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I have ADHD primarily inattentive, and until recently it was pretty much decently controlled. However, in the last 4-6 months, I have been suffering greatly from the inattentive symptoms so much so that they are practically debilitating. Also, my motivation to do anything, recreational or not, has just gone completely out the window. My room has been an absolute mess—an embarrassingly barely traversable sea of clothes and trash that I just cannot bring myself to pick one single thing up. I'm sure depression is a factor, but just... FUCK! I ran off the road the other day because I was flapping my gums talking to my friend and not paying attention to the road. I got a flat tire on my brand new set of 4 tires and bent the fucking rim of the wheel! That's going to cost a lot to fix... Going to have to probably leave my car at the dealership while they order the part to replace it with... My pdoc just simply doesn't prescribe me stims anymore. Won't get into that. We got into an argument and now she's all vindictive about it. She barely prescribed 10 mg Adderall before that anyway as the death of her husband left her very conservative with prescribing, especially stims. So my gdoc does my stims. He didn't know what to do. I asked about adding a little oral selegiline (Eldepryl) for the levoamphetamine metabolites (more noradrenergic = better for inattention) + MAO-B inhibition for more dopamine (better for motivation symptoms), but he said "that sent shivers down [his] spine just thinking about prescribing that" and preferred to stay away from it. So I asked about protriptyline (Vivactil), which I've taken before with some success, and he agreed. Problem is, it's so uncommon and hard to find that I'm going to have to use a mail-order pharmacy to get it, very likely. Any self-proclaimed ADHD experts out there? Should I be searching for a second pdoc to see specifically for my ADHD? Someone who will go above the 60 mg max of Dexedrine for my ADHD? A second amphetamine stimulant? (Adding methylphenidate to amphetamine will cancel each others' mechanisms of action out...) I have tried all the amphetamine stimulants and so far Dexedrine is the most potent, even more potent than Desoxyn (methamphetamine), which I hated... I don't want to go back to Adderall because of the shortage... Evekeo my insurance doesn't pay for, but would actually probably be best for me because of my inattentive symptoms. (shrugs) Anyone have any ideas on other augmenting options? Add something like phentermine? I don't think protriptyline (an NRI) is going to cut it. Atomoxetine 80 mg hasn't, desipramine 200 mg hasn't, and nortriptyline 150 mg hasn't either. I've tried amoxapine up to 150 mg I think, but it doesn't feel too potent, and has dopamine blocking, and maprotiline I'm afraid of the seizures and the sedation/weight gain... Kinda thinking about giving an MAOI another try, but my pdoc is so so so stingy with those...

Does anyone know if starting Wellbutrin before administering neuropsychological testing will significantly alter the results of said testing, producing a false negative for diagnosing a learning disability or inattentive add? Here’s the story. I’ve been carrying a diagnosis of Social Anxiety and Depression/Mood Disorder NOS for the past 16 years (since I was 16). I’m now 32 and I’ve tried practically every med under the sun, but have finally been on a GREAT combo of 20mg Prozac, 60 mg Buspar for the past year and a half. Since the Buspar/Prozac combo has helped so much with anxiety, I’m finally feeling the excited motivation to do productive things with my life, whereas I had been hiding away in my shell for years. But I seem to be blocked when it comes to getting anything done. And after reflecting on past experiences and compiling a list of current symptoms to present my psychiatrist with, I’m thinking there’s been some deep down Inattentive ADD going on, and that possibly might even be the cause of my social anxiety, as I never really had a specific “fear” attached to social situations, just that I would blank out/freeze up and either not know what to say, or just not be able to get my words out, and THAT is what became the fear. (please inquire if you would like to read my symptom list – too long to include in this thread) Where I’m at right now is in limbo, waiting for some testing and a possible med change while I’m having great difficulty just keeping up with normal daily tasks. I’m frustrated as I feel I’ve been living a life that is lacking in quality, personal productivity and severely lacking in social interaction, thus resulting in a depressive funk that I’m trying to find a way out of. My therapist of 7 years is in agreement with the possibility of ADD. So my pdoc referred me to a neuropsychologist for testing to accurately diagnose if there’s a learning disability or some attention deficit issues. He wanted to hold off on a trial of Wellbutrin (can’t take stimulant meds due to history of substance abuse) until I get tested, but it has been a month and I’m still waiting for insurance approval to even do the testing. I understand my doc’s stance in wanting to wait with the meds, but I’m getting extremely depressed by the fact that I’m totally wasting my life in the meantime, not able to get anything done while I’m waiting for this testing, and I’m anxious to get better already. I’ve been diligently doing brain exercises for the past few weeks at the psychologist’s recommendation for improving my cognitive functioning, and will continue to work at that, but obviously that’s not improving my symptoms in the here and now, and I really want to start this med trial now, as opposed to waiting probably another whole month for testing to be performed and results to be analyzed. Soo..... Does anyone know if starting Wellbutrin before administering neuropsychological testing will significantly alter the results of said testing, producing a false negative for diagnosing a learning disability or inattentive add?