|Living with Adult ADHD||ADHD in Women||Apps & Tools|
|Signs & Symptoms||Health & Sleep||Time Management|
|First 100 Days||ADHD at Work||Relationships|
|ADHD Parenting Home||Parenting Strategies||ADHD Teens||Summer Camps|
|Oppositional Defiant||Health & Nutrition||Social Skills||Homework Help|
|Discipline Fixes||Sleep||Organization Skills||Free Downloads|
|ADHD Treatment Home||Natural Treatments||Treating Kids|
|Medications||Diet & Nutrition||Treating Kids Naturally|
|Medication Reviews||Side Effects||First 100 Days|
|Learning Home||Homework Help||Learning Disabilities|
|School Accommodations||Organization Skills||Teachers' Guide|
|IEP/504 Plan||Behavior at School||High School|
|ADHD Symptoms Home||Self-Tests||ADHD in Women|
|ADHD Symptoms||Related Conditions||Diagnosing Kids|
|Types of ADHD||Diagnosing ADD||Dealing with Diagnosis|
|Give a Gift|
"I have a client who is taking a high dose of a stimulant, as well as a painkiller and sleeping pills. I think that she's addicted to the stimulant. Is inpatient detox the only course of action?"
If your client is on a stimulant medication, plus a painkiller and sleeping pills, there is more going on than ADHD. Due to the complexity of her treatment, I could not conclude from your question that she is indeed addicted to the stimulant. It might be that the sleeping and pain medications are sedating her and that the stimulant helps her stay awake.
If the prescribing physician has a good relationship with her, he can help her wean herself from each medication to establish a new baseline. This might be tried as an outpatient procedure. If not, she might require a brief hospitalization to get her off all the medications and to establish a new baseline from which to treat her problems.
Larry Silver, M.D., is the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.