Day 6 on Vyvanse (20mg): melancholic during active hours but less panicky. Does it get better?
Just looking for comfort from people who've been through this. Feeling pretty alone with it.
29F, ADHD-PI, diagnosed ~3 years ago. Been on SSRIs for agoraphobia/depression for 9 years. tried several, none made a real difference. Switched to fluoxetine 3 months ago for derealisation, it was awful. Was only on ~10mg at the end and after stopping it 2 weeks ago my mood actually improved a lot. Before that I'd occasionally take Ritalin (helped with focus but couldn't eat, hated the rebounds). Realized I probably need proper ADHD meds, not another SSRI.
Started Vyvanse 20mg six days ago. Also on low-dose trimipramine for sleep.
Day 1 was good, had anxiety beforehand but calmed down once it kicked in. After ~6 hours though, mood crashed and rebound hit. Since then:
- Melancholy even during active hours, not just rebound. Not zombie-like, just heavy. That heaviness triggers anxiety. But I'm also less panicky overall, which is confusing.
- Tried 30mg once (not prescribed yet), not perfect but noticeably easier. More stable, milder rebound.
- RSD still very present during active hours. Thought meds would help?
- Appetite gone. 600–900 kcal/day, forcing every bite.
- Caffeine cravings through the roof???
- Keep doubting my diagnosis. But then the 30mg day was clearly different???
- Everything feels so manual. Vyvanse to function, trimipramine to sleep, force eating, track everything.
- "Quiet mind" sometimes feels like peace, sometimes like emptiness.
Not just relying on meds. I’m doing martial arts + run at least 4x/week, working on thought patterns, tracking daily.
Psychiatrist can't see me for 10 more days. Is this just adjustment or is something wrong? Did anyone feel like this early on, especially at a low dose?
TL;DR: 9 years on SSRIs that didn't work. Stopped fluoxetine, felt better. Now day 6 on Vyvanse 20mg — melancholic but less panicky. RSD present, no appetite, caffeine cravings. 30mg was easier. Doing exercise + thought work. Psychiatrist in 10 days. Does it get better?