I don't have NPD so I don't know how helpful I will be. But I am on Adderall and I have been on Wellbutrin and Lexapro. I was never on the Wellbutrin at the same time as Adderall though... I remember I tried it for focus and weight management, but I developed hand tremors and stopped it. I also know, from my experience, that the Adderall increases my anxiety (I have really fun side effects like uncomfortably quick heartbeat and shortness of breath). But for me, it's totally worth it because it helps me focus. My anxiety manifests in a different way- I don't get angry, I just shut down.

The Lexapro worked really well for me for around 3 years. My pdoc said that sometimes antidepressants need to be changed/stop being effective after some time (I forgot how she explained it). But it definitely leveled me out. I also took Abilify w/ my Lexapro for a little bit and that really helped to stabilize me. Good luck w/ the lexapro and keep us updated!