Not GP but I've found medication is the difference between "adulting" okayish and not adulting at all (bills slip by, staying focused on work is excruciating, house looks like a tornado hit).

I've also found I'm a hyper-metabolizer. Ritalin lasts about 90 minutes before crash, amphetamine about 6h, and straterra just makes me derp. There's a hysteresis effect to the crashes - topping off with more IR isn't the same as preventing a crash.

Current protocol is 15 mg Vyvanse (yes the dexamph prodrug that's supposed to last all day) when I get up around 9, another 15mg around 1300. And actually thinking about switching to 3x. All in an effort to get a really stable blood plasma. Otherwise, I turn into a zombie and can't make dinner.

Still a struggle, and side effects abound, but well worth it.

Only 15mg lisdex? 40mg is the typical dose for adults.

Yes, it took some experimentation but we (my psychiatrist and I) have found that Vyvanse works quite well. It’s not a perfect solution, but it makes daily life a bit more predictable than when I am left to my own devices. I actually found that microdosing psychedelics was the best medication, but unfortunately I don’t have a steady source for that.