In Oregon we still have an option to prescribe controlled substances with written prescriptions.
This works out much better for me.
Of course, I am trying to completely eliminate controlled substances from my practice. I'm sure that will never happen, but now that pain is no longer the 5th Vital Sign, I don't have to beat myself up about being a bad doctor if I can't guarantee that every patient's life can be completely pain free.
I still don't know what to do with "adult ADHD" but I have a few patients who really have functioned much better long term with relatively low-dose Adderall, and never abuse it. Not many, but enough to make me wary of absolute rules about anything
