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Reviews that particularly address alcohol usage are few despite a growing body of information on the intricate bidirectional link between ADHD and substance use. Genes implicated in glutamatergic and catecholaminergic neurotransmission are shared by both ADHD and AUD. ADHD causes’ risky behavior and unpleasant life events, creating a genetically higher risk for alcohol use disorders (AUD). Up to 43% of people with ADHD acquire an AUD; in adults with AUD, ADHD occurs in roughly 20% of cases but is incredibly underdiagnosed and under-treated. Impulsive judgments and a dysfunctional incentive system make people with ADHD susceptible to alcohol use. Therefore, regular screening and therapy processes must be used in AUD treatment. ADHD in people with AUD may be treated with long-acting stimulants or non-stimulants. But it's essential to treat AUD, other comorbid diseases, and ADHD medically while also providing medication and psychotherapy for AUD. To avoid bad results, it is crucial to identify those who are at risk for AUD, especially those who also have ADHD, conduct disorder, or oppositional defiant disorder.