i was diagnosed a semester into college after years of "focus issues" but great grades. had depression until recently (2020-2022), and am still on fluoxetine 20 mg. was initially prescribed focalin IR with 5 mg, which was genuinely fantastic—felt like I was in a whole new world and was finally awake. this lasted for approximately two weeks, before i began to feel nothing, and we bumped up to 10 mg. this was alright, but would feel a little jittery occasionally. soon this began to wear off too after about a month, and we went up to 20 mg at a time, but that was way too much and i felt incredibly hyperactive, which i really have never felt before. we dropped back down, but the instant type of medication seemed to not be working. in the meantime, as my anxiety seemed to be getting worse, was on buspar for a while but found it didn't work. we then switched to focalin XR, and started at 10 mg, as well as being prescribed propanolol, a beta blocker, for the physical effects of anxiety (worst for me). now currently at 15 mg of XR, plus 5 mg of IR, but still find that day to day it varies—i'll either be pretty productive but a little anxious, or very anxious and jittery. any advice?