34F 5'6" 150lbs Non-smoking No drinking or recreational drug use Medications: adderall xr 25mg Only medical issues are recurrent uti's, otherwise healthy.

Truly my last ditch effort at understanding. A cry for help.

I need to know what’s “wrong” with me. Doctors, therapists, psychiatrists have been no help.

My labs are good. My blood work is normal, always has been. Blood pressure is on the low end of healthy. Hormones always come back within “normal range”.

Currently taking adderall 25mg xr daily for ADD (dx as a child when that’s what it was called when there is no hyperactivity). Only recently started treating for it as an adult (34 F) because I was desperate to see if maybe adhd has been the culprit of my issues all along, the big thing being exhaustion along with inability to concentrate.

I haven’t done a sleep study but I have a lingering concern that there’s something more to my exhaustion than add related inattentiveness.

When I was a child, and still to this day, I have had humiliating episodes of literally falling asleep in inappropriate situations. School, work. One time I nodded off in mid one-on-one training for work despite ferociously fighting myself in my head to stay awake. I can feel it coming.

I’ve been treated for depression almost my whole life with ssri’s. None of them have addressed this issue of fatigue. The adderall helps somewhat, but just that. Somewhat.

As you can imagine, such debilitating tiredness and lack of energy and motivation in and of itself can unsurprisingly lead to more negative feelings about oneself. So I’m left not knowing wtf is the actual issue.

Just depression? It doesn’t feel like it. Just ADD? It feels like there’s something more. Something underlying. Narcolepsy type 2?

I don’t even know where to begin addressing these concerns with my care team. I’ve tried and as I said before all it’s got me thus far is adderall.

Any input from a doctor here would be wonderful.