u/According_Carpet6744

I’m going to keep this simple.

I am 31 year old Irish female, got diagnosed with adhd with OCD tendencies last year. I’ve been on 10mg of lexapto for five years which helped my anxiety majorly. My main adhd issues are emotional overwhelm and dysregulation. I can’t seem to prioritise tasks.

For example it’s 11pm, I have work in the morning. I wrote down all the thoughts I have in my head. I have 12 things to do/worry about/address and they all seem to have the same urgency.

Note - I do not have access to amfexa booster in Ireland.

Elvanse :

20mg - didn’t think I felt anything but it was early days.

30mg - stayed on this for a while, felt a jolt of motivation at the start of the day but I think my expectations of it were too high, still felt messy and disorganised so I requested to be moved up to 40mg. I can’t remember if I crashed on this dose or not.

40mg - stayed on this for a year and a half. Brilliant surge of motivation at the start of the day where I could prioritise tasks and I didn’t feel overwhelmed. I actually got shit done. However I noticed that after 4 hours I’d emotionally crash and genuinely feel pit of my stomach anxiety and doom. Couldn’t handle it any longer. It was really negatively affecting me.

50mg - felt like I had the flu and like I was under water, very muddled.

Concerta

27mg - little difference, felt flat and a bit in my head.

36mg - feel flat, still feeling friction with simple tasks.

54mg - feel underwater and slowed down.

72mg - feel extremely tired, unmotivated slowed down.

Can anyone tell me what the hell to do? My psychiatrist is very blasé and I feel a bit unsupported and like I have to do the heavy lifting and research alone.

I was on Vyvanse 40mg for a year and a half. My main issue with ADHD is I experience emotional overwhelm when it comes to life responsibilities and I become paralysed and anxious. Typical everyday tasks feel emotionally threatening and I start feeling like a kid who can’t cope.

Vyvanse would give me this great kick up the arse every morning where I felt like I could cope with life. It really helped me in many ways to be a better person, friend, wife, teacher.

The issue was like clockwork only four hours later each day I’d experience this terrible emotional crash where it’s like I came back down to baseline. Everything would feel overwhelming and difficult again. I felt the way I felt at five years old, experiencing this sense of fear of the world and like I wasn’t good enough.

So I switched to concerta. Concerta has no bearing on my emotional state. I was on 36mg for a while but i still found myself paralysed with tasks. Even the past two days I took 72mg. I just feel tired and slow.

I’m in Ireland. I can’t get a dexamphetamine booster for the afternoon. Would it be a good idea to take two 20mg tablets of Vyvanse or what?

I am 31 and was diagnosed with ADHD last year. For context, I’m a woman and an only child. Growing up, I was academically successful but I was also strongly scaffolded and supported by my parents so seamlessly that I actually believed I was a type A person. I struggled with anxiety a lot though from the age of 3. Separation anxiety was bad and I also had loads of sensory issues with clothes and having anything done to my hair. I would also find sounds extremely distracting and dysregulating.

When I moved out of home the wheels came off the cart and I basically had a break down. I was put on 10mg of lexapro which greatly improved my life and mood. Over the years though I struggled with overwhelm. I found life responsibilities hard to cope with. I got diagnosed with ADHD and was put on Vyvanse. I moved up and down the Vyvanse doses until I settled on 40mg for a year.

However while I found Vyvanse good initially, it gave me a great mood boost and confidence that I could work through admin tasks, the emotional crash that would follow for hours daily was too much to bear. I experienced a deep sense of impending doom. So I switched to concerta recently and while I don’t experience tha sense of doom I don’t feel like myself.

My main adhd issue is emotional dysregulation. I get overwhelmed by the world around me and can’t cope. I can’t take anything in life with a pinch of salt. I just really want advice on what medication I should try or what should I do?

I’ve never taken recreational drugs, so I don’t know. When I took it , about an hour and a half later I’d get a boost of energy and I’d become more active and social.

I’d definitely experience a sudden feeling of ‘ah life isn’t that bad, let’s get going!’. Like I definitely felt a sudden sense of happiness or relief.

It felt like I knew exactly what I had to do in work that day and I was motivated to get boring tasks done like sample answers or marking (I’m a teacher).

I also became more social, so I’d write to people and ask to meet up or I’d respond to people who I’d forgotten to write back to.

I’m just concerned because I experienced this feeling every day for a year. It never faded.

Ultimately I had to come off of Vyvanse because the crash would hit me four hours later and I’d feel miserable and incapable. I’m on 36mg of Concerta now…it’s too early to say what impact it is having on me.

I’m a 31 year old woman. I got diagnosed with ADHD as an adult. Despite the fact I went to a psychiatrist, did an objective test and a 2hour 30 minute interview about my life, both confirming that I have adhd I struggle to accept that I have adhd.

The main reasons are because in the back of my head I have this voice telling me that I’m just over dramatic, a moan, looking for excuses to mask my laziness and lack of capabilities.

I have been academically successful my whole life but I had a lot of support from home and the wheels sort of came off the cart when I moved out.

The other things making me doubt my diagnosis is my reaction to medication. I was on 40mg of Vyvanse for a year and to be honest, I do feel like it was making me slightly high at the start of each day. It gave me this surge of energy to be productive and I felt happy, positive and social. I read online that this is a sign that people don’t have ADHD.

I switched to concerta recently because the crash I experienced post Vyvanse rush was too strong to bear.

I’m also on 10mg lexapro and I’m paranoid that that medication just made me have adhd symptoms somehow. However I started this medication a few months after I moved out of home.

I don’t know, I just feel a bit all over the place and jaded with this process of trying to get medication right. I’ve struggled a lot with paperwork, life admin , chores my whole life but ultimately I just think I’m lazy.