I have been diagnosed with ADD and Bipolar and have been on Lamotrigine for the past few months. My anxiety and mood have more or less stabilised, but I still have symptoms that are difficult to pinpoint exactly what I'm suffering from. I am not on any ADD meds because my doc wanted to focus on my bipolar issues first. The issues I'm having are all over the place and I'm really not sure if it is my bipolar or ADD that are causing me these problems.

The symptoms I'm experiencing are mostly Inattention based as opposed to Impulsivity/Hyperactivity (although I fidget a lot and move around). Basically, the effects of drinking caffeine (energy, focus, attention) make me feel normal but ever since I quit it (which helped my mood immensely), I feel very zoned out and not "in the moment" all the time.

I have been looking at Vyvanse and Strattera, but am not sure which one is more suitable for me. I feel like my issues are more fatigue related so Vyvanse would help me more since it is a stimulant and Strattera may decrease energy (serotonin related?), and my mood cycling issues are more depression-based as compared to mania (rarely get these now). Would appreciate advice from those suffering from ADD and bipolar concurrently.