Power, Productivity and Pills: A Dangerous Triad

Adderall is the prescription drug that just keeps on giving, regrettably continuing to give treatment centers like Timberline Knolls more profoundly addicted people to treat.

Adderall is an amphetamine. It’s legitimately used to treat narcolepsy and Attention Deficit Hyperactivity Disorder (ADHD). For years, this drug was typically misused by college students to facilitate studying. Then, it moved on to busy moms, who had too much to do, too little time, and existed daily under the unforgiving superwoman myth.

Now, Adderall, and similar stimulant medications, have permeated many areas of the work force.

According to a recent article in the New York Times, stimulant abuse, addiction and overdose is escalating at an alarming rate. A 2013 report by the federal Substance Abuse and Mental Health Services Administration found that emergency room visits related to nonmedical use of prescription stimulants among adults 18 to 34 tripled from 2005 to 2011, to almost 23,000.

Those taking stimulants claim they use them to increase work performance and productivity; many believe these drugs are imperative to succeeding in today’s competitive work force. The thought process goes like this: “If my counterpart is possibly using a stimulant to maximize her productivity, or even just because she actually has ADHD, I better get some for myself to level the playing field.” Obtaining a prescription is as easy as visiting a doctor and reciting a laundry list of ADHD symptoms (easily found on the Internet).

The numbers alone indicate that the ploy works. About 2.6 million American adults received ADHD medication in 2012; this is a rise of 53 percent in only four years. Use among adults 26 to 34 almost doubled. It is unlikely that the prevalence of ADHD legitimately escalated that rapidly in the general population.

The truth is many individuals are addicted to perfectionism, competition and winning in the workplace. They will go to any lengths to get that, including putting their lives at risk. And, they are applauded for doing so. They are viewed as a dedicated, productive and efficient employee.

What employer would NOT love someone who works that hard?

Stimulant abuse can fuel work addiction. Underneath it all is a lie: you are not good enough as you are; you are only worthy if you perform better than anyone else and work at breakneck speed; you only have value if you achieve a certain salary, position or title.

These success imperatives are born of shame and based on lies that someone or society tells you about yourself.

At the end of the day, the question always remains: what is the price of success? If it is jeopardizing a person’s immediate and long-term health, then the price is clearly too high.

Elizabeth E. Sita, MD
Medical Director of Adult Services
Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award. Upon completing her training, Dr. Sita came to Ascension Alexian Brothers Behavioral Health Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders. Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making. She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!   VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services  
Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.