While this hunger can lead to magnificent achievements of many kinds, in the extreme, this exact same hunger drives addiction. That’s why addictions of all kinds are five to ten times more common in people who have ADHD than in the general population. We live with an itch at our core that can only be scratched in certain ways. Creative achievement is perhaps the most adaptive, worthwhile, and sustainable, while addictions—of all kinds—are the most maladaptive and destructive.