Free link to my article on Stimulant Use, Misuse, and Abuse:
https://medium.com/invisibleillness/...

Follow   / dockruse   on Medium for hundreds of full length articles on this subject and more!
Access to other Medium articles requires paid membership.

Main Chapters:
00:00 Intro
00:11 Take home message
00:36 Why is There Concern Over Substance Misuse?
05:11 What is Substance Misuse?
12:10 ADHD and Risks of Substance Misuse
16:09 Doctors' Role in Preventing Misuse
19:07 Conclusion
20:30 Questions

May 2023 the FDA announced that it will be requiring new black box warnings for all stimulants, alerting patients and professionals about the risk of misuse and abuse with these drugs. Addiction is one of the uncommon, but horrible, possibilities with stimulants. And there is some overlap between misuse and abuse.

But so far, the research shows that the vast majority of cases of "misuse" are attributable to the inattentive aspects of ADHD itself people forget to fill or procrastinate on refilling their medication, don't listen to instructions, and get off track.

Why are we stigmatizing patients and confusing the public when people with ADHD behave like they have ADHD? How do we sort out what are problems for individuals or society, and what are inconveniences or annoyances for doctors or insurance companies?

Full Chapter list:
00:00 Intro
00:11 Take home message
00:36 Why is There Concern Over Stimulant Misuse?
01:20 Higher Number of Stimulant Users
02:46 Overdose Death Rates Increase
04:05 Potential Consequences of Misuse
05:11 What is Substance Misuse?
07:01 Risk Factors for Stimulant Misuse
07:59 Misuse Official DSM5 Definition and Criteria
11:17 Analysis of the DSM5 Misuse Definition
12:10 ADHD and Risks of Substance Misuse
16:09 Doctors' Role in Preventing Misuse
18:21 Pharmacists' Role in Preventing Misuse
19:07 Conclusion
20:30 Questions
20:46 Feeling the Need to Take a Higher Dose than Prescribed
21:59 Pressure on Doctors to Reduce Prescriptions
23:28 Outro

Streamed live June 7, 2023



Psychiatrist, neuroscientist, and author John Kruse, MD, PhD presents practical, actionable, wellresearched information about treatment options that scientists and clinicians recommend for adult ADHD and other mental health conditions. Subscribe if you're curious about how neuroatypical brains can optimize their functioning in our shared, and somewhat strange, world.

Dr. Kruse has posted talks in both the "live" and the "video" sections of this channel. Thumbnails on ADHD topics have a pink background, and those on more general mental health topics have a purple background. A small collection of ADHDTrump videos have an orange background.

You're welcome to email him with topics you want discussed or people you think he should interview.

[email protected]