Previous studies have demonstrated that exposure to psychostimulant drugs can produce a lasting crosssensitization to the behavioral effects of stress. The main purpose the present study was, therefore, to determine the effects of psychostimulant cross-sensitization on the stressinduced release of adrenocorticotropic hormone (ACTH) and corticosterone (CORT). Rats were given a series of injections of d -amphetamine or vehicle in a regimen (Goldstein 1990;Henry 1992;Folkow 1997;Sapolsky et al. 2000). Consequently, a complex set of homeostatic mechanisms, which include endocrine, metabolic, immune and neural defensive reactions, has evolved to ensure that the harmful effects of most stressors rarely exceed an organism's capacity to cope with them (Johnson et al. 1992;McEwen 1998). In certain instances, however, these homeostatic mechanisms become compromised, such as after chronic hypothalamicpituitary-adrenal (HPA) axis activation or prolonged stress, and the noxious effects of stressors then become exaggerated (McEwen 1998;Brown et al. 1999). The emerging concept of a physiological and psychological cost involved with chronically heightened neuroendocrine arousal to environmental stimuli, often referred to as "allostatic load", is seeing increased interest as an imporDepartment of Psychology (AMB, CEH, JW, AGP), Department of Anatomy (CEH, JW), Department of Psychiatry (AGP), University of British Columbia, Vancouver, Canada Address correspondence to: Anthony G. Phillips, Department of Psychology, 2136 West Mall, University of British Columbia, Vancouver, Canada, V6T1Z4, Tel.: 604-822-3245, Fax: 604-822-6923, E-mail: aphillips@cortex.psych.ubc.ca Received August 31, 2000; revised March 28, 2001; accepted June 5, 2001.Online publication: 6/6/01 at www.acnp.org/citations/Npp 060601130 N EUROPSYCHOPHARMACOLOGY 2002 -VOL . 26 , NO . 3 D -amphetamine Induces Sensitization of HPA Axis 287 tant factor in the development of many forms of human disease (McEwen 2000;Koob and Le Moal 2001). A wealth of evidence suggests that an increased reactivity to stressors and/or the inability to respond effectively and appropriately to stressors plays an important role in the development and expression of many forms of mental illness (Ehlert and Straub 1998;Kreek and Koob 1998;Dohrenwend 2000;Heim et al. 2000). Clearly, a better understanding of the underlying neurobiology of this sensitivity to stressors may help in the prophylaxis and treatment of these disorders.Animal and human studies have demonstrated that environmental manipulation, such as exposure to alcohol or stress during the pre-and early postnatal period (Liang and Boyce 1993;Weinberg et al. 1996;Day et al. 1998), can modify an organism's response to stressors. Such manipulations may lead to an increased reactivity to stressors ("sensitization"), which can be expressed both behaviourally and neurochemically (Pitman et al. 1990;Badiani et al. 1996;Pani et al. 2000). One form of sensitization involves the capacity of psychostimulant drugs, such as cocaine and d -amp...