[53F] Experiencing impulsivity and mood changes

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Impulsivity and Mood Changes

1. Attention-Deficit/Hyperactivity Disorder (ADHD): Given your family history of ADHD and your current use of Vyvanse, it's possible that your impulsivity and mood changes are related to ADHD. ADHD can manifest as impulsive behavior, difficulty sleeping, and mood swings.
2. Mood Disorders: Conditions such as depression and anxiety, which you have a family history of, can also contribute to impulsivity, mood changes, and sleep disturbances. Wellbutrin is often prescribed for depression, which suggests that your healthcare provider is already addressing this aspect.

Sleep Disturbances

1. Insomnia: Difficulty sleeping through the night can be a symptom of insomnia, which can be exacerbated by anxiety and depression.
2. Medication Side Effects: Both Wellbutrin and Vyvanse can have side effects that include sleep disturbances and changes in mood.

Unifying Diagnoses

1. Bipolar Disorder: This condition can cause mood swings, impulsivity, and sleep disturbances. It might be worth discussing this possibility with your healthcare provider.
2. Generalized Anxiety Disorder (GAD): Anxiety can lead to impulsive behavior, mood changes, and sleep issues.

What you can do

Impulsivity and Mood Changes

• Consult Your Doctor: It's important to discuss your symptoms with your healthcare provider. They may need to adjust your medications or explore other treatment options.
• Therapy: Cognitive-behavioral therapy (CBT) can be very effective in managing impulsivity and mood disorders. Consider seeking a referral to a mental health professional.
• Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and yoga can help manage impulsivity and improve mood.

Sleep Disturbances

• Sleep Hygiene: Establish a regular sleep schedule, avoid caffeine and electronics before bed, and create a calming bedtime routine.
• Medication Review: Discuss with your doctor whether your current medications could be contributing to your sleep issues and if any adjustments are needed.

General Tips

• Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your provider. This can help in identifying patterns and triggers.
• Healthy Lifestyle: Regular exercise, a balanced diet, and staying hydrated can improve overall well-being and help manage symptoms.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Mood: If you experience worsening depression, anxiety, or thoughts of self-harm, seek immediate medical attention.
• Severe Sleep Disturbances: If your sleep issues significantly worsen or you experience new symptoms like sleepwalking or night terrors, consult your doctor.
• New or Worsening Symptoms: Any new or worsening symptoms should be discussed with your healthcare provider to ensure appropriate management.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.