How do I talk to my psychiatrist?

I just finished school and recently started Adderall XR after a recent ADHD diagnosis. I started at 5mg and now I’m on 10mg (the standard starting dose), but I haven’t really noticed much of a difference nor any side effects at all either way.

My main issue isn’t just focus—it’s executive dysfunction, procrastination, getting stuck starting tasks, etc. I tried explaining this to my psychiatrist for the literal very first time, but it felt like she mostly focused on attention which has been annoying me as this is literally all she has talked about and interpreted what I said about my executive dysfunction as possible depression or motivation issues. She suggested Wellbutrin instead.

That made me anxious because I specifically want to see if stimulants like Adderall can help me “function,” not just focus better. I hear people describe starting stimulants as it feeling like they can finally begin to just “do stuff” which is exactly what I’m looking for because I’m not depressed. I’m a very happy person, I love the people in my life, I just hate myself and feel a lot of guilt because of my ADHD symptoms.

When I told her about my executive dysfunction problems she and gave her examples she just said to me “why do you do that” and I was just stumped 🥲 I don’t wanna sit in my bathroom for 20 minutes while the shower is running or sit and stair at my toothbrush for 4 minutes then think distract myself and walk out the bathroom with toothpaste on my brush. I could save so much time

At the appointment, I also said I have trouble focusing at work, but I kind of exaggerated because I panicked and felt like I wasn’t being understood.

She suggested increasing my dose by 5mg, and I agreed, but I felt really anxious about it because I don’t want to seem like I’m just chasing a higher dose.

I guess I just feel misunderstood and unsure if I’m communicating my symptoms correctly, especially around executive dysfunction vs motivation/depression.

For context I have tried multiple non stimulant options, Strattera actually helped at first but then the help went away and I was left with only the really bad side effects pretty quickly.