I just started Adderall, although we haven't tried the XR yet, and maybe it's helping. I"ve been told, though, that the XR is easier and smoother than the immediate release.

As for anxiolytics, I actually had a good response to Buspar, although it did utterly defeat any motivation I might have built up. I'm planning, though, once I've had a decent trial period of the Adderall, to try it again. That might be worth trying for you, if you haven't? It's not as obvious as Xanax, but it was effective.

Good luck.