Is the line you draw based on the intent of the user or the intent of the provider?
Like, for instance, if someone with ADHD uses caffeine to help them focus better, is that medication? Or, if someone tries a hallucinogen with the intention of opening their mind, is that medication?
A couple more potential examples: Is a trans man using testosterone they purchased on the black market to treat their dysphoria medicating? Is an athlete using the same substance to enhance their performance medicating?







If the recreational use improves your mood, isn’t that a medical purpose too?