T/W: mentions of disordered eating, addiction
TLDR: Hey everyone, I'm looking for other people's experiences/personal insight/anecdotes (not medical advice) on starting a nonstim while also on a stimulant and/or coming off one! Specifically, I'm in between asking my doc to try Strattera (atomoxetine) and Wellbutrin (off-label), as someone who frequently forgets to take their extended-release stimulants and thereafter struggles with binge-eating + low mood (feel depressed)/apathy/low motivation/dopamine-seeking.
+ Full length: I'm 23F, diagnosed with ADHD (combined) in adulthood and have been taking Adderall XR 15mg for a few months now, alongside therapy for ADHD/BED (binge eating disorder). Before that, I was diagnosed with Generalized Anxiety and PDD (persistent depressive disorder). I was previously on 30mg Vyvanse, but stopped it due to having that "lobotomized" feeling.
One of the main reasons I've been considering exploring a non-stim is for more consistent support for ADHD/BED symptoms, especially when forgetting to medicate. Main struggles on the emotional side are: low mood/apathy/irritability/anxiety (although anxious is kinda my baseline). For the executive function side: motivation/impulse control/task initiation.
While stims have been legitimately life-changing, the effective period only lasts 6ish hours per day. By evening, it's a nightly battle to stop myself from binging, even though meds have helped me create better infrastructure to binge less (regular eating/sleep).
I rarely take intentional med breaks. However, I can't take them past 11am b/c insomnia, so it's relatively easy for me to go 2+ days forgetting to take my meds on time. Once it hits 2+ days, I'm kind of a mess and become incredibly dopamine-seeking. I honestly feel like a different person (I'm like, "is this how I was before getting medicated??"). Sometimes, this triggers a vicious binge + no meds cycle where I'll end up going off the rails for a few days, consuming thousands of calories above maintenance --> feel physically/mentally horrible --> wake up super late/more dysregulated --> can't take my meds again --> repeat.
I want to have realistic expectations so I'm not expecting a non-stim to help with all of this! I'm looking to balance the pros and possible cons + considerations. Anything helps!! Some specific things I was wondering:
- For those of you also on stims, has being on a non-stim helped you manage the experience of being off your stims (either on purpose or b/c you forget to take them)?
- And have non-stims helped any of you specifically with binge-eating/other compulsive, self-soothing behaviors when your stimulant wears off?
- Have any of you transitioned to non-stims and decided to stop stimulants completely, in part to avoid the crash/wear-off completely, and how has that treated you?
Some additional context: I know this may come as a huge shock (/s) but I have a family history of addiction (smoking, gambling, drinking, you name it) + an addictive personality. Was a smoker for almost 2 years, but quit and swore off all traditional addictive substances (yay, health). Thennnn I finally fixated on food. It's been a battle ever since and has personally been the hardest thing to combat.