I am so glad (but NOT) that I am not the only person going through this same thing.  I'm a 5th year college student and everything and ANYTHING above and beyond believeable that could go wrong in my life HAS.  I take 20mg of adderall 3 times daily, and have been for 5 years now.  It seems like the doctors' have no answers for anybody experiencing this other than to "up the dosage" or "integrating adderall with some kind of downer or upper".  I believe at the ages between 21-33+ we all begin to realize that life is not what we once necessarilly perceived it to be.  Being that I take my adderall, ironically, for anxiety, it makes me wonder if the reason for my being so intensely paranoid and stressed even while I am on it is just the effect of the "outside of the box" realm.  It seems like I have become so self indulged as if I am resisting the reality of the changes around me and the obligations I have obtained throughout the years as I get older.  I begin to put them off, stressing my own self out even more each day, occupying myself with keeping organized with other agendas than the initial one at hand, almost literally driving me to insanity, all in all, to keep myself from feeling so awkward around others, I too seclude myself.        A lot of people with ADHD also have OCD.  I mean, can anybody blame us?!  We forget EVERYTHING that we initially knew we needed.  How many times have you gone to the store to buy JUST 1 item, walked out with 15, and you get home and smack youself on the forehead because you FORGOT to purchase the item, the ENTIRE reason for your visit to the store?  That's why you see lists everywhere around the house with half checked off, yet, neatly stacked and organized, BUT you forget which "to-do" list is for "what"?  The whole point is, we focus on being so neat and organized the more that our bodies get use to the amphetamine that when we are done "making everything neat and tidy" we feel like we have already finished those lists, its hard for me to explain but IT SUCKS! Once satisfaction of being able to relax sets in, we get anxious and realize we spent 3 hours cleaning and organizing while that term paper that is due in a couple hours has yet to be drafted (for example).  I also was told by my psychiatrist that a lot of ADHD individuals are dyslexic.  If you have problems with writing papers or talk backwards or have trouble trying to get to the point while in conversation, welcome to my world.       My thoughts are that our bodies become so use to this trigger of dopamine in our nerve receptors that it no longer detects any difference while being administered the amphetamine, we become depressed while off, but still somewhat are while on because over the years it looses its receptor changing capabilities.  Doctors need to look for and stress the other diagnosed areas of each and every individual with ADHD.  (Also, they should take into account environmental changes.)  You've probably heard that "cats" do not react to change very well at all.  Neither do we, and at the age range I stated earlier we are going from babies to independent individuals all over again, it is like going to kindergarten.  Mommy can't hold your hand kind of crap, and you can't use your mommies health insurance anymore because you graduated college, can't find a job though, and your ADDERALL costs how much?! We panic, could these doctors implement some kind of "weening off" process or do we just have to admit our own selves in the psych ward?