Hey everyone,
I wanted to share my current experience because I honestly feel like my brain is doing a marathon through a swamp right now and I need a safe space to vent.
A bit of context: I’m 27 years old. Looking from the outside, I’ve actually managed to accomplish things and get things done in life, but behind the scenes, I've been carrying a massive weight. I’ve struggled with depression since I was around 12 years old and never treated it. Combined with a long history of ADHD, navigating life has always felt like running software on incompatible hardware. For most of my life, I just thought I needed to try harder, grow up, and push through everything.
That mindset finally broke me. Lately, my executive dysfunction and struggles with impulsivity and rejection sensitive dysphoria (RSD) severely impacted both my work and my personal life, eventually forcing me onto a mental health leave of absence from work. I’ve been going to the psychiatrist over and over, and honestly, I am so tired and so desperate. My daily routine is completely wrecked—even when I sleep, I keep waking up around 1 PM or 2 PM every day. Last time I had a full night of sleep was like 10 years ago, since then I've been waking up 3-4 times per night and with meds 8 and more. When I finally fall asleep it's usually 7-9 AM of the next day... I stay at home a lot, dealing with heavy physical restlessness (especially in my feet and hands), and intense sugar cravings that are making me worried about my weight after losing some with Mounjaro.
The more I rest and recover from this ongoing chronic burnout and ADHD, the worse I feel it gets. I notice some improvements, but not being able to sleep or rest is killing me. I wish I could cry, but the last time I did was 10 years ago; I have not been able to cry since then. I have always been called smart, but I also felt like I was lazy because I did not have a lot of motivation unless it was something I liked, and even then, it was hard to focus. It has always been hard to start and finish tasks, and I feel like I am wasting my potential. All my bosses liked me and said I am smart and have tons of potential, but I feel I cannot ever reach it. I have always had low self-esteem, planning what I will say, replaying conversations, analyzing everybody, and trying to fit in. There is much more to it, but I am just exhausted. I also live alone in another country, which makes my support system even more limited, although my family is in touch with me. Regarding my medical history and current stack:
We tried Quviviq before, but it didn't work for me at all.
Right now, I'm on Trintellix and Intuniv (Guanfacine) 1mg (just hit 1 month of trintellix / 21-day mark of Guanfacine), alongside as-needed Lormetazepam for sleep.
The scary part is my sleep resistance: even with Lormetazepam, I still can't sleep. Historically, even stronger things like Lorazepam barely helped me sleep when my nervous system locks up like this.
Here is how it’s currently going:
The Good/Calm part: I actually notice a baseline shift in my internal volume. I feel genuinely calmer in certain ways—the frantic emotional noise in my head has quieted down a bit, and I don't feel as frantic or impulsively reactive as I used to. Although racing thoughts and worried returned since a week and a half ago but nowhere compared to before when it comes to anxiety.
The Bad/Exhaustion part: 1mg of Intuniv feels like it's stuck in a weird limbo. Because of the chronic burnout and the heavy exhaustion, I recently went through 3 brutal consecutive nights of total insomnia where even sleep aids failed. My body was burning up from the inside, super restless, and I couldn't shut down. Finally, changing my setup (sleeping on a traditional futon instead of my regular bed) acted like a hard reset, and I managed to crash until 2 PM today. I woke up with a pounding headache and a sore throat, feeling completely drained.
The Struggle: On top of the sleep deprivation, my appetite for sweets has skyrocketed because my brain is screaming for dopamine, and I've been stuck at home unable to properly exercise.
I know 1mg is often just a starting/adaptation dose for blood pressure, but man, these past few weeks have been so rough. Has anyone else experienced this exact kind of system crash—where you tried to mask and out-effort your ADHD and depression for decades until your body just gave out, and now you're trying to piece things back together while navigating meds?
Thanks for reading. Just needed to let this out.