How stimulants work in Adult ADHD: Most people know that the stimulant medications can be of great help in Adult ADHD, but most people think it just boosts concentration. They can be wonderfully helpful and I’ve witnessed many people who have found them to be transformative. But there’s no free lunch and it can be helpful to understand what some of the downsides are and how you can mitigate them.
The stimulants (dexamphetaine/Adderall, ritalin/concerta/methylphenidate) have many effects on the brain/body. Many of these aren’t well know to people, or even to their doctors, so we’ll unpack the 10 secrets of stimulant medications:
Secret 1: Stimulants can inhibit natural distractibility
Secret 2: Stimulants can reduce spontaneity, creativity and playfulness
Secret 3: Stimulants can worsen sleep, anxiety, panic and anger
Secret 4: Stimulants can sometimes reduce anger and anxiety
Secret 5: Stimulants stimulate positive emotion with can sometime lead to addiction
Secret 6: Stimulants can increase physical performance, blood pressure and heart rate
Secret 7: Rebound effects are the opposite of the stimulant effects
Secret 8: Sometimes the “crash” can help with sleep
Secret 9: Tolerance can happen over time, that lead to dose creep
Secret 10: Tolerance/dose creep can be mitigated by regular (weekly) breaks from them
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