u/satanskittenz

I’m looking for personal experiences from people with PMDD, especially those who also have ADHD and Borderline.
During my luteal phase, especially the few days before my period, my Elvanse seems to change dramatically. Instead of helping, I get heart racing, racing/jumping thoughts, anxiety and feeling mentally overwhelmed.

What’s even more noticeable is that my SSRI (Lexapro/escitalopram) also seems to stop working during this time. My emotional dysregulation becomes much worse and my borderline symptoms essentially come back full force. Once my period starts, this improves again.
Outside of the luteal phase, I tolerate my medication much better. I don’t have a regular cycle… So i can’t plan it beforehand, i only notice it while i’m in it.

I’m wondering whether anyone else experiences this kind of dramatic change during the luteal phase, particularly with ADHD medication + SSRI + PMDD.
I’m especially interested in experiences with hormonal approaches or anything that helped with the hormonal fluctuations, but I’m also interested in non-hormonal approaches.

My current medication/supplement regimen:
150 mg bupropion
30 mg Elvanse (Vyvanse)
8000 mg maca
600 mg PEA
Evening
1300 mg ashwagandha
200 mg L-theanine
25 mg agomelatine
5 mg Lexapro (escitalopram)
0.5–1 mg melatonin
400 mg magnesium bisglycinate
660 mg EPA
440 mg DHA

I have also tried several medications for anxiety/agitation/sleep, but I cannot tolerate antipsychotics/neuroleptics — they cause severe inner restlessness and panic for me rather than calming me down. I also don’t want benzodiazepines or Z-drugs because i was addicted.

So I’m curious:
What has actually helped you during your luteal phase?

Thanks

mein freund hat schon eine adhs diagnose. jetzt brauchen wir aber noch einen psychiater im umkreis augsburg (landsberg/münchen/usw ist auch ok) der neupatienten nimmt und sich bei elvanse nicht querstellt…

kann jemand einen empfehlen?

i have a strong interest in crime scene photography and forensic pathology. I don’t enjoy the fact that people were hurt or killed, and I don’t get pleasure from suffering. It’s more that I find some real crime scene photos visually or aesthetically striking.

It’s really hard to explain without sounding insane. For me, it’s the atmosphere, the uniqueness of the moment, the story behind the scene, and the reminder of how fragile life is.
Real blood and real scenes have an impact that fake gore or horror movies don’t. They make me curious and thoughtful rather than excited.

I’ve watched a lot of gore since I was young, so I’m also pretty desensitized to the shock factor. I don’t know if that’s part of it.

Does anyone else experience this? How would you explain it to someone without making it sound like you’re glorifying violence? I’m genuinely curious whether there’s a psychological explanation or if other people relate.

i really need your advice.
i’m 29y, male, over a year clean from meth.
i’m taking 150mg wellbutrin , 10mg lexapro, 15mg mirtazapine daily.

i started with 20mg today in the morning at about 8 am with a cup of coffee mixed with half a cup of protein powder.
at about 10am i felt like something was lifted off my shoulders, i was walking through the city and my head was just silent, no bad feelings, no self degrading thoghts.
at about 11.30am i felt like in the beginning of a bad comedown.
i ate a good meal and took 10mg of vyvanse because i thought maybe it wasn’t enough.
the comedown went away for maybe an hour and then it came back in the same intensity as before…
suicidal thoughts, self degrading thoughts, like a bad depression.

the thing is that i really had high hopes in vyvanse because i couldn’t take the comedown of ritalin and my adhd is really bad so i really wanted it to work.

what have i done wrong??
should i give it another try and take it tomorrow with breakfast before and hope for the best? or give up?
what should i do?

is it common for the first day to be this bad ???

Hi everyone,

I have dermatillomania/skin picking and I’m considering getting acrylic nails because I’ve heard they can make picking more difficult.

My question is: is it the length that helps, or mainly the thickness/bluntness of the acrylic?

I work in healthcare/caregiving, so I can’t really have long nails. I’d need to keep them very short for hygiene and work reasons. I’m wondering whether short acrylic nails (basically just over my natural nails) would still help reduce picking, or if most of the benefit comes from having extra length.