-between-adhd-symptoms-time-perspective-addictive-social-media","text":"Settanni, M., Marengo, D., Fabris, M. A., & Longobardi, C. (2018). The interplay between ADHD symptoms and time perspective in addictive social media use: A study on adolescent Facebook users. Children and Youth Services Review, 89, 165–170. ScienceDirect","links":[{"url":"https://www.sciencedirect.com/science/article/abs/pii/S0190740917310083","label":"ScienceDirect"}],"url":"https://www.sciencedirect.com/science/article/abs/pii/S0190740917310083"},{"number":13,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#percentage-teens-use-social-media","text":"Chaddock, L. (2024, January 11). What Percentage of teens use Social Media? Teen Social Media Usage Statistics 2024. Sentiment Digital Customer Service Platform. sentiment.io","links":[{"url":"https://www.sentiment.io/how-many-teens-use-social-media/","label":"sentiment.io"}],"url":"https://www.sentiment.io/how-many-teens-use-social-media/"},{"number":14,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#psychology-time-lives-5-types-time-perspective","text":"Positran. (2020, June 25). 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Addiction","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk"}],"subjectMatterExpert":{"name":"Holly Schiff, Psy.D.","url":"/people/holly-schiff","profileId":"11457","topic":"children","focus":"Children, adolescents, and families","selectionBasis":"Documented expertise in the existing published profile","reviewAttribution":false},"keyTakeaways":["ADHD-related impulsivity and attention difficulties can increase adolescents’ vulnerability to problematic internet use.","Preoccupation with the internet, withdrawal symptoms, declining school performance, and lost interest in other activities can signal impairment.","Structured screen habits and treatment addressing both ADHD and problematic internet use can support healthier functioning."],"introduction":{"html":"<p>The internet has become a lifeline used by young and old alike, whether for academics, socialization, or entertainment. For the first time, we see substantial internet usage over five distinct generations: Generation Alpha, Generation Z, Millennials, Generation X, and Baby Boomers. In 2023, an average of 94.75% of adults between the ages of 18 and 65+ used the internet. <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/adolescents-with-adhd-and-internet-addiction-risk#internet-usage-age-u-s\"><sup>[1]</sup></a></p>","text":"The internet has become a lifeline used by young and old alike, whether for academics, socialization, or entertainment. For the first time, we see substantial internet usage over five distinct generations: Generation Alpha, Generation Z, Millennials, Generation X, and Baby Boomers. In 2023, an average of 94.75% of adults between the ages of 18 and 65+ used the internet. [1]","sourceField":"hero"},"navigation":[{"label":"ADHD and Addiction: What’s the Link?","href":"#adhd-and-addiction-whats-the-link","heading":"ADHD and Addiction: What’s the Link?"},{"label":"How Does ADHD Impact Behavior?","href":"#how-does-adhd-impact-behavior","heading":"How Does ADHD Impact Behavior?"},{"label":"The Link Between ADHD Symptoms and Internet Use","href":"#the-link-between-adhd-symptoms-and-internet-use","heading":"The Link Between ADHD Symptoms and Internet Use"},{"label":"Internet addiction signs in adolescents with ADHD","href":"#internet-addiction-signs-in-adolescents-with-adhd","heading":"Identifying Signs of Internet Addiction in Adolescents with ADHD"},{"label":"Strategies for Managing Screen Time","href":"#strategies-for-managing-screen-time","heading":"Strategies for Managing Screen Time"},{"label":"Treating ADHD and internet addiction together","href":"#treating-adhd-and-internet-addiction-together","heading":"Treatment Approaches for Co-occurring ADHD and Internet Addiction"},{"label":"Conclusion","href":"#conclusion","heading":"Conclusion"}],"relatedCommunity":{"community":"/community/attention-deficit-hyperactivity-disorder","basis":"topic match"},"referencePresentation":"Numbered author–date bibliography with linked source documents; n.d. denotes unavailable publication date.","collections":[]}
