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boredandmedicated · 20 days
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Blaming the DEA for the adderall shortage does nothing
I am in my 20s and have been diagnosed with ADHD since 2008. Taken stimulants since 2008 with brief periods of trying nonstimulant medication in hopes of not needing to take stimulants anymore. I’ve been on adderall since 2016 and never had an issue obtaining my prescription until the past few years. Now, I blamed the DEA at first. Couldnt fathom why they wouldnt just raise the fucking quotas. Surely it isnt a supply issue. But as time goes on I honestly understand why more and more. Not to say I agree with it or LIKE having the stress I get every month, nor am I saying the dea is blameless here- seriously, they certainly arent blameless, okay? Dont take this to mean that.
But in large part this is because of the original, extremely loose standards surrounding an adhd diagnosis in, say, 2000-2005. Kids could get a diagnosis and a prescription for doing shit that normal kids do. Not wanting to read a book. Wanting to play outside. Normal kid shit. There were a substantial-though perhaps not a majority- of parents who obtained a diagnosis for their children like so despite knowing that their child did not have it. There were multiple reasons for this, though from anecdotal accounts it seemed more common for kids aged 12-17; whereas parents with children under 12 years old seemed (again, anecdotal, not statistical) to be seeking that diagnosis as an easy answer.
Prescriptions were booming and the kids were predictably not getting better after being given adderall- in fact, many were WORSE, unable to sit still entirely, having been given an amphetamine that just boosted their energy and didnt help with focus at all.
Following the realization that this was because a lot of kids that were prescribed adderall and diagnosed with ADHD did not, in fact, actually have it, the measures for prescribing and diagnosing ADHD were significantly tightened up. One requirement I recall is that an in-person visit and evaluation was required before any diagnosis or prescription for adderall. This would continue until COVID, when they declared a state of emergency. This allowed people to bypass the usual requirements for obtaining adderall and an ADHD diagnosis- so, no in-person, lengthy evaluation and comprehensive exam with a questionnaire, puzzle-type things, and verbal questions with open ended answers.
At the same time, as COVID quarantine extended beyond the original short-term that people were expecting, people were realizing quarantine fucking sucked. It is hard for ANYONE to work at home as they normally would at the office. Flexibility is incredible at home, but people were going stir crazy. And many attributed that stir-craziness, either validly or less so, to undiagnosed ADHD. ADHD became “trendy”. Platforms like Done would advertise on tiktok and twitter with little videos about how easy they make getting a diagnosis, how quickly they can get you adderall, how its all online. How with quarantine in place, it can get you where you need to be, easily diagnosis within an hour, a prescription within the week.
As a result, as shown by this graph (somewhat), there was a significant jump in adderall prescriptions for young adults aged 22-44.
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I dont know and cant say how many of these are attributed to misunderstanding normal human behavior with ADHD, as opposed to valid diagnoses. I can say this: Adderall is not a joke, and abuse of adderall, people seeking diagnoses because they just want the drug itself, thats not uncommon. Its not uncommon for any drug. The DEA will not risk another drug crisis after crack, and especially during the fentanyl crisis now- and not to mention, tranq on the rise.
For that reason, I think blaming the DEA is a fruitless endeavor. We should be focusing on things that we CAN do. One idea I’ve had is, maybe we could make nonstimulant medications the first line of treatment. Wellbutrin, for instance. Nonstimulant medications tend to work much better prior to having any stimulant medication treatment for ADHD anyways. And bringing back the in person evaluations and lengthier diagnostics. I really do understand the classism arguments made about that requirement. But I think its honestly necessary. It is much harder to “fake” or “exaggerate” ADHD symptoms during an hours long in person evaluation, than it is to do so on an unmonitored, five question quiz and a 20 minute zoom call.
Taking adderall without needing it is not only selfish, but also, harmful to others AND yourself. Heart issues, anxiety, lack of appetite, and the “focus” doesnt work the way it does in people with ADHD if you take it without needing it. Not to mention, longterm stimulant use in someone without ADHD, when that person stops taking it, withdrawal symptoms from it can look remarkably similar to actual ADHD. Then we get stuck in this perpetual cycle. And frankly, Its not fun to wake up and see posts from people who made fun of me for my ADHD in elementary and middle school, suddenly glamorizing their own sudden onset ADHD and posturing as though theyve had it all along. Especially when I know theyre the ones contributing to the stigma that not just me, but many people face today when trying to simply… get the medication we need to do work at an even remotely functional level. And even more so when I know that shit is why doctors are hesitant to even recognize an adhd diagnosis as valid anymore. They see any adult with adderall now as the epitomal pill pusher, pill seeker, addict that just got a fun little upper to stay up and be energetic.
So yeah. Dont just blame the DEA. It is people too. Its people you know, sometimes even your friends.
And, you can acknowledge the bad ones without dragging the people with valid prescriptions and true intentions through the mud. So if this post doesnt apply to you, i promise im not talking about you.
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