I posted yesterday about my dr and his prescribing Adderall for depression while I'm on Vyvanse already for ADD and got some interesting answers about stimulants.

So, the first thing I'm concerned about is I'm on a lot of stuff to defend off depression in the first place - Wellbutrin XL, Mirtazapine, Latuda - and I still had a breakthrough depression that is pretty severe anyway. Have I gotten to that point where depression meds aren't going to work anymore? I don't know what I'm going to do if that's what's happened. I'm scared of being "treatment resistent". I've been on lithium, Seroquel, Abilify, Geodon, Risperdone and the only thing that seemed to work well was Latuda and I finally was stable on it for about 2 years. How did depression get through this seemingly brick wall of antidepressant measures??? How did I end up this way again???

Secondly, the additional Adderall seems to be working for the short term but it's been mentioned that there's the potential for many things to go wrong - and I'm afraid that the longer I use it, the more chance there is that will be pushed into a mixed state, which I have a history of having. I've used Vyvanse for almost 2 years without any problems - the last two years have been pretty good, up until November when the bottom dropped out for reasons that have yet to be figured out - but with the increase in stimulant could I be pushed into mania or worse, a mixed episode?

What have you found to best for bipolar depression? I tried Lamictal when I was first diagnosed, a while ago and was at 200 mg. I don't remember why the dr. stopped it.

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Bipolar 1, ADD, PTSD
Latuda, Wellbutrin XL, Mirtazapine, Trokendi XR, Klonopin, Vyvanse, and now Addderall