The question came up during therapy.

Reasons:

• The lisdexamfetamine is completely out-of-pocket, while the methylphenidate could be paid for by insurance. Even tried, failed and documented, future lisdexamfetamine would be paid for by insurance.
• There might be a co-occuring autism spectrum disorder, and methylphenidate sometimes does a better job / less side effects, then.
• While the Elvanse/Vyvanse completely fixed two symptoms, ability to focus and getting started with a task, more would be nice.

But, I'd like to stay functional, so is this attempt worth it?