How do you approach stimulant prescribing for ADHD in a patient with auditory hallucinations, that can be command in nature (suicide), who will not take an antipsychotic medication?  

The first order of business is diagnostic clarity. Is the disorder causing hallucinations also causing symptoms that are being mistaken for ADHD? Is ADHD pre-existing, and now the patient is presenting with hallucinations? Are the hallucinations secondary to existing ADHD treatment (stimulants can c...