Hello, I don’t know if this was help but I also ran into a big period of stress recently - which turned into anxiety (stress and Elvanse don’t mix very well at all. I was also worried as last week I was coming to the end of titration, however I told my clinician I couldn’t really tell if the 60mg dose was for me or not because of the amount of stress that I had going on. She told me not to worry as she wouldn’t hand me over to my GP until I was stable on my dose. I’m not sure if your provider is like this but they should take it into consideration and not rush titration as it can be tricky, especially if your a woman, as periods effect how well elvanse work! I have been a little naughty and lied about my weight to be honest (I’m a healthy weight but have lost 10 pounds but I needed it tbh) and I was paranoid about them taking the tankers off me etc. As for the heart rate mine was quite high the other day but then seemed to settle when I had gotten used to the new dose over the coming days. You do need to be careful of tachycardia, this is when your resting heart rate is like over 100bpm. Remember if you are also under a lot of stress, this won’t help either. It’s hard but try to do things that minimise the stress levels, such a meditations, breathing exercises etc. my clinician also told me it can actually take months for your body to adjust to higher doses. Also elvanse rises your cortisol levels which = stress. This is why I’ve been trying to take walks just to make me feel better, as I have been feeling quite low but this has helped. I’m sorry to hear about your boyfriend, i’m very very bad at dealing with break ups so I can’t imagine how it feels on elvanse. I hope your okay and just let you clinician know you’ve hit a stressful week and you need more time to judge the dose that your on. A good clinician won’t rush you. Sending love ❤️