What's the stack you're thinking of taking again?
I'm understanding that stims help your focus but worsen depression, anxiety, sociability and everything else. It's hard to treat both at the same time with pharmaceuticals. I pretty much found all prescription depression treatments to be useless with stimulants because they either blunt the effect of the stimulant, change your personality, numb your emotions, kill your libido, etc. I haven't tried them all, but I've tried many and remain skeptical of them in conjunction with stim treatment. The most useful antiD in my experience was 10mg Prozac, but even at that dosage, it killed libido and worsened ADHD symptoms, while improving sociability and depressive ones. I know it seems like a constant trade-off, but it's kind of what you have to get used to in regard to ADHD treatment with these stims. There are many things that work on anxiety/depression, but finding one that works that doesn't effect your ADHD treatment or worsen thinking, can get pretty frustrating.
Guanfacine may help with some anxiety and help with concentration, but may give you such bad hypotension that you don't want to do much moving around. The dosing is finicky to get right at first and you have to stick it through for about a week as the first couple of days you're most likely snoozing. If it doesn't drop your blood pressure too much then it might be an option with your Concerta. But that doesn't cover the dysphoria/sociability issues.
There are alternative options that you can try with your Concerta that may be more subtly helpful for mood/anxiety. Things like 5-htp, or Aniracetam even, but I'm not sure how consistent they would be or what the dosing schedule would entail. While on Dexedrine, and even now, I find Ashwagandha a necessary staple with all stims and even coffee to avoid overstimulation. That being said, I found success with managing mood/anxiety issues on stims, by dosing Prozac a couple of times a week, lots of HIIT exercise, Magnesium, and that was enough to get me out there to be able to handle things via amounts of manageable exposure. During one period, I used aniracetam/alpha gpc for a few months with good results. Off stimulants, the effects were completely different and I definitely take and try a lot of different alternatives treatments now that I'm off standard stimulant treatment.
Because everyone's neurochemistry is so varied, it can be frustrating to go down the path to figure out what works for you and what doesn't. I hope others with ideas will chime in with things to be used with stim treatment to manage either mood/anxiety side effects or co-morbidities. I also hope that you do research, and maybe post on Longecity to throw a new stack idea out there when you want to try something different with your regimen. A lot of smart folks on these boards who have gone or are going through similar issues with knowledge and experiences to share that can be helpful in figuring things out sometimes.
Edited by cat-nips, 03 December 2018 - 07:05 PM.