Cate Osborn was having a panic attack standing in her kitchen Halloween nighta direct result of having gone without her prescribed medication to treat her attention-deficit/hyperactivity disorder (ADHD) for about a week.
I was literally holding a box of Halloween candy and there was no clear surface on which to set it down, Osborn explains. There was just something about looking around and not having a single spare area and watching my house deteriorate around me.
Earlier this week, theyd forgotten to show up for a paid appearance as part of her job as a full-time content creator. I can see that on the 27th I responded and confirmed, but I have no memory of sending that, they recall.
As one of 10 million American adults who live with ADHD, Osborn has been impacted by the recent Adderall shortage, a popular medication for managing ADHD. Last month, the U.S. Food and Drug Administration announced that Teva, one of the manufacturers of amphetamine mixed salts, which is used in Adderall, is experiencing delays and other manufacturers are struggling to keep up with demand, which is impacting people with ADHD on a personal and professional level.
Symptoms of ADHD may include trouble with paying attention, executive function and working memory. While its usually diagnosed in childhood, many people, like Osborn, are diagnosed later in life. People with ADHD may also have inconsistent performance at work or in their careers; have difficulties with day-to-day responsibilities; experience relationship problems; and may have chronic feelings of frustration, guilt or blame, according to Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD).
The thing with ADHD I wish more people understood is that its not just the struggle to keep something clean, to send the text or the email or show up at the party. Its that initial embarrassment, shame and guilt that you forgot to come to this thing, explains Osborn, who hosts a podcast about ADHD and shares information on TikTok under the handle, @Catiaosaurus. Then theres a secondary guilt or shame that the systems I worked so hard to build to make sure that Im not late or my house stays clean have failed. And theres the third level of knowing this has happened before and its probably going to happen again. You could be doing everything right, but theres a part of the system that you cant control, like the Adderall shortage.
Treatment of ADHD in adults typically includes medication and behavioral management techniques. Medication types include psychostimulants, such as Adderall, and nonstimulant medications, such as Strattera. While medication does not cure ADHD, it can help ease symptoms when its effective.
In 2021, there were more 41.4 million prescriptions dispensed for Adderallan increase of 10.4% from 2020, according to IQVIA, a healthcare data analytics company, as mentioned in NBC News.
Every person who gets Adderall has to have a new prescription every month because its such a difficult and controlled substance, explains Osborn.
But as with many prescription drugs, Adderall isnt exactly cost-effective, even with health insurance. Olivia Thompson, vice president of marketing for Sesh, a mental health platform, says shes paid anywhere between $60 and nearly $200 for a 30-day supply.
I also have friends who are paying out-of-pocket and Im scared for them because if theyre paying $200 now, is that going to double or triple? Are they going to be paying $600 for a drug that gets them through the day? says Thompson. Thats a huge concern I think theres going to become a black market for it and thats kind of sick.
Until the Adderall supply is restored, the FDA recommends alternative treatments, including the extended-release version of amphetamine mixed salts. In addition to ADHD, Adderall is also used to treat narcolepsy. Patients are advised to work with their healthcare professionals to determine the best alternative treatment.
Adderall is not just about writing term papers or helping you send that email, its a life-saving mental health medication in the same way that antidepressants are, says Osborn. But for people in the ADHD community, its not an optional thing or a nice-to-have. Its something they fundamentally need to get through the day.
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