The authors provide an overview of the topic of stimulant use in psych
iatric sports medicine. They address the following areas: I) the histo
ry of stimulant use in sports; 2) recent events related to the use of
stimulants in sports, including a new stimulant used at the 1996 Olymp
ic competition in Atlanta, GA; 3) ergogenic or ergolytic (i.e., perfor
mance-impairing) potential of several major categories of stimulants,
including amphetamines, beta, agonists, caffeine, and cocaine; 4) revi
ew of how the brain reward circuit is affected by stimulants; 5) indiv
idual factors that induce athletes to utilize stimulants; and 6) sport
s organizational factors that induce athletes to use stimulants.