I’m not a doctor, but what you’re describing sounds very much like clinical depression to me. So I’m wondering if maybe your dose of Effexorneeds to be adjusted. Again, I am not a medical professional in any way shape or form also, for me personally, I was smoking weedfor the first six months after I got diagnosed in addition to taking the Adderall. The weed almost completely Counteracted all the beneficial effects of the Adderall. Once I got off it, I am not my best self that I have ever been. don’t drink I don’t smoke. I don’t do any of that stuff anymore and I no longer feel the urge.