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Mathias Luderer

@adhd-sud

Psychiatrist, addiction specialist ๐Ÿ—ฃ๏ธ Head of addiction services, university hospital Frankfurt, Germany ๐ŸŒ† Addiction Commissioner State Medical Association Hesseโš•๏ธ Board member DG Sucht ๐Ÿ‘จ๐Ÿปโ€๐Ÿ”ฌ Board member ICASA network (ADHD+SUD) ๐Ÿ’ช๐Ÿป View are my own

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02.07.2024
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Latest posts by Mathias Luderer @adhd-sud

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Stigma from healthcare professionals and care-limiting behaviors in individuals with substance use disorders: a mixed-methods study Stigma from HCPs is a quantifiable contributor of treatment disengagement, representing a direct threat to patient safety and a major contributor to the SUD treatment gap. These findings underscore th...

#Stigma from healthcare professionals harms people with #SubstanceUseDisorders. In a mixed-methods study, 49.6% hid substance use, 36.1% avoided care, and 29.4% stopped treatment due to stigma. Stigma is a patient safety issue driving the treatment gap. @adhd-sud.bsky.social shorturl.at/z1lYQ

05.03.2026 16:46 ๐Ÿ‘ 1 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
Redirecting

Psychosocial treatments for ADHD were associated with:
โœ… Fewer heavy drinking days

โžก๏ธ Guideline-based treatment of ADHD stabilizes the clinical course and improves prognosis.

๐Ÿ”— doi.org/10.1016/j.eu...

#ADHD #AddictionMedicine #ICASA #SUD #Psychiatry

08.02.2026 17:55 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

๐—”๐——๐—›๐—— ๐˜๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜ ๐—ถ๐˜€ ๐—ฐ๐—ฟ๐˜‚๐—ฐ๐—ถ๐—ฎ๐—น ๐—ณ๐—ผ๐—ฟ ๐—ฝ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜๐˜€ ๐˜„๐—ถ๐˜๐—ต ๐—ฆ๐—จ๐——
Our latest #ICASA study with 578 patients demonstrates clear benefits of stimulant treatment for ADHD+SUD.

โœ… Better treatment retention
โœ… Fewer heavy drinking days
โœ… Reduced ADHD symptoms

08.02.2026 17:55 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Stigma is a major contributor to the SUD treatment gap.
We need urgent, evidence-based training for HCPs in non-stigmatizing communication and the integration of peers with lived experience into treatment teams.
#MedSky #Addiction #Stigma #SUD #MentalHealth #PublicHealth

05.02.2026 21:03 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

We identified three key themes through Reflexive Thematic Analysis:
1๏ธโƒฃ "Institutional Stigma" (Addiction viewed as a moral failing).
2๏ธโƒฃ "Barriers to Care" (Symptoms dismissed as "just the addiction").
3๏ธโƒฃ "Cost of Disclosure" (Experiencing hostility/contempt after revealing use).

05.02.2026 21:03 ๐Ÿ‘ 2 ๐Ÿ” 1 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Our mixed-methods study (N=119) confirms the "why-try" effect in healthcare: Internalized stigma was a significant predictor for all three care-limiting behaviors.
When patients internalize the message that they are "devalued," they withdraw from care to protect themselves

05.02.2026 21:03 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
Preview
Stigma from healthcare professionals and care-limiting behaviors in individuals with substance use disorders: a mixed-methods study Stigma from HCPs is a quantifiable contributor of treatment disengagement, representing a direct threat to patient safety and a major contributor to the SUD treatment gap. These findings underscore th...

New in @lancetrh-europe.bsky.social ๐ŸŽ‰
We provide the first robust quantification of how stigma from healthcare professionals (HCPs) harms patient safety.
๐Ÿšจ 49.6% of patients with SUD hid their substance use
๐Ÿšจ 36.1% avoided necessary medical care
๐Ÿšจ 29.4% discontinued treatment
tinyurl.com/Sud-stigma

05.02.2026 21:00 ๐Ÿ‘ 1 ๐Ÿ” 1 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
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Der Bร„K-Vorstand hat auf seiner Klausursitzung in Wittenberg wichtige gesundheits- und berufspolitische sowie aktuelle suchtmedizinische und -politische Themen beraten.

Wir danken Dr. Katharina Schoett vom ร–kumenisches Hainich Klinikum gGmbH u. Dr. Mathias Luderer vom UK FFM fรผr ihre Impulse.

06.07.2025 15:59 ๐Ÿ‘ 2 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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zeitung.faz.net/fas/leben/20...

@faznet.bsky.social

23.03.2025 06:18 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0