I have been on Lexapro for about 12/13 years now and the combined pill (Yasmin) for about 10 years. The combination worked well for me up until recently. My gynaecologist's intern decided to switch me to the mini pill again to try it out even though its never worked for me and actually made me worse.

Since then, I switched back to my my usual Yasmin pill but my hormones have been all over the place. Breakthrough bleeding, pmdd symptoms etc. I also have started weaning off my Lexapro because I wanted to see how I am off of them since it's been so long and I want to possibly switch to another antidepressant thats better suited to women who have ADHD and PMDD.

This was a horrible idea. I thought that the pill was keeping my pmdd at bay but turns out it's the combination of ssri and contraception that works for me. Last month I was not great for about 2 weeks and then all of a sudden started to breakthrough bleed and had a period. I am assuming it's because my body needs time to adjust to the Yasmin again but a few days ago, I had a complete meltdown and I'm still recovering.

I've done most of the hard work in weaning off them and honestly, I feel so good without the Lexapro. Until I'm not. Any slight change in hormones is making my pmdd come back with a vengeance and it's been so long since I was not on my ssri that I was completely blown away with how bad it can actually get.

After a slight altercation with my landlord, I was left on the floor, on the phone to a suicide hotline after raging through my house, smashing things, ruining my relationship once again and trying to seriously myself.

Being off ssris for the first time in so long has been amazing. I feel like a woman again, I have a normal libido (I was seriously starting to think I was on the asexual spectrum) and my head feels clear in a way. I don't feel like a blob going around. But, being off of my ssris has its downfalls unfortunately and they are potentially deadly. I have not had a PMDD episode like that in years. So every month I'm only really getting 2 weeks of peace.

So, here I am and I am in need of some advice. Does anyone who suffers with ADHD and pmdd have an antidepressant that works for them with minimal side effects? It doesn't have to be an ssri also. I have been interested in Wellbutrin but I'm worried about taking them with my vyvanse. The other option my doctor has mentioned is sertraline. But I'm not sure..