How do you approach the use of stimulants in patients with ADHD with previous or current substance use disorders?  

I agree with Dr. @Main about the use of non stimulants as an important intervention with these patients with the added caveat that Wellbutrin XL is highly abused by crushing it up and snorting it. Even this strategy has its limitations in addressing the issue of ADHD and Substance Use Disorders (SUD...

As a child/adolescent psychiatrist, I am less wary about prescribing stimulants than many general psychiatrists might be. However, even in teens who are eligible to drive, I would primarily recommend non-stimulants such as Strattera, Wellbutrin, or Cymbalta. These provide 24-hour efficacy, far super...