How do you approach ADHD treatment in patients with psychotic disorders who are now psychiatrically stable?

Non-stimulant so atomoxetine, guanfacine, and clonidine. However, it needs to be teased apart is the deficit in concentration and focus due to symptoms of schizophrenia. It can be a tough call but I also use modafinil sometimes.

I consider treating ADHD with a stimulant in patients with concurrent psychotic disorder who are stable with psychotic symptoms, as long as there is a clear benefit to stimulant prescription.

Please see the article, which will support the above: Luykx et al., PMID 40595332.

In my practice, I find that we often move too quickly to label ADHD in patients who are already struggling with a psychotic disorder. We seem to have forgotten the value of hierarchical diagnosis. In my view, psychotic disorders are global in nature; they impair the entire "stream" of a patient’s ex...