I’m 22f and I was put on adderall a couple months ago due to long term trouble focusing, sporadic thoughts and intense disassociation. 
I can definitely say it has helped immensely with my focus, I’ve never performed so well at work and I stay on top of chores at home now. But I’ve also noticed symptoms of delusions or minor hallucinations worsening. 
I was diagnosed with Borderline at 14 but it was written off when my mom later got custody of me because she doesn’t believe I’m “crazy”. I’ve always experienced delusional thinking but have been really good at masking for fear of what others think. I see/feel bugs crawling under my skin daily, as well as solid figures or unexplained movement in my peripheral vision. When I’m in a loud area or listening to music I hear distinct screaming and yelling behind the noise. In silence I hear inaudible whispering. i have weird thoughts where I genuinely feel like if I lie, something really bad will happen. Like I’m a jinx. Or I’m in a simulation that everybody is in on except me because I lack social cues and always feel outcasted or disconnected. Sometimes I feel like life is a dream, everything is filtered, distorted and unreal. It’s like I know it’s not actually true so I’ve always just dealt with it. But now that it’s getting worse, I’m genuinely afraid. My brain has started confusing itself with what’s real. I have to convince myself that they are only symptoms.
I want to speak to a doctor, but my adderall has been helping so much I don’t know if antipsychotics will interact well. When I’ve taken them in the past, they made me gain a lot of weight which led to a period of time where I experienced body dysmorphia, anorexia, and suicide attempts. I don’t want to relapse or be institutionalized again, my life has finally been coming together.

Not asking for a diagnosis but maybe advice or similar experience?