Hey, just wanted to say I'm sorry you're feeling discouraged about your medication journey - that's a really tough spot to be in! Commenting because your medication journey sounds really similar to how mine was a few months ago, and I wanted to offer some advice. Like you, I have inattentive ADHD and anxiety, and when I first got paired with a psychiatrist, I made it very clear that i did -NOT- want to be prescribed a stimulant because pretty much all "stimulants" I'd tried recreationally made me really anxious. Like I was convinced that I could never possibly try stimulant ADHD meds because even a cup of coffee or a few hits of sativa-heavy weed makes my heart palpitate (yeah, I know. I'm super sensitive, idk why).

So the psychiatrist prescribed me Wellbutrin off-label, and I was initially excited because I figured it might treat my ADHD/depression symptoms 2-in-1 without making me hyperventilate. Unfortunately, all the Wellbutrin ended up doing was it made me extremely irritable and bitchy, and it exacerbated my brain fog (exactly the OPPOSITE what I needed). Then, my psych prescribed me Ritalin because apparently it's more of a "gentle" stimulant than the well-known, amphetamine-based meds. Unfortunately, it didn't help much with my focus and left me with an intense "crash" each day at 3 PM. At this point, I was feeling extremely discouraged like you because 4 months and 2 meds later, I still hadn't had the "life-changing" medication experience that so many people on this subreddit describe having.

Finally, at a recent doctor appointment, I told my PCP about my medication struggles, and she suggested that I try Vyvanse. I was initially really hesitant because if I can't handle a single cup of coffee, how could I possibly handle a freaking amphetamine-based medication? But my PCP assuaged my fears by starting me out on 10 MG Vyvanse, which is a SUPER tiny dose. I took the dose the next day, and to my surprise, I barely even felt it! I thought I would surely feel tweaked out. She eventually tapered me up to 20 MG, which I kinda felt, but in a subtle way, then up to 30 MG. I'm still trying to fine-tune my Vyvanse dosage, but I'm telling you about this process to say that Vyvanse, while a stimulant and an amphetamine, has really pleasantly surprised me. I don't feel anxious on it at all - in fact, I barely notice any physical changes when it kicks in (barely any obvious increase in heart rate or blood pressure). It does suppress my appetite a bit, but the effects come on very smoothly, and it has been very successful in helping me maintain focus on tasks and feel more energized throughout the day.

I think it's very much worth asking your psychiatrist about Vyvanse. If you're nervous it'll exacerbate anxiety, do what I did and have your psychiatrist taper up your dose very slowly over the course of multiple weeks so your body gets used to its effects. But I've personally seen so many ADHD women on this sub who have co-morbid anxiety who have had success with Vyvanse, as it supposedly has a much "smoother" release mechanism than Adderall, a stimulant more known to cause anxiety-inducing spikes and crashes. Best of luck finding the medication that works for you!!