Many see adderall as a “safe” drug because it can be medically prescribed and appears to lack negative side effects; however, adderall is one of the most addictive drugs on the market today1, especially for teens. Emerging adults, a population with developing, vulnerable brains, are more likely to take adderall to navigate school work, their social lives, and other stressors.
Understanding the potential for addiction, health risks, and early intervention techniques can prevent long-term complications with this drug.
Adderall is a prescribed stimulant drug that boosts nervous system activity2 by increasing dopamine, norepinephrine, and serotonin in the brain3. Individuals diagnosed with attention-deficit hyperactivity disorder (ADHD) can take adderall to help enhance attention, memory, self-regulation, and executive function4. Those with narcolepsy can use it to improve wakefulness.
While adderall benefits those with a diagnosed condition, it does not substantially improve cognitive function in other individuals4. So for the students using adderall in hopes of better academic performance, or just using it recreationally, they are simply taking a stimulant drug.
A stimulant use disorder alters the brain5 by: 1.) affecting cognitive processes such as memory, learning, and other functions, and 2.) acting on the brain’s reward system. The repeated use of the drug boosts dopamine, creating a craving to ingest it. With time, adderall use can destroy dopaminergic terminals3 and disrupt the natural production of dopamine—meaning, without consistent drug consumption, mood and cognition decline.
A dependence forms when individuals need adderall to feel happy or “normal,” since, without it, they may experience withdrawal symptoms like cravings, sleep disturbances, and stress. These negative consequences can also enforce the addiction.
Despite common stereotypes, adderall is a serious drug that can cause addiction. Spotting the signs early can help prevent dependence.
The Hazelden Betty Ford Foundation, a renowned treatment provider, lists signs of adderall misuse6:
If you are concerned for a loved one, a change in their behaviors can indicate an addiction. They may lie about their adderall consumption, isolate themselves, have mood swings, and lose interest and motivation in important activities so they can use. If their dependence continues, more severe health complications can follow.
Adderall addiction, like any addiction, affects all areas of a person’s life, making this even more volatile for the young adult population using it.
As a central nervous system stimulant, adderall alters blood and oxygen flow, contributing to irregular or erratic heartbeat, cardiomyopathy (an enlarged heart), and high blood pressure. Over time, these alterations can cause a slew of negative health effects, including cardiac arrest and stroke7. Chronic adderall use can also lead to skin disorders, seizures, brain damage, and kidney damage6.
Additionally, adderall addiction is closely linked with depression, aggression, suicidal thoughts, panic attacks, and psychosis-like symptoms.
The impact of addiction goes beyond physical and mental health—it affects all facets of life. Adderall addiction often leads to secretive behavior and isolation, such as lying about drug use or hiding the extent of the problem, eroding trust with loved ones and straining relationships. And as addiction takes hold, the person may neglect their relationships to prioritize using adderall. They may withdraw from social activities, fail to fulfill commitments, and become emotionally unavailable to those who care about them.
While adderall is sometimes used to enhance focus, addiction can lead to decreased overall productivity. For example, someone may become less effective at their job due to the need for higher doses to achieve the same level of focus. They may also frequently skip work due to the physical and mental toll of addiction.
Students may initially use adderall in an attempt to enhance focus and academic performance; however, over time, addiction can lead to a dependency, impairing cognitive function and reducing overall academic performance.
You can ask yourself questions like
The answers will likely be straightforward and telling if you need medical treatment. Telling a trusted loved one can help get you on the right path to recovery. They can listen to what you’re going through, help make doctors appointments with you, and offer comfort throughout the journey.
Your primary care physician can provide an initial evaluation and refer you to a specialist for a more comprehensive assessment, like a mental health professional or addiction specialist. During this appointment, you can ask questions such as:
As you embark on your recovery journey, you and your care team can explore treatment options to determine the best fit for your needs.
Many people begin their journey by going through the detox process, so you can safely rid your body of adderall. You’ll have medical professionals there to ensure you’re as comfortable as possible. This can help you feel more focused and prepared to take on therapy. It is crucial to detox under medical supervision, as withdrawal symptoms can be life threatening.
In some cases, FDA-approved medications, such as Bupropion and Modafinil, can be prescribed8 to assist the tapering process. These medications help keep you safe during detox, ease withdrawal symptoms, and alleviate mental health concerns. Medication-assisted treatment can last for a few weeks or for years to maintain recovery. Your clinical team can help you decide what treatments and procedures are right for you.
Residential Programs
Residential rehab provides an intensive, distraction-free environment to focus on psychotherapies and learning healthy coping skills. Individuals in this stage of care live in the center and have 24/7 support. Ideally, the clinical team creates a personalized treatment plan to address the unique needs of each individual in recovery.
You might participate in evidence-based therapies like cognitive behavioral therapy (CBT), as well as holistic and alternative healing methods like yoga and massage therapy. The center may provide a blend of individual and group therapy sessions. Your loved ones can engage in family therapy, so you can find common ground, improve communication skills, and work towards healthier relationships.
Outpatient Programs
Your care team may recommend an outpatient program if your recovery does not require 24/7 support. Outpatient treatment has varying levels of care, with partial hospitalization (PHP) providing a more intensive level of care and outpatient (OP) providing the least intensive. You’ll participate in the program for a few hours a day on certain days of the week, allowing you to go to work or attend school simultaneously. You’ll likely participate in therapies similar to a residential program and build your support network as you heal with others in therapy.
Joining support groups like Narcotics Anonymous and SMART Recovery provide a sense of community, understanding, and accountability in your recovery. They offer a safe space to share experiences, learn from others, and receive ongoing support.
Creating a support network with strong relationships is a foundational aspect of long-lasting recovery. Social support in recovery can reduce stress, increase self-efficacy, and motivate lasting sobriety9. Your relapse prevention plan can detail how you will connect with loved ones who supported you through the treatment process. You may make new friends through sober activities and groups. Try your best to plan regular get-togethers with friends and family, as avoiding isolation and bolstering these relationships can make recovery easier.
Setting and communicating boundaries in recovery is a practice of self-love and can enhance your relationships. Without boundaries, you may say “yes” to things you don’t want to, avoid necessary conversations, and be consumed by others’ negative feelings. Prioritizing your boundaries ensures that you’re aligned with what’s best for your well-being.
Not everyone in recovery will relapse, but it can be a part of the recovery process10—and that’s okay. Relapse prevention can help you address these obstacles and keep you on the right track.
Relapse prevention planning focuses on identifying and addressing early warning signs before they lead to a physical relapse, such as using adderall after a period of sobriety. This approach utilizes cognitive behavioral techniques to prevent relapse while equipping individuals with practical skills to manage relapse if it occurs. It combines education, coping strategies, trigger identification, support network development, and lifestyle adjustments to create a comprehensive prevention plan.
You and your care team can begin to build your relapse prevention plan by reflecting on 3 key recovery components:
One of the most essential parts of a relapse prevention plan is building skills to navigate uncomfortable feelings and situations. You may practice coping techniques such as breathing exercises, regulating emotions through journaling, saying “no” to situations that do not serve your recovery, and exercise. This can help you walk into any situation with confidence.
Attending outpatient care or talk therapy sessions can help you navigate foreign situations and continue skill-building. During individual therapy sessions, you’ll likely engage in various therapeutic methods like dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT).
Creating a daily routine that promotes physical and mental health, including regular exercise, balanced nutrition, and sufficient sleep, can bolster sustainable recovery11. A scheduling system, such as time blocking in a calendar, can help you avoid idle time that might lead to thoughts or behaviors associated with relapse.
A day of sobriety is a day worth being celebrated! The effort to choose your health and well-being every day is a great feat, so continue to reflect and pride yourself on your hard work.
Cole, Veronica T., and Andrea M. Hussong. “Psychosocial Functioning Among College Students Who Misuse Stimulants versus Other Drugs.” Addictive Behaviors, vol. 105, June 2020, p. 106290. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247773/
Farzam, Khashayar, et al. “Stimulants.” StatPearls, StatPearls Publishing, 2024. PubMed, http://www.ncbi.nlm.nih.gov/books/NBK539896/
Martin, Dustin, and Jacqueline K. Le. “Amphetamine.” StatPearls, StatPearls Publishing, 2024. PubMed, http://www.ncbi.nlm.nih.gov/books/NBK556103/
Weyandt, Lisa L., et al. “Neurocognitive, Autonomic, and Mood Effects of Adderall: A Pilot Study of Healthy College Students.” Pharmacy: Journal of Pharmacy Education and Practice, vol. 6, no. 3, June 2018, p. 58. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165228/
“Chapter 2—How Stimulants Affect the Brain and Behavior.” Treatment for Stimulant Use Disorders: Updated 2021 [Internet], Substance Abuse and Mental Health Services Administration (US), 1999. www.ncbi.nlm.nih.gov, https://www.ncbi.nlm.nih.gov/books/NBK576548/
Adderall Addiction Signs and Symptoms | Hazelden Betty Ford. https://www.hazeldenbettyford.org/addiction/adderall-symptoms
Sinha, A., et al. “Adult ADHD Medications and Their Cardiovascular Implications.” Case Reports in Cardiology, vol. 2016, 2016, p. 2343691. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992783/
Haile, Colin N., and Thomas R. Kosten. “Pharmacotherapy for Stimulant-Related Disorders.” Current Psychiatry Reports, vol. 15, no. 11, Nov. 2013, p. 10.1007/s11920-013-0415-y. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3858902/
Stevens, Ed, et al. “Investigating Social Support and Network Relationships in Substance Use Disorder Recovery.” Substance Abuse, vol. 36, no. 4, 2015, pp. 396–99. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4375072/
Nagy, Nahla El Sayed, et al. “Assessment of Addiction Management Program and Predictors of Relapse among Inpatients of the Psychiatric Institute at Ain Shams University Hospital.” Middle East Current Psychiatry, Ain Shams University, vol. 29, no. 1, 2022, p. 80. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9579533/
Kitzinger, Robert H., et al. “Habits and Routines of Adults in Early Recovery From Substance Use Disorder: Clinical and Research Implications From a Mixed Methodology Exploratory Study.” Substance Abuse: Research and Treatment, vol. 17, Feb. 2023, p. 11782218231153843. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9926005/
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