The ADHD Skills Lab Understanding ADHD Medication: A Balanced Look at the Science
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Nov 3, 2025 Dr. Ryan Sultan, a double board-certified psychiatrist and ADHD researcher, dives deep into ADHD medication's science during this enlightening discussion. He clarifies how these medications affect brain chemistry, enhancing dopamine and focus. The conversation tackles common misconceptions about addiction risks, emphasizing studies showing no increased risk. Ryan also addresses whether meds alter personality, debunking myths surrounding creativity. Finally, he advocates for a balanced approach, recommending therapy and lifestyle changes alongside medication as a holistic treatment strategy.
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How Meds Change Brain Activity
- ADHD brains show lower prefrontal dopamine activity and sleep-like slow EEG waves leading to low-power attention states.
- Medications increase synaptic dopamine/norepinephrine and normalize prefrontal activity to non-ADHD patterns.
Start With Non-Stimulants If Worried
- Try non-stimulant options like bupropion or atomoxetine if you want low side effects and no addiction potential.
- Use long-acting daily formulations because they provide steady symptom reduction over time.
Stimulants Don't Raise Addiction Risk
- Multiple studies show stimulant treatment does not increase addiction risk and often reduces later substance use disorders.
- Treating ADHD may protect against impulsive paths that lead to addiction.