Just my thoughts and experience. I tried adderall xr after telling my psychiatrist that I had taken my sons to see what it's like. I told him its used off label for depression and he was surprised to hear that. He's not a psychiatrist that doesn't take things seriously, but with my honesty I think it helped. I was only on it for maybe a week total. I couldn't sleep at all. I barely ate. Sure there was a nice feeling with it, but focus was about all. It didn't make me want to do more, or give me energy. That is only MY experience, it affects people differently. Try to write down all of your concerns so that you don't forget, and mention all the things you mention here. Surely a doctor will take concern for you, since you are having so much responsibility for your s.o. Best to you.