Psychiatrist said doable my dose…

Backstory I (21F) have spent about 6 months on Pristiq (started at 25, went up to 50). Lexapro made me angry after 2 weeks and I felt nothing on Prozac after 4 months so I began Pristiq with a new psychiatrist. I also take Adderall for ADHD and began that about 4 months ago. Overall I really was feeling like my ADHD meds worked better than Pristiq for MDD and GAD, and it felt similar to taking Prozac. I mentioned this to my psychiatrist in April and he said we would wait 3 months and see how I’m feeling. There came a point I just didn’t see any reason to take it anymore because it made no difference.

I went back to my psychiatrist last week and I asked about options because I feel I still really struggle with emotional regulation, executive functioning, and staying up late at night hyper focused on random information. We agreed to increase my Adderall dose from 15mg to 20mg, but he said if it doesn’t help that I should double my Pristiq dose to 100mg.

He said that I’m on a very low dose and that’s why I probably never felt much of a difference but I’m nervous because I know it’s such a hard medication to taper off of. If I miss a dose or 2 I’m usually fine but I feel like 100mg is a lot.

Unfortunately I really would like to see improvement with my emotions and anxiety because it bothers and holds me back in a lot of ways. Not sure what to do…

Side note: I don’t have very many side effects from either medication. Only lowered appetite from Adderall.