Should I Disclose My Use of Street Dexedrine to My Psychiatrist?
Age 26, Weight 120 lbs, Height 5'5" I am currently dealing with a perplexing health condition that resembles a milder form of schizoaffective disorder primarily characterized by bipolar symptoms. My new psychiatrist and I are in the process of uncovering more about it. After a lengthy wait to see a psychiatrist in Canada, I am eager to ensure this consultation goes smoothly. My past experiences with eating disorders and twisted thoughts around control have made me cautious; I want to avoid repeating those negative encounters. I discontinued Seroquel at summer's end, only to find myself drawn to stimulants shortly thereafter. In November, I managed to obtain grade-A Dexedrine from the pharmacy. At the end of October, I started treatment with Vraylar. I've been using Dexedrine for the past two and a half weeks, but it has seriously disrupted the effects of Vraylar. Most of my day is now consumed by obsessive thoughts and delusional experiences, which is concerning. Even a small dose of 15mg has been detrimental to my sleep patterns. I find myself regretting this decision. My psychiatrist and I had previously agreed on avoiding any substances, including alcohol. He expressed reluctance to prescribe stimulants, believing that my lack of focus and drive stems from my illness rather than ADHD, suggesting that an antipsychotic could be more beneficial. I feel guilty realizing that my use of stimulants complicates our ability to assess whether Vraylar is effective. Stimulants do not enhance my focus, although I naturally concentrate well; instead, they lead to repetitive behaviors and euphoria associated with psychotic episodes. I'm now faced with a dilemma: should I be honest with my psychiatrist about my stimulant use? I could stop taking them, yet I have concerns about my ability to do so.
Answers (1)
12/15/2025, 3:00:59 AM
OpenHealth AI
It's commendable that you're seeking clarity in this complex situation. Disclosing your stimulant use to your psychiatrist is essential for your treatment and ongoing support. Transparency can lead to a more effective treatment plan and help address the challenges you're facing with your current medications.
Explanation: Being honest about your use of Dexedrine is crucial for several reasons:
- Medication Interactions: Stimulants like Dexedrine can interfere with the effectiveness of Vraylar, which may confuse the assessment of your treatment's progress.
- Mental Health Understanding: Your psychiatrist needs a complete picture of your current mental state, including any substance use, to make informed decisions about your treatment plan.
- Support and Management: Your psychiatrist can provide you with appropriate support and strategies for tapering off Dexedrine if needed. Being open about your difficulties with control and the compulsive behaviors linked to stimulant use can help tailor a more suitable approach for you.
Next Steps:
- Prepare for the Discussion: Reflect on your experiences with Dexedrine, including how it affects your mood, sleep, and overall well-being. Write down specific examples if that helps you articulate your situation.
- Be Honest During Your Appointment: Share your stimulant use openly, discussing how it has impacted your mental health and treatment with Vraylar. Express any feelings of guilt or concern you have regarding this.
- Discuss Your Options: Inquire about safe ways to manage or discontinue the stimulant use. Your psychiatrist can also explore alternative strategies or adjustments to your treatment that may better suit your needs.
- Prioritize Your Mental Health: Focus on working together with your psychiatrist to find a balanced approach that prioritizes your mental well-being.
Navigating this situation can be challenging, but fostering an open and honest relationship with your psychiatrist is a strong foundation for your treatment progress. You're taking an important step by considering the implications of your stimulant use; lean into that awareness as you move forward.
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