Even more important, 50 years of long-term studies have failed to show ANY benefit of long-term stimulant use in ANY major outcome area. This includes delinquency, test scores, teen pregnancy, college enrollment, illegal drug use, social skills or even self esteem. This should be in EVERY textbook so that doctors realize that AT BEST, stimulants provide some short-term changes in the “core symptoms” (meaning that they mostly make kids more manageable). The biggest selling point used to push stimulants is that “untreated ADHD” leads to all these bad outcomes, but as it turns out, NONE of these outcomes is improved by stimulants! What a scam!