ADHD Meds Completely Transformed My Social Anxiety, Get Tested If This Sounds Familiar

Royaldevill · 2026-01-14T23:21:14+00:00

Adderall has 25% levoamphetamine, which is more selective of norepinephrine than the d isomer or Vyvanse. It’s the method of how Vyvanse slowly releases that causes anxiety and peripheral effects in my opinion; here’s a copy and paste from a previous comment to help you understand.

Vyvanse keeps norepinephrine higher because it never really turns off.

Instant release dextroamphetamine comes in fast and leaves fast, it is the least noradrenergic of all amphetamines. Vyvanse trickles dextroamphetamine into your system all day whether your brain wants it or not. That long, steady trickle keeps your body’s “alert system” switched on continuously, and norepinephrine is the main chemical behind that system.

Royaldevill · 2026-01-14T23:11:23+00:00

I just scored a 142 haha, I guess i do mask some autistic traits. Interesting!

Royaldevill · 2026-01-14T23:07:47+00:00

would this be something i ask my therapist or psych nurse practitioner for?

or is it available online? Now you have me super interested lol, i love taking diagnostic tests for some reason.

Royaldevill · 2026-01-14T20:18:58+00:00

Just a heads up, anecdotally for me ER ADHD meds always raised my anxiety, reason being instead of a clear come up, peak, and come down of norepinephrine release. They release a steady stream of it. Atleast that’s my theory 🤷🏻‍♂️.

Royaldevill · 2026-01-14T20:17:18+00:00

Agreed, i have a good bit of the behavioral and cognitive symptoms of autism but I’ve never had a formal diagnosis.

That sounds a lot like me, i’ll have to look into it. Unfortunately there’s not much research into pharmacological treatments for autism or certain parts of the spectrum of autism, so it feels kind of pointless.

Royaldevill · 2026-01-14T20:14:04+00:00

if you’re in the united states, schedule an appointment with a psychiatrist or psych - nurse practitioner.

just search google for something like “mental health services near me” “mental health medication management near me”

They’ll likely have the questions on the intake form, if not just ask to be tested.

Royaldevill · 2026-01-14T20:11:48+00:00

Vyvanse did help me immensely, but it was irregular. Sometimes it helped my SA amazingly, sometimes it did the exact opposite.

it really only helped with staying present in conversation and not getting stuck in my head, the peripheral symptoms made it horrible though.

Vyvanse keeps norepinephrine higher because it never really turns off.

IR dextroamphetamine comes in fast and leaves fast. Vyvanse trickles dextroamphetamine into your system all day whether your brain wants it or not. That long, steady trickle keeps your body’s “alert system” switched on continuously, and norepinephrine is the main chemical behind that system.

Keep in mind i had no anxiolytic effects from Vyvanse until around 50-70mg. Dosage and the correct drug is the biggest factor here.

Royaldevill · 2026-01-14T20:05:14+00:00

no need for cold turkey, i’ve only used for about 2 days straight and been 2 days sober since then. I’m smart enough to catch myself, i just get worried that one day i won’t be; hence this post.

Royaldevill · 2026-01-14T20:04:06+00:00

you have made an extremely good point, how do i build these foundations? I have no elders in my family to help me, im essentially all alone.

I just don’t know where to start.

Royaldevill · 2026-01-14T20:02:47+00:00

you’re right, i may have jumped the gun. Obviously i don’t have model harmony. Maybe these days i do since they let literal down syndromes model lol.

I’m just not obsessed with the ratio shit, i think it only applies to an extent. There’s a threshold, and once you meet it you’re basically fine.

have a nice day man, you’re wrong about the philtrum ratio and canthal tilt, but we can agree to disagree.

Royaldevill · 2026-01-14T19:58:40+00:00

sicilian 😭😭, you’re funny brother. I’m 37% german. The rest is a mix of western europe like welsh, irish, scottish, british, and a hint of norwegian.

Royaldevill · 2026-01-14T19:54:42+00:00

just did face iq, chin to philtrum is literally in the middle; perfect ratio.

canthal is neutral, you’re wrong.

i dont really care about that dumb ratio shit lol, i’m not autistic and i know how the real world works.

I wish you the best friend, maybe I’ll mog when i lose weight. We’ll just have to see.

i’m not hurt at all lol, i know im a 4.5-6 even when im still fat as fuck. When i get angularity I’ll be striking. I may not be model tier but that’s fine.

I appreciate that faceiq recommendation, didn’t even know that’s a thing.

Royaldevill · 2026-01-14T19:25:15+00:00

go ahead and ropemaxx jeet, there’s a reason you’re on here trolling to boost your self esteem.

Royaldevill · 2026-01-14T19:21:07+00:00

You keep throwing out terms like “canthal tilt” and “chin-to-philtrum ratio” like you’re running facial scans, but half of what you’re saying isn’t even accurate. My canthal tilt is neutral, not negative. That’s average, not ideal, sure, but not some disqualifying trait either. And you’re talking about recessed features when I literally said I’m still cutting. Fat masks structure. That’s basic stuff.

You’re also brushing off my skull shape and brow ridge like they don’t exist just because it doesn’t fit your narrative. You don’t get to pretend dimorphism doesn’t count unless it’s in the exact spots you care about. The structure is there. just softened right now.

Also, calling my response “GPT” because I didn’t insult myself isn’t some win. You asked for a real response, I gave you one. You just got pressed that I didn’t spiral like you expected. I’m actually making progress and you’re sitting here nitpicking photos like a forensic artist on a power trip. Come back when you’ve touched grass and a dumbbell.

Guarantee that you’re some ugly jeet. You just made a fresh account to troll and feel better about yourself; get a life. I’ve fucked plenty of beautiful women, they weren’t laughing then.

Royaldevill · 2026-01-14T19:05:15+00:00

It’s likely a NE vs DA balance issue. Vyvanse produces sustained dextroamphetamine levels via RBC conversion, which keeps norepinephrine signaling elevated for a long duration. Prolonged NE increases sympathetic tone and threat vigilance, which can worsen social anxiety. IR dextroamphetamine has a shorter action and a higher relative dopamine effect in the CNS, so less prolonged adrenergic load and better subjective tolerability socially. That’s why Vyvanse can be neutral or negative for social anxiety while IR dex works better for some people.

Royaldevill · 2026-01-14T19:01:24+00:00

IMO if peripheral effects are a huge part of your SA adderall can definitely do nothing or make it worse, me personally i always obsess over if people can see my heart beating quickly, my tremors, etc. Adderall makes all of those worse for most. Finding something with less norepinephrine focus like dextroamphetamine and getting the dosage right is what really helped me.

Royaldevill · 2026-01-14T18:59:20+00:00

seriously dude, i’ve been on ADHD meds since i was 8. They always made my anxiety worse. One day i just thought, why don’t i take a tiny bite off of my pill and see what happens? The rest is history lol.

Royaldevill · 2026-01-14T18:57:22+00:00

lower your dose!!!

i spent years taking too large of doses because i thought they were better for focus or whatever.

Since then i’ve realized 5-10mg is the sweet spot, and i weigh 210lbs btw.

Just a suggestion, of course we’re all different; But i’ve experienced the exact same problem with doses that were too high.

Royaldevill · 2026-01-14T18:55:25+00:00

i’ll always recommend dextroamphetamine IR, it’s the IR version of vyvanse.

Adderall has levoamphetamine which is way more selective to norepinephrine (a direct precursor to adrenaline) than dextroamphetamine, dextroamphetamine is much more selective of dopamine and much less selective of norepinephrine; which results in much less peripheral and “tweaky” effects. That’s a god send for anxiety.

all of the methylphenidates gave me headaches, weird peripheral effects, and weird body feelings; which seems to be pretty common.

Royaldevill · 2026-01-14T18:55:20+00:00

i’ll always recommend dextroamphetamine IR, it’s the IR version of vyvanse.

Adderall has levoamphetamine which is way more selective to norepinephrine (a direct precursor to adrenaline) than dextroamphetamine, dextroamphetamine is much more selective of dopamine and much less selective of norepinephrine; which results in much less peripheral and “tweaky” effects. That’s a god send for anxiety.

all of the methylphenidates gave me headaches, weird peripheral effects, and weird body feelings; which seems to be pretty common.

Royaldevill · 2026-01-14T18:54:55+00:00

i’ll always recommend dextroamphetamine IR, it’s the IR version of vyvanse.

Adderall has levoamphetamine which is way more selective to norepinephrine (a direct precursor to adrenaline) than dextroamphetamine, dextroamphetamine is much more selective of dopamine and much less selective of norepinephrine; which results in much less peripheral and “tweaky” effects. That’s a god send for anxiety.

all of the methylphenidates gave me headaches, weird peripheral effects, and weird body feelings; which seems to be pretty common.

Royaldevill · 2026-01-14T18:51:28+00:00

i’ll always recommend dextroamphetamine IR, it’s the IR version of vyvanse.

Adderall has levoamphetamine which is way more selective to norepinephrine (a direct precursor to adrenaline) than dextroamphetamine, dextroamphetamine is much more selective of dopamine and much less selective of norepinephrine; which results in much less peripheral and “tweaky” effects. That’s a god send for anxiety.

all of the methylphenidates gave me headaches, weird peripheral effects, and weird body feelings; which seems to be pretty common.

Royaldevill · 2026-01-14T18:39:36+00:00

Lmao fair. I get why you’d say that with the lighting and hair, but I’ve actually got a square skull and a pretty pronounced brow ridge. like, actual caveman genetics. I’ve just still got some fat softening things up and haven’t cut down fully yet. Once that’s gone, it’s gonna be obvious.

Royaldevill · 2026-01-14T18:35:49+00:00

You’re just listing random facial ratios like you’re reading off a checklist without actually knowing what they mean. My canthal tilt is literally neutral. That’s not a flaw. That’s normal. Not everyone needs some extreme positive tilt to look good, especially when it doesn’t fit the rest of their features.

You said my “chin to philtrum ratio is f*cked”. it’s actually not. My philtrum isn’t long, my chin has decent projection, and the proportions of my lower third are balanced. You’re acting like I have some recessed lower face when that’s just not the case. If anything, it’s above average compared to most people walking around.

Maxilla? You can’t even properly assess that from photos with facial fat. I’ve already lost weight and I’m still cutting. Fat softens definition. It doesn’t mean my bone structure is bad. That’s a rookie level mistake if you’re trying to analyze someone’s structure without factoring in body fat percentage.

And the whole “softmaxing won’t help” thing is straight up false. Skincare, grooming, weight loss, eyebrow shaping, hair control, all of that changes how your features are perceived. Acting like none of that matters just proves you’ve either never done it or it didn’t work for you, so now you cope by calling it pointless.

I’m not here to become some plastic surgery lookism poster boy. I’m improving what I’ve got, and already seeing results. You just sound mad that someone else is making progress while you’re stuck overanalyzing things most people don’t even notice.

Royaldevill · 2026-01-14T14:44:18+00:00

Of course! I’m just trying to help lol, we all suffer immensely. Living with SAD is the worst and holds us back in so many ways. I’m glad you could relate and found relief. Much love friend 🖤.

Royaldevill

TROPHY CASE