How to Navigate ADHD Medication Shortages: A Therapist’s Perspective

If you’ve ever managed ADHD with medication, you’ve likely felt the sting of a shortage at some point. Over the last several years, many of my clients have struggled at one time or another to find Adderall, Vyvanse, and other stimulants. Medication shortages tend to resurface every once in a while, particularly during back-to-school seasons when there’s an increase in demand.

When you have ADHD, the process of handling these shortages can feel almost impossible. Tasks like calling multiple pharmacies, coordinating with a doctor, and exploring alternative options are daunting at baseline. When you add in executive functioning difficulties, things can get very overwhelming very quickly. 

As an ADHD therapist and coach, I understand the struggle. Here, I’ll give you practical steps to take if you do encounter a medication shortage, as well as alternative resources to try in addition to medication. 

Why Are ADHD Medication Shortages So Common?

Certain ADHD medications – such as stimulants like Adderall and Vyvanse – are classified as Schedule II controlled substances. Their potential for abuse means they’re tightly regulated. Because of these strict regulations, things like manufacturing quotas, supply chain disruptions, and increased demand often lead to shortages.

The growing awareness and diagnosis of ADHD throughout the U.S. have led to higher demand for these medications, which the production caps don’t always accommodate. Unfortunately, when these shortages hit, the people who rely on these medications to function are the ones who suffer. 

Practical Steps to Manage a Medication Shortage

Here are some steps you can take if you experience a medication shortage.

1. Call multiple pharmacies
   Start by contacting as many local pharmacies as you can to ask about what’s in stock.
   • Tip: Create a simple list of pharmacies and their contact numbers to keep track of who you’ve called and their responses.
   • Pro tip: Some larger chains, like CVS or Walgreens, can check whether certain medications are available at nearby locations, even if they don’t have them themselves. This can save you multiple calls and prevent overwhelm.
     
2. Explore alternative prescriptions with your healthcare provider
   Shortages tend to impact specific dosages or formulations. Your doctor might be able to adjust your prescription to match what’s available. For example, the following options may work for you:
   • Splitting doses: If 20mg extended-release tablets are unavailable, ask if two 10mg tablets might work instead.
   • Alternative formats: Chewable or liquid versions of some medications may be less in demand, and therefore more readily available. 
   • Short-acting medications: These may be easier to find. The downside is they require more frequent dosing throughout the day, and some people struggle to remember to take these types of meds at regular intervals.
     

In short: research your options and advocate for yourself. Your doctor may not have enough knowledge about ADHD to give you all the available information. Make a list of questions and options to discuss with them so you can make sure you’re getting the care you deserve.

3. Consider brand-name medications
   Sometimes pharmacies keep the brand-name version of your medication in stock, even if the generic is unavailable. The shitty news is brand-name is usually more expensive. However, if it’s in your budget or covered by insurance, it may be worth considering going this route during a shortage. 

4. Work with your insurance
   Insurance companies can be a nightmare to try and navigate. Many don’t make it easy to get the coverage you signed up for, or to understand what your benefits even are. One thing that’s good to know is that insurance companies often require prior authorization for non-standard prescriptions, such as brand-name medications, new medications, or alternative formats. While this adds another layer of effort, it can significantly reduce out-of-pocket costs. 
   • Tip: Many doctors’ offices have staff dedicated to handling insurance paperwork. Ask them for help during this process! That’s what they’re there for.
     

4. Stay on top of your refills
   
   Ask your doctor for the maximum amount of refills, and then refill your prescription as soon as you’re eligible. This can help you avoid last-minute panic and keep you in stock. One of the worst things is being unable to get your Rx filled due to travel, shortages, or some other setback.
   • Tip: Set reminders on your phone or calendar to help you remember to request regular refills.
     
5. Find a backup plan
   
   • Check out-of-network pharmacies: Independently owned pharmacies sometimes have different supply chains and may stock medications when larger chains run out.
   • Online pharmacies: Some reputable online pharmacies may have stock available. Just ensure they are certified and follow U.S. regulations (look for accreditation by the National Association of Boards of Pharmacy).

Dealing with the Emotional Toll of ADHD Medication Shortages

ADHD medication shortages aren’t just a logistical nightmare – they’re emotionally draining, too. If you’ve ever found yourself spiraling into anxiety or frustration over the thought of running out of medication, you’re not alone. ADHD often makes tasks like navigating pharmacy systems or advocating for yourself feel really hard. These added steps compound the burnout and strain that already exist from simply trying to navigate everyday life. 

When you feel overwhelmed, remember to first break down whatever task is at hand. For example, instead of writing, “find medication” on your to-do list, start with, “call one pharmacy.” That keeps you focused on small, manageable steps rather than the whole daunting picture. 

Remember to seek support when you need it, too. Lean on trusted friends, family members, or ADHD support groups to help you come up with alternative solutions or even help you make calls and field logistical legwork for you. It takes a village, especially with neurodivergence.  

ADHD Resources to Support You

Navigating medication shortages and ADHD challenges in general can feel isolating, but it helps to remember you aren’t alone in this. Here are some resources that can help:

• CHADD (Children and Adults with ADHD): The national organization offers resources for managing ADHD, including tools for finding medication during shortages. 
• GoodRx: This app can help you compare medication prices at local pharmacies, get big discounts (especially if you don’t have insurance), and check availability.
• Pharmacy Finder Tools: Some pharmacy chains, like Walgreens and CVS, allow you to search for medication stock at nearby locations through their websites or apps.
• ADHD Support Groups: Both in-person and online groups can provide advice, encouragement, and tips from others who’ve faced similar challenges. Check platforms like Facebook, Meetup, or Reddit’s ADHD community.

Treatment For ADHD

While medication is an essential tool for managing ADHD, it’s not the only one. If you find yourself struggling to cope during a shortage – or during any other time – consider exploring additional support systems, such as ADHD therapy or coaching. I’m here to support you in all things ADHD, including how to cope with everyday challenges that accompany neurodivergence.

I’ll help you:

• Brainstorm best options for your medication goals 
• Help you learn how to advocate for yourself, break daunting tasks into small steps, and give you practical support in daily tasks.
• Learn tools to help you navigate ADHD in a healthier way, such as developing more self-compassion and questioning feelings of unworthiness or low self-esteem.
• Live a more aligned, intentional, and meaningful life 

Learn more about my therapy services (including EMDR and talk therapy) if you’re located in Idaho, Iowa, or South Carolina. For all other locations, check out my coaching services. My coaching program offers all the same expertise, tools, and guidance as therapy in a more direct and goal-oriented approach that you can benefit from anywhere. 

Reach out today to schedule a free, no-obligation consultation. Let’s start building a better future together.