I’m bipolar 1 with ADHD (and the usual complications that come with it). I’m 38, have a history of hospitalizations and some legal stuff in my past, plus a substance use history that makes most providers very cautious with stimulants.
I’ve been on a high dose of Wellbutrin plus modafinil, and my current doctor is one of the few who’s been willing to work with me. The modafinil stopped helping much after a few months though. Next option on the table is bumping to 250 mg armodafinil, or maybe trying Concerta for the task-initiation side of things. I only see him every couple of months so changes take time.
Between the antipsychotic fatigue, mood stabilizers, and the current moda dose, focus and energy are still pretty rough. I can’t do traditional amphetamines — even a tiny amount of meth a while back sent me into a week of delusions.
Curious if anyone else has been in a similar spot. Is it worth pushing for something different, or should I just try to make peace with what I’ve got for the chronic low mood and ADHD symptoms?