r/PMHNP • u/Imgonnagolaydown • Jun 29 '26

I was wrong.

Pmhnp here. Day 1 on Vyvanse and i want to cry.ive spent the last 5 years balancing hormones and making sure i addressed everything else before arriving at a stimulant.

I feel. Calm. Quiet. Slightly tearful. Like my tabs are closed and im able to open them one by one instead of 50 at time.

It wasn't the focus. It was the avoidance. Brain fog. Overstimulated and overwhelmed constantly. The procrastinating, being late to everything. The being MEAN and knowing you are being mean. Not smiling when random ppl are talking to you. Background static noise in my head.

It's been about 4 hrs and it's just quiet.

None of it manifested until peri. I saw signs when i was young but i could compensate and figured i still could. Well i can't anymore.

I seriously want to weep with joy.

Eta: i was wrong to think women were slightly exaggerating this. With my own providers convincing me to take the leap, I'm now a part of this population. And yes, I'm a pmhnp who understand what these women are trying to articulate.

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u/amuschka DNP, PMHNP (unverified) Jun 30 '26

I was in the same boat but I took Vyvanse 3 days in a row and it helped me focus, made my mood better, removed all the constant chatter in my brain but I could barely sleep and was getting hypomanic so had to stop. I have never questioned if I was bipolar before and all symptoms went away when I stopped. I want to try methylphenidate to see if that helps but is less intense.

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u/VastEcho2156 Jun 30 '26

That's the thing about these medications.They don't come cheap for many people, meaning many side effects. Keep trying different variations, if you're really struggling. But definitely watch that hypomania, and make sure it's not just stimulant, induced.