Narcolepsy med helped BP2 and OCD (with ADHD + fatigue symptoms)

After years of trying meds, I somewhat managed my OCD and BP2 with minimal antidepressant and a stabilizer but still having chronic fatigue and ADHD symptoms

The best way to describe it is that my fatigue/ depression/adhd makes it feel like I get no dopamine out of most activities (work, clean, etc) so it's extremely difficult to focus (and stay awake).

What's worse is that it feels like the only thing I can get energy/dopamine from is the adrenaline rush that comes from OCD obsessions, so I fall into compulsions 10x more and my anxiety becomes even more debilitating.

Doctor advised against stimulants due to the risk of mania but narcolepsy/wakefulness meds have helped a lot. It feels like it keeps a consistent level of dopamine throughout the day so that everything is on a more even playing field and I can direct my attention more easily.

Not only do I not get as tired but I also focus better and disregard intrusive thoughts more easily because I'm able to get more dopamine from simple tasks like cooking and reading emails again.