I have similar issues and years ago was prescribed Adderall/Vyvanse- I LOVED them for months, I felt like a normal human being for the first time in my life. Then I started abusing the shit out of it and also adding cocaine which basically led to a massive life breakdown. I eventually found my way to Wellbutrin and did me a world of good for 9 years until about a year into sub club subs it started affecting me differently. Not sure this change was related to sub used but I halved my dose and a year later came off completely. The first few weeks off really sucked. But overall doing great now without it, but it was like learning to navigate things totally newly.
I feel profoundly more comfortable with mostly however I feel, although I feel I am often managing the craving dopamine thing (itās more of a nag now than the way it controlled me before) that I have to manage and your post has me realize there is another level of addressing this still perhaps. I was on nicotine vape as well for a while -which self-medicated works but off it now completely.
Intermittent fasting, lots of high-quality coffee/ caffeine, and the right music station have helped alot.