Danielle Carr, an assistant professor at UCLA's Institute for Society and Genetics, delves into the rise of Adderall use among American professionals. She discusses how high-pressure work environments have spurred a surge in demand for this ADHD medication. Historical shifts in prescription practices reveal a complex relationship between performance enhancement and dependency risks. The conversation also touches on societal pressures driving this trend, regulatory changes affecting availability, and the evolving perceptions of mental health medications in today’s digital workspace.
The demand for Adderall stems from its accessibility across various professions, indicating a widespread culture of stimulant use for performance enhancement.
Diagnostic assessments for ADHD lack objective neurological markers, leading to subjective judgments by healthcare providers in prescribing amphetamines like Adderall.
The surge in Adderall prescriptions is influenced by a confluence of factors, including pandemic-induced telepsychiatry and profit-driven motives, raising concerns about equity and societal consequences.
Deep dives
The Historical Context of Amphetamine Use
The history of amphetamine use dates back to World War II, with its prevalence tied to wartime activities. Various waves of usage and backlashes have shaped its cultural perception over the decades, leading to shifts in prescription practices.
Clinical Diagnoses and Amphetamine Prescriptions
Clinical diagnoses of attention deficit disorders often lack a concrete neurological basis, resulting in assessments that are essentially 'vibes-based'. The quality of these assessments varies across medical providers, impacting the criteria for prescribing amphetamines like Adderall.
Impact of Telepsychiatry and Venture-Backed Health Services
The interaction of pandemic-induced telepsychiatry relaxation of prescription rules and the rise of venture-backed health services has significantly increased amphetamine prescriptions. This has raised concerns about potential profit-driven motivations and unequal access to stimulant medications.
Implications of Widespread Amphetamine Use
Widespread Adderall use bears implications on society, influencing work dynamics in the knowledge economy and exacerbating issues related to attention and internet behavioral addiction. Access to amphetamines may provide competitive edges in certain environments, raising questions of fairness and equity.
Challenges in Monitoring Amphetamine Prescriptions
A lack of centralized data tracking level prescriptions for stimulants makes it difficult to monitor trends and outcomes in drug usage. The intricacies of ADHD diagnoses, prescription practices, and societal impacts underscore the complex landscape surrounding amphetamine medications like Adderall.
Over the last few years, users of the popular ADHD drug Adderall have been frustrated by regular shortages in getting their prescriptions filled. Various regulatory and supply chain factors have contributed to the inability of producers to keep up with demand. But this raises the question: why is there so much demand in the first place? How did a significant chunk of the labor force -- from tech workers to Wall Streeters -- begin using the drug as an aid for their work and everyday lives? On this episode of the podcast, we speak with Danielle Carr, an assistant professor at the Institute for Society and Genetics at UCLA, who studies the history of politics of neuroscience and psychology. We discuss the history of this medicine and related medicines, what it does for the people who take it, and how market forces opened the drug up to almost anyone.