When my Psychiatrist diagnosed TRD. He decided on stimulants as they are an off label treatment. While I can't use them every day. They do allow me to be functional 3 to 4 days a week. I did many antidepressant and ECT. No help

After he retired and 3 year later new psychiatrist who has time every 2 months gave me new time released stimulant supposed to start with fast stimulation then maintained through 14 to 16 hours. It has never worked. Today I after being awake but anxious and depressed added my old stimulants. Then felt better. When it started to fade took another dose felt better. But no more today. I am quitting this new one. I once tried concerta which was time released and did not work. All. My best to all but please no hugs. Barry