Those who take Adderall are familiar with the all-too-common “Adderall crash.” This medication is a stimulant, so when it wears off, there’s an imbalance of chemicals in the brain. As a result, people often feel tired and sluggish. These symptoms are more pronounced in individuals who misuse the medication. 

In Arizona, 1,816,203 stimulant prescriptions were written in 2023. Adderall, specifically, is prescribed to treat the symptoms of ADHD and narcolepsy. While effective, it can lead to dependence, especially in individuals who use the medication for a prolonged period. When this happens, the body can experience unpleasant withdrawal symptoms if you attempt to cut back or stop taking the medication. For those struggling with Adderall dependence, Our Prescott rehab center  offers a structured and supportive environment to manage withdrawal and begin the journey to long-term recovery through therapy, medical care, and peer support.

While Adderall withdrawals are more common in individuals who misuse the substance, they can still happen to people who take it as prescribed. The good news is that there are safe and effective ways to withdraw from Adderall and minimize withdrawal effects. Let’s learn more about Adderall withdrawal, the symptoms that can occur, and the treatment options available. 

Understanding Adderall Withdrawals

Adderall withdrawal occurs when someone who has been using the substance—especially at high doses or over a long period—suddenly stops or reduces their dosage. Often referred to as a “crash,” Adderall withdrawal can involve a range of physical, psychological, and emotional symptoms. Understanding these symptoms, why they occur, and how to manage them can make this process more tolerable. 

As a stimulant medication, Adderall works by increasing levels of dopamine and norepinephrine in the brain. Over time, the brain becomes reliant on the substance to maintain normal dopamine production, making it harder to feel good from natural rewards. When the Adderall use is stopped or reduced, dopamine levels drop significantly, leading to withdrawal symptoms as the brain adjusts. 

Adderall Withdrawal Symptoms

Withdrawal symptoms can vary in intensity depending on the dose, how often the substance was used, and how long it was used. Symptoms typically appear within a few hours to a day after stopping Adderall and can last for several weeks. Abruptly stopping Adderall (“cold turkey”) often results in more intense symptoms compared to gradual tapering, which is why reducing the dose is the preferred approach. 

Physical Symptoms:

  • Extreme fatigue. Persistent tiredness and lack of energy.
  • Increased appetite. A rebound effect from the appetite suppression caused by Adderall.
  • Sleep disturbances. Excessive sleeping or trouble falling asleep.
  • Headaches. This is often due to changes in dopamine levels. 
  • Muscle pain or weakness. General physical discomfort or body aches. 

Psychological Symptoms: 

  • Depression. Low mood, feelings of hopelessness, and a lack of pleasure in everyday activities. 
  • Anxiety. Heightened nervousness or worry.
  • Irritability. Increased frustration or sensitivity to minor stressors. 
  • Difficulty concentrating. Struggling with focus or cognitive tasks. 

Behavioral Symptoms: 

  • Cravings for Adderall. Intense desire to use Adderall.
  • Social withdrawal. Avoidance of friends and family.
  • Lack of motivation. Reduced drive to carry out daily activities. 

Adderall Withdrawal Timeline

While there are individual differences in the Adderall withdrawal timeline, most people go through several distinct stages. Here is a general timeline of withdrawal symptoms: 

  • Stage 1: Initial Crash (0-3 days). This stage can begin within hours from the last dose and involves extreme lethargy, intense cravings, mood swings, increased appetite, trouble concentrating, and insomnia. These effects are the result of the sudden cessation of Adderall.
  • Stage 2: Acute Withdrawal (4-10 days). This is the peak stage of withdrawal symptoms, meaning symptoms are more pronounced and severe. The body is adjusting to functioning without Adderall, and as a result, a number of effects can occur such as headaches, muscle aches, depression, anxiety, and lack of motivation.
  • Stage 3: Subacute Withdrawal (1-3 weeks). Symptoms begin to subside around this time as the brain continues to adjust to the absence of Adderall. It’s normal to need more emotional and psychological support at this stage. Common symptoms include residual fatigue, mild depression, lingering cravings, and mood swings. 
  • Stage 4: Prolonged Recovery (1 month+). While most withdrawal symptoms resolve in a week or two, some may linger, which we’ll touch on below. Prolonged withdrawal symptoms are more likely to occur in individuals who use Adderall in higher doses or for longer periods. 

Young Asian college student

Prolonged Withdrawal Symptoms – Adderall Vs Adderall XR

Adderall and Adderall XR (Extended Release) are both stimulant medications that contain the same active ingredients. However, their formulations and release mechanisms affect how they interact with the body, and how withdrawal symptoms manifest and persist. For those experiencing ongoing symptoms after discontinuation, an intensive outpatient program can provide targeted support through counseling, medication management, and structured therapy sessions—without the need for full-time residential care.

Adderall IR (Immediate Release) lasts about 4-6 hours and requires multiple doses per day. This means that withdrawal symptoms may appear more rapidly due to the shorter half-life. Adderall XR lasts around 10-12 hours due to the slow-release mechanism and is typically taken once a day. Withdrawal symptoms often start more gradually but can last longer. 

Common prolonged withdrawal symptoms that can linger on for weeks or months include depression, loss of pleasure, fatigue, sleep disturbances, cognitive fog, and cravings. Managing prolonged withdrawal symptoms involves a combination of therapy, support groups, healthy lifestyle changes, and medications. Withdrawal symptoms from Adderall XR can last longer, so expect patience with the process. 

Preventing Adderall Withdrawals

Adderall withdrawals can be uncomfortable, but there are ways to reduce or prevent them. Stopping Adderall abruptly is the leading cause of withdrawal symptoms. A gradual tapering process under medical supervision can help your body adjust, minimizing side effects. The dose is gradually reduced over weeks or months, with options to adjust your schedule based on your symptoms. 

Another way to prevent unpleasant withdrawal symptoms is by adopting healthy lifestyle habits, such as eating healthy, getting enough rest, and moving around every day. Managing stress is also important. While it may not be possible to avoid every symptom, working with a medical professional, gradually reducing your dose, and taking care of your mental and physical health will help you avoid severe effects. 

Treating Adderall Withdrawals

Withdrawal symptoms can be intense, especially for individuals who used Adderall in high doses or for a prolonged period of time. Seeking medical guidance ensures a safe and effective recovery. 

Symptoms that persist can be treated with medications and supportive therapies. For instance, fatigue and lethargy respond positively to hydration, nutrition, and light exercise. Headaches are treatable with over-the-counter medications, while sleep disturbances are manageable with a consistent sleep schedule and sleep hygiene. For emotional support, cognitive behavioral therapy (CBT) and support groups are beneficial. Medications like antidepressants, anti-anxiety medications, and sleep aids may also be prescribed. 

Adderall Detox in Prescott, AZ

Adderall detox is the process of removing the substance from the body while managing withdrawal symptoms. This is a critical first step in the healing process, and while it can be challenging, there are many effective ways to manage the symptoms. 

Detox is necessary because it breaks physical dependence and prepares you for recovery. There are several different approaches to detox, including immediately stopping Adderall, gradually reducing your dose, or detoxing in a clinical setting with medical support. As mentioned earlier, tapering is often the recommended approach, but ultimately, this all depends on the severity of your dependence and individual circumstances. 

To prepare for detox, discuss your Adderall use with a healthcare provider, let friends and family know about your detox plans, and identify the appropriate resources. Keep in mind that detox is only the first step in overcoming Adderall dependence. Long-term recovery involves therapy and counseling, lifestyle changes, and support groups. Our residential treatment in Arizona can provide comprehensive care that includes medical detox, individualized therapy, and ongoing support to help you build a strong foundation for lasting recovery.

Young man sitting in therapy session

Recovering From an Adderall Use Disorder

Recovery from Adderall misuse is a challenging but achievable journey that involves physical detox, psychological healing, and long-term lifestyle changes. The first step toward recovery is acknowledging your problem and seeking support. 

Detox is the initial phase of Adderall rehab, during which the body clears itself of Adderall and begins to adjust functioning without it. This process can take a week or so, though some symptoms can linger. To address the psychological aspects of Adderall use, you will participate in therapies like CBT and group therapy, as well as address underlying issues such as ADHD, stress, or mental health disorders. Mindfulness, meditation, or deep breathing exercises can also help you manage daily stressors, reducing cravings. Creating a sustainable, balanced lifestyle is key to lasting recovery, so be prepared to build a routine that involves exercise and physical activity, balanced nutrition, sleep hygiene, and strong support systems. 

Wolf Creek Recovery is here to support you on your journey to healing. Most of our staff is in recovery, so we can understand where you are at in your life and how you might be feeling. You are not alone! Through our program, you will have every chance to recover from your substance use and build a life that is happy, healthy, and free. Clients even get to spend time outdoors and playing sports through our outdoor therapy program. Learn more about our treatment services by contacting us today at 833-732-8202. Build a life you love. 

FAQs About Adderall Withdrawals

What is an “Adderall crash”? 

An Adderall crash refers to the comedown period that happens when the medication wears off. Adderall is a stimulant, and when its effects leave the body, it can cause the person to feel tired and sluggish. 

What is Adderall withdrawal? 

Adderall withdrawal occurs when a person who is dependent on Adderall suddenly stops or reduces their dosage of medication. The body, which has come to rely on the substance to function, now must go through an adjustment period. This can cause a range of withdrawal symptoms. 

What are common withdrawal symptoms from Adderall? 

The most common Adderall withdrawal symptoms include fatigue, sleep disturbances, increased appetite, headaches, muscle pain, depression, anxiety, irritability, cravings, and lack of motivation.