What Is Adderal Addiction?

How to Spot the Signs and Find Treatment

Adderall addiction is a condition in which a user unable to control their use of the drug. The addiction leads to health issues and/or problems at work, home, or school. If left untreated, an Adderall addiction may result in overdose, which can cause a heart attack, stroke, liver failure, psychosis, and/or death.

Adderall addiction is classified as a stimulant use disorder in the "Diagnostic and Statistical Manual of Mental Disorders, Edition 5" (DSM-5) issued by the American Psychiatric Association (APA). The addiction is diagnosed based on specific diagnostic criteria, and it is usually treated with detox and behavioral therapies.

Stimulant use disorder can involve use of other prescription stimulants, such as Dexedrine (dextroamphetamine), and Ritalin (methylphenidate).

Adderall addiction can affect anyone
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Signs and Symptoms

Adderall is a combination of amphetamine and dextroamphetamine, which are substances that imitate the action of natural chemicals that stimulate the body and the mind.

It is prescribed for control of symptoms of attention deficit hyperactivity disorder (ADHD) because people who have this disorder are believed to have a defect in the physical processing of natural stimulants in the body.

Adderall is a Schedule II controlled substance, which means that it is highly addictive and that it is strictly regulated. At therapeutic doses, this medication induces:

  • Euphoria
  • Increased wakefulness
  • Cognitive control
  • Faster reaction time
  • Fatigue resistance
  • Increased muscle strength

These effects, which are also sometimes associated with increased libido and high energy levels, can lead some users to take more and more of the drug to amplify the effect.

Others who don’t have a physical condition that can be treated with Adderall may misuse it as well. Reasons for abusing Adderall include:

  • For a recreational high
  • To enhance athletic performance
  • As an appetite suppressant

As addiction develops, some users snort or smoke the crushed pills for a faster effect. Often, people who begin to use higher than needed doses of Adderall are unaware of the negative impact of drug use on their lives. The drug’s euphoric effects cause people to overestimate their own performance and to neglect the negative response of others.

Amphetamines, including Adderall, have been banned by the International Olympic Committee since 1968.

The signs and symptoms of Adderall abuse are:

  • Confusion
  • Violent behavior
  • Lack of appetite
  • A decline in physical appearance and self-care
  • Decreased performance at work or school
  • Lying about the need for the drugs
  • Hiding the drug use
  • Using the drugs when alone
  • Missing work, school, sports, or social activities due to the drug use
  • Feeling unable to control drug use or reduce the drugs
  • Being unable to function without the drugs
  • Continuing to use the drugs, despite the harm they are causing
  • Hostility when questioned about drug use

Complications

The most dangerous complication of Adderall abuse is overdose, which results in amphetamine toxicity. The clinical effects of amphetamine overdose occur abruptly and can worsen rapidly.

The signs and symptoms of toxicity include:

  • Dry mouth
  • Dilated pupils
  • Chest pains
  • Hyperthermia (high body temperature)
  • Rapid breathing
  • Tachycardia (rapid heart rate)
  • Arrhythmia (irregular or rapid heart rate)
  • Palpitations (a sense of a pounding heart)
  • Sudden or lasting hypertension (high blood pressure)
  • Coronary vasospasm (sudden narrowing of the blood vessels in the heart- can cause a heart attack)
  • Hallucinations
  • Paranoia
  • Psychosis

It can be hard to predict if overdose will occur. Sometimes factors such as using other drugs or medications, weight loss, or illness can lead to toxicity even when a person uses the same dose they have used before. And a small increase in amphetamine dose can lead to an unexpected overdose.

In addition to these symptoms of an overdose, possible consequences of long-term abuse include seizures, schizophrenia, liver failure, muscle damage, heart failure, heart attack, stroke, and death.

Causes and Risk Factors

While addiction has features of a behavioral disorder, stimulant addiction is believed to be far more complex, involving a combination of genetic, neurological, biochemical, and psychological factors that predispose some to addiction.

Risk factors associated with stimulant abuse disorders include:

  • Alcohol: Alcohol extends the psychoactive effects of Adderall.
  • Psychiatric disorders: People with depression, bipolar disorder, and other psychiatric conditions are more likely to abuse stimulants.
  • Addictive tendencies: People who are prone to addiction have an increased predisposition to Adderall addiction.
  • Sex: Men are more likely to use illicit drugs in general. With that said, women and men are equally at risk of substance use disorders.

Pathophysiology

Amphetamines, including Adderall, increase transmission of the neurotransmitters dopamine, serotonin, and norepinephrine. Some people have a predisposition to Adderall addiction and other addictions. This can be due to factors such as brain structure or neurochemistry that alter a person's experience of the drug, making the cravings stronger.

Diagnosis

According to the DSM-5, stimulant use disorder is a subcategory of substance use disorder. Blood and urine tests can confirm the presence of Adderall, but these tests cannot diagnose Adderall addiction or any other substance use disorder. The diagnosis is based on whether a person meets the diagnostic criteria outlined in the DSM-5.

For a person to be diagnosed with stimulant use disorder, they must meet at least two of 11 criteria within the previous 12 months:

  • Taking more of the stimulant drug than prescribed (more frequent or higher dose)
  • Unsuccessful in trying to cut down or control use of stimulants, despite wanting to do so
  • Spending excessive amounts of time on activities associated with stimulant use
  • Feeling urges and cravings for stimulants
  • Falling short on obligations of home, school, or work
  • Continuing to take stimulants, even though use has lead to relationship or social problems
  • Giving up or reducing recreational, social, or work-related activities because of stimulant use
  • Using stimulants in a physically risky way
  • Continuing to use stimulants despite awareness of a worsening physical or psychological problem
  • Tolerance to stimulants
  • Withdrawal from stimulants if you don't take them

The severity of the disorder can be classified as “mild” if two to three criteria are met, “moderate” if four to five are met, and “severe” if six or more are met. These classifications are used to help direct the most appropriate course of treatment.

Treatment

There are no medications used to treat Adderall addiction. The treatment is focused primarily on detoxification (often referred to as detox) and behavioral therapies. 

Treatment may be delivered on an outpatient basis and may require a period of inpatient care in a treatment center (particularly since withdrawal symptoms can lead to depression and, in severe cases, a risk of suicide). 

Detoxification

During a detox program, you would have medical supervision as you discontinue or gradually reduce use of the drug.

Symptoms of withdrawal, such as depression, irritability, or anxiety, would be monitored and managed with counseling or medical treatment as needed. Physical issues like fatigue or changes in blood pressure, pulse, or respiration would be managed safely.

Behavioral Therapy

You would also need behavioral therapy, which is a process that requires your participation. There are several different types of behavioral therapy, and you might benefit from a combination. Generally, one or more would be suitable for you, while others might not.

Techniques in behavioral therapy include:

A “Matrix Model” involves a combination of therapies specifically adapted to address stimulant abuse. This approach involves an interactive approach in which the recovering drug user participates in counseling, learns about the process of recovery, and is also monitored with urine tests or other tests to identify the presence of drugs.

A traditional 12-step program can provide ongoing support and better ensure sustained abstinence. For further options, clinical trials may expand treatment options for stimulant addiction.

Detoxification is ineffective without therapy. And, while relapse is common following treatment, continued aftercare can better improve one’s chance of sustained sobriety.

How to Find Help

If you or a loved one is struggling with substance abuse or addiction, you can contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357. SAMHSA also provides an online treatment center location.

And if you or someone you know is having suicidal thoughts, contact the National Suicide Prevention Hotline at 800-273-8255 (800-273-TALK).

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