How do you address a patient who may be getting Adderall from another non-prescribed source while you're treating them with Adderall for ADHD?

If I find out a patient is abusing/misusing Adderall from another source, even having it prescribed by another licensed provider at the same time they are having it prescribed by me, I immediately stop prescribing any dea controlled medication (I once had a patient tell me “I’m selling the meds from...

I believe every physician treating adults with ADHD must approach their practice through an addiction-informed lens. I make this clear at the first visit, emphasizing that our therapeutic relationship is built on absolute transparency and essential safety parameters. When a patient demonstrates beha...

I agree with the above-noted responses but would make three additional comments:

1. I would ask (require) the patient to sign a release allowing me to communicate with his other physicians, and if he/she agrees, write to the other prescribing physician and inform them of the situation.
2. I would conside...

I check the PMP every time I prescribe a stimulant. If I saw a patient receiving Adderall from another source, my concern would go up quickly. I would not assume bad intent, but I would want to understand what they thought they were doing and why. Sometimes there is a reasonable explanation, like an...