Study Links ADHD Medications to Small but Significant Risk of Psychosis and Bipolar Disorder

While the risk is small, spotting symptoms early can make a big difference in outcomes.
Study Links ADHD Medications to Small but Significant Risk of Psychosis and Bipolar Disorder
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A recent study of nearly 400,000 patients found that people with attention-deficit/hyperactivity disorder (ADHD) who take stimulants face a small but notable risk of developing psychosis or bipolar disorder. About 3 percent of patients developed one of these conditions after starting medication.

Key Findings

The meta-analysis, published in JAMA Psychiatry, pooled results from 16 studies across North America, Europe, and Asia. It was the first-ever systematic analysis looking at both psychosis and bipolar disorder in relation to ADHD medications.

The study reviewed both amphetamines and methylphenidate, two common stimulant drugs used to treat ADHD. Amphetamines were associated with roughly 60 percent higher odds of developing psychotic symptoms compared with methylphenidate.

Rachel Ann T. Melegrito
Rachel Ann T. Melegrito
Author
Rachel Melegrito worked as an occupational therapist, specializing in neurological cases. Melegrito also taught university courses in basic sciences and professional occupational therapy. She earned a master's degree in childhood development and education in 2019. Since 2020, Melegrito has written extensively on health topics for various publications and brands.