How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Z Your Own Question

Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 4296
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Type Your Mental Health Question Here...
Dr. Z is online now
A new question is answered every 9 seconds

Hi, I have a family member that has been taking generic adderall

Resolved Question:

Hi, I have a family member that has been taking generic adderall for at least 8 years. He takes 10 mg. 4 times a day. The problem is when he can't get it immediately he experiences rage. My question is, he never show anger toward the people he currently lives with but always vents his rage toward his family. Why is it just toward his family?
Also is there another drug that would be better and stop with the rage. Would ritalin be better? This person is an adult and does not want to get off the adderall. I have heard that Paxil helps with the anger, is this true.
Submitted: 11 months ago.
Category: Mental Health
Expert:  Dr. Z replied 11 months ago.

DoctorZ :

Hello I believe I can help you with your concern

DoctorZ :

Unfortunately, rage and anger are common with Adderall as it starts to dissipate in the system and the individual will actually get a withdrawal effect, which is why the increase of irritability

DoctorZ :

Now a possible reason why he is directing the anger only to his family is because they are considered "safe." Families and close loved ones are often targets of indirect anger because they will always love the person no matter what they do.

DoctorZ :

I actually would not recommend Ritalin as this rage can be seen with individuals who use Ritalin as well. Adderall XR (extended release) can prevent this type of rage that occurs when someone is inadvertently going through the withdrawal effects, in this case irritability.

Customer:

Would these symptoms be accentuated if the aderall were pulverized and sniffed? Would aderall XR prevent this kind of abuse? If the family is considered safe, what can we do to stop this behavior. How can we convince this family member that aderall is a problem? How can we stop the rage against us? Would Paxcil help?

DoctorZ :

Also Vyvanse is a medication that is more long acting and can prevent this type of rage from occurring as well

Customer:

Will Vyvanse give him the same feeling as aderall? Can he switch directly from aderall to this, or is it a gradual process of replacement?

DoctorZ :

These symptoms would be intensified if sniffed because the medication will leave the system faster and intensify the withdrawal effects. Adderall XR will not prevent this type of abuse. There are specific abuse centers throughout the country that can help this family member (without involving law enforcement). Adderall is frequently being more and more abused, so these treatment centers are better equipped to handle any type of abuse.

DoctorZ :

Paxil most likely will not have any noticeable effect because the rage against you is a result of a withdrawal effect

DoctorZ :

Vyvanse has the same effect as the Adderall, but it last longer in the system, so it helps to prevent withdrawal effects if the individual has not taken a dose in a while. But if Vyvanse is abused those withdrawal effects will still occur like with the Adderall, but maybe not as severe.

DoctorZ :

And yes you can switch from Adderall to Vyvanse, but I would recommend lowering the dosage first of the Adderall for at least a week then switch to a low dose of the Vyvanse.

DoctorZ :

And then increase the dose of the Vyvanse to a therapeutic level.

Customer:

How would I find a doctor to prescrible Vyvanse. Also do you think an adderall addict feels remose for their anger because this person does not seem to, all he cares about is the adderall. However one time he was very angry because he was on it.

Customer:

Whats a therapeutic level

Customer:

Is the dose he is taking a large dose. He is about 125 lbs.

DoctorZ :

Most physicians are able to prescribe Vyvanse, but I would go to a psychiatrist that knows more about this medication. Adderall addicts may feel remorse after they have cooled down, and yet they may not. Any addiction is controlling and effects behavior in a severe way where an individual may not feel remorse and only think about their own needs. A therapeutic level would be 40mg initially.

DoctorZ :

70mg is typically the max dosage given

Customer:

It seems the longer he takes the adderall the worse his anger. It has totally ruined our family. How can I get him to want to go off it.

DoctorZ :

Well if he is abusing the adderall, then he will constantly need to take higher and higher dosages more frequently to get the same effect and his anger is caused by him not achieving his desired effect and it can be caused by the withdrawing effect.

Customer:

Are these reactions of rage typical?

DoctorZ :

To get him to go off it is to get him into a rehab facility where he will abstain from the medication, but he will have to go on his own choosing.

DoctorZ :

Yes adderall is a stimulant and rage is a common effect associated with it, especially with abuse

Customer:

Cann someone get off it on their own?

DoctorZ :

Yes they can, but they have to wean off the medications carefully to avoid withdrawal effects

Customer:

Also I want to talk to the doctor who has not followed up once in 8 years but I am afraid he will cut him off. Because we talked to him once but he did not care. If he was totally cut off what would happen?

DoctorZ :

Withdrawal effects can be fatigue, depression, suicidal thoughts, irritability, anxiety, insomnia, poor concentration, paranoia, slow reflexes, and increased appetite

DoctorZ :

You can mention to the doctor that he is abusing his adderall, but the doctor may not be able to talk to you about him due to medical privacy laws, but can listen. If the doctor will not listen then you can try speaking to the physician's superior, if there is one.

DoctorZ :

Adderall Abuse is a serious issue and the doctor should take it seriously as well

Customer:

Do you keep needing more and more of the adderall?

Customer:

Do you keep needing more and more adderall?

DoctorZ :

If you abuse it yes, you will need to keep increasing the dosage to get similar effects because your body gets used to it. But if you take appropriate dosages by mouth then you will not need more and more

Customer:

Would Vyvanse help even if he is abusing the adderall? What I mean is can he switch to Vyvanse?

DoctorZ :

Yes he can switch to Vyvanse, and it has been noted to have less side effects when compared to adderall.

Customer:

Is there anything he caN take that would help with stopping adderall in the natural realm. Vitamins or herbs?

Customer:

Do people that take adderall become violent?

DoctorZ :

No unfortunately, there are no herbs or vitamins that successfully mimic the effects of adderall to help someone who wants to wean off of it. The best approach is gradually weaning off of the adderall or switching to another similar acting stimulant like Vyvanse

DoctorZ :

They can become violent when withdrawing from adderall, but this is extremely rare. Also very rare reactions called paradoxical reactions when taking adderall can be violence, but again very rare

Customer:

How difficult is weaning off adderall? What is the correct schedule for weaning off it?

Customer:

He is very much filled with intense hate.

DoctorZ :

It depends on the person to determine a weaning off schedule, and a physician is best for this because the physician knows his medical history best. I would switch to 10mg of Adderall twice a day for 2 weeks and if there are no adverse effects then switch to 5mg twice a day for 2 weeks, then switch to 5mg once a day for 1-2 weeks, then be off of it completely.

DoctorZ :

Hate can be caused by his addiction, addictions can effect his personality that create the hate that you are describing

Customer:

How long would they have to be at a rehab to successfully get off this drug? I thinkl hoever, he would only do it at home so what would be the easiest way?

DoctorZ :

A rehab facility traditionally likes to keep individuals for 30 days to help them weaning off the medication and teach them other psychological skills

DoctorZ :

The weaning off schedule I mentioned would be the best way for him to wean off the medication at home, he can also make an appointment with a therapist that specializes in addictions to help him cope through this process. He can see the therapist once a week.

Customer:

Thank you so much. When are you on again in case we need you? I wish you all of Gods blessings. You are the first person to help us. Thank you again.

DoctorZ :

I am always happy to help. I am usually online 7 days a week from 9AM PST to 10PM PST, if needed to reach me

DoctorZ :

I hope I provided you with excellent service tonight

Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 4296
Experience: Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
Dr. Z and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 

Related Mental Health Questions