I take lamictal, vyvanse, and abilify together and it's my best combo so far. I did ritalin and adderall first but I felt like they made me really aggitated. I was on lamictal before I started the ADHD meds. I love vyvanse - it doesn't have the bad side affects and it offsets the abilify making me sleepy/restlessness. Have you tried vyvanse? I'm not even positive its ADHD vs. hypomania.. how does one even know - when your doctor can't even tell you?