Suggest Remedy For Anxiety And Depression In An ADHD Person

im a male 36, as a child iwas diagnosed with acute adhd, then was ritilin... then adderal salt tabs. as an adult rediagnosed with it. allong with severe anxiety, depression. have been on the salt tabs,xr, and now vyvanse. the vyvanse works good but ..its been a year.. now im noticing its not really working as well...exspecially for the impulse control issues, what would you do?