Hi everyone -- I hope that this post is allowed. I have a great psychiatrist who really trusts my gut and we work great together for med management. I don't have another appointment for about a month but I am started to feel as though my medication isn't working to its full effectiveness anymore. 

Quick backstory: I have dxs of generalized anxiety, major depressive disorder, and ADHD. I received these diagnoses in after neuropsych testing in early 2017 at the age of 22 after many years of suffering.  

I have been on Lexapro since early 2017 and it has served me VERY well. No major depressive episodes. Got me through grad school and landed me my first stable adult job. I am doing quite well... but I am starting to feel pretty much constant anxiety again. I have struggled with therapy because I have very few negative/anxious thought processes. My triggers are have always been very esoteric -- literally the sun can just shine a certain way and I will feel immense sadness. I really believe my mental health is very neurobiological for me. 

Currently I am feeling quite a bit of physical anxiety -- constant nervousness, on edge, fear. I will add that I am on an ADHD medication as well, but my functioning is absolutely 0 without it and it is just not an option to discontinue -- and I do believe I actually feel worse in terms of anxiety once my medication has worn off, so I don't believe that the ADHD med is triggering the anxiety. I honestly can't place why other than the question of whether my medication is no longer enough after serving me the way it used to. 

I am on 20mg of Lexapro and 36mg AM + 18mg PM of Concerta. 20mg of the Lexapro is the highest dose and I would have to discontinue or add another medication. I would rather add a medication than attempt to shift of off the lexapro because it is such a great fear of mine to go into another depressive episode. I am considering looking into something like wellbutrin. 

Anyone been in my shoes? What worked for you?