Lamictal did not help me either. But lithium did, it helped break me out of a long AD resistant depression. And lithium is used for depression and especially helpful in curbing sui thoughts (they say).

I have that same sad, frustrating circle with the add. When I can't focus, can't get things done, get overwhelmed, get depressed, can't get to work, money problems, more depressed, problems stacking, more overwhelmed, more not getting done, and so on.

Have you tried Welbutrin? I really liked it when I took it, along with adderall and lithium. It's for depression, add, appetite suppressant, supposedly helps people quit smoking.

Probably pointless to recommend any psych meds cuz we all have majorly different reactions. But I would love to see you break out of the depression and add madness.

Did you end up going to a pain specialist or did primary doc take care of that?