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Ok, I know we've talked a lot about this topic, especially regarding adults. There is still tons of people trying to establish care with me in the community because they want to continue their stimulants. Some certainly do not have ADHD, some are iffy, and some likely...they come in all shapes, colors, and sizes. Even if someone did have ADHD, what if they are in their 60's or 70's and still want stimulants? I question is, they are generally retired and not in school. Also, the stimulants come with their own risks, cardiovascular included. I am not quite sure what purpose these stimulants are supposed to serve in this age group, unless they are so severely disorganized that they cannot function in their everyday life without the meds. But in my experience, especially if someone has no children, is not in school, not working...life isn't that hard to hold together. Do you personally continue their stimulants in your own practice? I am more keen to weighing the risks and benefits with the patient and offering the opinion that the stimulants would likely offer limited benefit by this stage in their life, especially when weighed with the potential risks.