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At first glance, this sounds like a lot. But here’s the real question every psychiatric provider should ask Is this inappropriate polypharmacy, or rational, diagnosis-driven treatment? Let’s break it down clinically CLINICAL BREAKDOWN Vyvanse → ADHD / executive dysfunction Use cautiously if bipolar-spectrum risk is present (stimulants can worsen insomnia/anxiety and may contribute to mood destabilization in vulnerable patients) Best practice: stabilize mood first, then treat ADHD if symptoms rem
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