What Is Adderall Paranoia?
Adderall can be a life-changing medication for people who have ADHD and certain other conditions. But those who take too much of the drug may be at risk for an array of severe side effects, including psychosis and paranoia.
What Is Paranoia?
Before we address the question of what is Adderall paranoia, it can be helpful to review what the term “paranoia” means from a mental health perspective.
Paranoia is an unhealthy mindset that involves maladaptive thoughts such as misplaced suspicion, inability to trust, and unjustified fear that someone is plotting to harm you. This is a type of delusion, or a rigid belief that you cling to even in the absence of any credible evidence.
Paranoia is sometimes (but by no means always) a symptom of a mental illness. Examples of mental health disorders that can cause paranoia include:
- Schizophrenia
- Schizoaffective disorder
- Borderline personality disorder (BPD)
- Delusional disorder
- Paranoid personality disorder (PPD)
Other risk for factors for paranoia include:
- Family history of mental illness
- Personal history of untreated trauma
- Exposure to overwhelming stress
- Being bullied or harassed
- Certain types of substance abuse
What to Know About Adderall
Adderall is the brand name of a prescription medication that contains equal parts racemic amphetamine and dextroamphetamine. Both of these ingredients are stimulants, which means that they increase activity throughout the central nervous system (CNS).
When a person takes Adderall, the drug boosts the amount of two neurotransmitters, or chemical messengers, in their system:
- Dopamine, which is involved with functions such as mood, attention, arousal, learning, and memory
- Norepinephrine, which plays a key role in the body’s “fight or flight” response and sleep/wake cycle
Adderall also causes smaller increases in serotonin, a neurotransmitter that influences mood, appetite, sexual desire, and sleep.
For someone with ADHD, increases in these neurotransmitters can have a calming effect, improving their ability to focus and concentrate while minimizing symptoms such as restlessness and distractibility.
Unfortunately, these effects have prompted many people – primarily college students and young professionals – to abuse the drug in an attempt to improve their cognitive performance.
Can Adderall Cause Paranoia?
Even when a person uses Adderall as directed by their physician, they may experience certain adverse effects. When someone uses the drug without a prescription, their risk of unpleasant outcomes may be even greater.
Common physical side effects of Adderall include:
- Elevated heart rate
- Pan in lower back
- Headache
- Loss of appetite
- Flu-like symptoms
Common psychological side effects include:
- Anxiety
- Irritability
- Depression
From a mental health perspective, one of the drug’s more concerning (but thankfully less common) side effects is psychosis, which can include a condition called Adderall paranoia.
Recently, researchers from McLean Hospital in Belmont, MA, reported that people who regularly take large amounts of Adderall have a particularly high risk of developing psychosis and paranoia.
The McLean study, which appeared in The American Journal of Psychiatry in September 2024, determined that a person’s risk of psychosis may increase by 400% if they take at least 40mg of Adderall per day.
Symptoms of Adderall Paranoia
Someone who has developed Adderall paranoia may exhibit signs such as:
- Being overly sensitive, defensive, and/or argumentative
- Taking offense at even the slightest perceived criticism
- Inability to compromise
- Holding long-term grudges
- Finding it difficult or impossible to relax
- Indecisiveness due to fear of making the wrong choice
- Hypervigilance, or a heightened sense of alertness due to the mistaken belief of being constantly in danger
- Social withdrawal and isolation
Paranoia is just one of three types of symptoms that a person may experience when they develop Adderall psychosis. The other two are:
- Hallucinations, which can include seeing, hearing, or otherwise perceiving things that do not actually exist
- Delusions, which are rigidly held beliefs that are easily disproven or that have no basis in reality, such as claiming they have magical powers or are being unfairly persecuted
What to Do If a Loved One is Experiencing Adderall Paranoia
Understanding the answer to the question, “What is Adderall paranoia?” can help you identify when someone that you care about is in crisis. Recognizing the problem is an important step, but it’s just one part of what could be a long process.
If you’re not a mental health expert, what can you realistically do to help a friend or family member? First, you need to acknowledge that you cannot cure your loved one – but you can play a vital role in connecting them with the care they need.
Other steps you can take include:
- Educate yourself about Adderall paranoia (which, if you’re reading this post, you’ve already begun to do). The more you know about what your loved one is experiencing, the better prepared you’ll be to offer meaningful support.
- Explore treatment options. There’s no single “perfect” way to treat Adderall paranoia, so you’ll want to focus on finding the programs and services that best align with your loved one’s needs and goals.
- Talk to your loved one. Perhaps most importantly, listen to them. This conversation should be an actual discussion, not a lecture or an ultimatum. Express your concerns, reiterate your support, and talk about treatment.
- Keep the lines of communication open. It may take multiple conversations before your loved one is ready to get help.
- Don’t go it alone. Recruit a small group of close friends or trusted family members to help you. You don’t want your loved one to feel like you’re ganging up on them, but you do want to demonstrate that you’re not the only one who truly cares about them.
- Get help for yourself. If you are close to someone who has been exhibiting signs of Adderall paranoia, you’ve been affected, too. Talking to a therapist or counselor can help you process your experiences and ensure that you’re not neglecting your own needs.
Treating Adderall Paranoia
As alluded to in the previous section, effective treatment for Adderall paranoia can look quite different from one person to the next. Factors that can influence which type of treatment is ideal for a specific person can include:
- Their age and gender
- Their treatment history
- The nature and severity of their symptoms
- If they have any co-occurring mental or behavioral health concerns
- The effectiveness of their personal support network
With these caveats in mind, the range of options for treating Adderall paranoia includes:
- Detoxification (detox)
- Inpatient rehab
- Outpatient programming
- Medication management services
- Individual, group, and family therapy
- Cognitive behavioral therapy
- Dialectical behavior therapy
- Psychoeducation sessions
- EMDR and other trauma-focused services
- Holistic therapies
Contact Sanctuary Treatment Center for Help
Sanctuary Treatment Center offers comprehensive, personalized care for adults who have been exhibiting symptoms of Adderall paranoia and other mental health challenges. We also provide dual diagnosis programming for those who have both a mental health condition and a substance use disorder (addiction).
Our treatment center in Los Angeles, CA, is a safe and supportive place where you will be cared for by a team of skilled and compassionate professionals. With our help and a concerted effort on your part, you can take substantial strides toward a much healthier and more hopeful future.
To learn more or to schedule a free assessment, please visit our Contact page or call us today.
Published: 4/4/2025