The people who really need these and have tried everything else or struggled for years with ADHD really find the "you are just going to be an addict, have you tried meditation" approach patronizing.
Absolutely. It's a really frustrating experience too when you're denied access to these life-altering (not an exaggeration) medications for these reasons even when you have years of medical records detailing your condition and your treatment needs. I went to community college in a small town for the first two years of my degree; I had a great doc there who was happy to make sure I was getting the right doses for my condition and would check in with me every few weeks to see if anything had changed. After getting my associate's, I moved to a much larger city to transfer to a college roughly 10x the size of my community college for my bachelor's degree. I found a reputable local doc, got my medical records transferred, and made an appointment (required for a controlled substance) to continue my prescription.
You know what he told me?
"Oh, since this is a college town with several colleges and a lot of students looking to abuse 'study drugs', our policy is that we don't treat your condition here. But I have some resources on meditation and mindfulness that you should look through."
I got the same kind of answer at two other offices before I got fed up and asked my original doc to get me a referral to a psychiatrist who wouldn't blow me off like these quacks had.
I'm not saying that substance abuse isn't a problem, but I also don't think that treating everybody like children and drug seekers is the right call. But hey, n=1 and I'm just some guy with a beard- YMMV.
People with these kinds of problems reach a point of desperation after having tried everything you could possibly think of. So when the hundredth person comes along and says "you don't need meds, you just need X," where X is one of the many, many things they've already tried, it's exasperating.
To me the key is changing the way I think about it - It's not an illness, I'm different. It's not a curse, I'll figure out how to make it a blessing. I don't need meds, I'll work it out.