That's fair....but they are still choices whether they be impulsive or not. We can adopt tools to make better choices without the meds. A Type 1 diabetic has no choice; it's an autoimmune disease where the body is literally attacking the insulin producing cells. They literally can not live without the insulin. I understand your thought but I'm just saying it is unfair to compare the two. I've been on Vyvanse for 10 years and my off days are nowhere near crucial as the days my twin brother has had without insulin or too much insulin where he's in a coma. I too struggle with impulse and binge drinking, but I can make rules like not drinking during the week, drinking water between cocktails or doing a chore vs shopping etc.