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Possible long-term ramifications Long-term effects include the development of unhealthy coping mechanisms to stress rather than healthy ones (this could track into adulthood, causing other unhealthy habit cycles), developing addictions like smoking combustible cigarettes and other substances, and lung damage, along with other unknown consequences (4)

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7 , 26 28 A number of studies have reported that the co-occurrence of ADHD and substance use disorders in general can be accounted for almost completely by the presence of comorbid Conduct Disorder (CD)