People are weird about prescription amphetamines. If you're doing OK, they'll say "OK, take your medicine!," but the instant something goes wrong, bam! You're an addict, bipolar, blah blah blah. I hear ya on that.

I don't know about adderall and prn xanax, but I would see about not taking lithium. That can be rough. Abilify...I take it, for Bipolar I. Its OK, as antipsychotics go. If you need an antipsychotic, think about Abilify. If you don't absolutely need an antipsychotic, don't take one.

I don't like vistaril, either. I have low dose neurontin as needed for anxiety. Not good, but it gets the job done.

There is life without adderall or xanax. If you have more serious Bipolar I, your doctor should be more cautious using those drugs with you. If you don't have Bipolar I, you should talk to a different doctor, because lithium+Abilify is some heavy medicatin'.

I hope things work out for you.