Oscar G. Bukstein

Oscar G. Bukstein, a Harvard psychiatrist specializing in ADHD treatment, walks through a practical treatment algorithm. He discusses when to prefer nonstimulants for co-occurring substance use, strategies for ADHD with depression or anxiety, and when stimulants remain first-line. He also covers next steps after stimulant nonresponse and evidence on efficacy and tolerability.

Oscar G. Bukstein, child and adult psychiatrist and Harvard academic, discusses stimulant treatment for adult ADHD. He covers why amphetamines now outpace methylphenidate. He explains choosing short versus long-acting formulations. He reviews cardiovascular screening, monitoring vital signs and common side effects. He outlines when to switch stimulant classes for inadequate response.

Oscar G. Bukstein, psychiatry professor and ADHD/substance-use expert, outlines clinical safeguards for stimulant prescribing. He explains why stimulants are Schedule II and how pharmacokinetics affect abuse risk. He reviews screening questions, red flags for misuse and diversion, and practical precautions like long-acting meds, monitoring, urine screens, and nonstimulant options.