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I'm also on dextroamphetamine and have been for ~10 years now, with some breaks. When I get off it, I always make sure to taper down the dose. Otherwise I'll be miserable for no reason. I also skip doses on the weekends, which gives me body a chance to reset and keeps the tolerance cliff from growing higher every week. It does come with the tradeoff of sleeping most of the weekend, but if my body needs it, then who am I to say no?

Regarding inability to get out of bed: I empathize completely and have been there, even while on medication. There's not really a magic solution, but if you are getting off medication, you just need to give it time and eventually (could be months) your dopamine levels will return to normal.

Also, I think it's important to recognize the difference between motivation and willpower. If you have ADHD, I'm probably preaching to the choir here. But for me, "motivation" is a long term drive more akin to ambition, whereas willpower is a short term muscle that I have trouble exercising. That's what makes ADHD so frustrating: I have an abundance of ambition and motivation, but a dearth of willpower. I know what I should be doing, but I just can't do it. This is a distinction that someone suffering from ADHD will recognize immediately, but a neurotypical person can only understand in the abstract, if at all.

Getting out of bed is about willpower, but it can also be about motivation - it's worth examining your life trajectory to see if you're moving in a direction you're happy with, because if the cause is lack of motivation, then pills will hardly help (other than a desire to take them driving you to get out of bed). Pills can fix a lack of willpower, but no pharmaceutical can give you motivation. That's a long term drive that you need to seek for yourself.



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