Everyday in my practice I see patients who want these drugs. They usually don’t have ADHD and present very normally on mental status examinations. Using these drugs for performance enhancement is unethical. I treat disease. I have seen patients get angry and leave bad reviews because I refuse to give out these controlled substance prescriptions. They always refuse the non-stimulant medications for ADHD and insist on getting their Adderall.
Guess what, I insist on not colluding with these patients and their manipulations.
I find the PDMP website helpful in recognizing prescription drug misuse and check these files on all patients.