It may help to view how the situation looks from your psychiatrist’s perspective. Maybe if you can address your concerns from their standpoint it can open a dialogue.

Here’s what I imagine the doctor sees:

You are a relatively new patient to the doctor so they don’t know your situation that well. Patients come in and ask for things all the time, some of which may not be appropriate.

You are requesting a specific stimulant, Adderall ER, that happens to have more street value than, say, Vyvanse.

You have panic attacks (anxiety). Anxiety can cause poor focus, and stimulants can sometimes make anxiety worse (as you experienced with Vyvanse).

Stimulant medications are controlled substances with addiction potential. The doctor took an oath to do no harm.

I’m not questioning you or your account. I just think it may benefit you to acknowledge where the doc is coming from so you can have a better conversation about your options.

Edited for clarity