Ah tbh I was hinting that you should live in a country with a better healthcare system than the US if you have so many issues. But like I said, easier said than done unfortunately.

Personally I've tried Concerta and Elvanse (same as Vyanse) and the latter helps me keep concentration, but it doesn't help me take control of WHAT I concentrate on. Which is why I've written 1000 word essays on shitposts on Elvanse while I was supposed to work. Concerta did basically nothing. Glad to hear Vyanse helped you more, personally I'm not even sure what to try next, if anything. I'm the idiot paying way too much for a psychiatrist in a country with universal healthcare, but that gives me access to psychiatrists who are actually interested in modern developments in their specialty, don't immediately consider you a drug addict for wanting to try ADHD meds (yes, I'm diagnosed, otherwise they wouldn't prescribe it to me), and usually have available timeslots in a week or 2 at most when I'm scheduling an appointment. My current one is about 35 years old and it's important with ADHD because the 60-70 year old ones will literally tell you that you're just looking for amphetamine and go get laid(if you're a man with any issues whatsoever)/have children(if you're a woman with depression for an example)/whatever because that will solve all your problems. I'm not kidding either.

Does the VA only give you access to that one psychiatrist or are there others you could see about your issues? I'm not American (only visited once), but I've known people that lived there and I... happen to know how some people have gotten better healthcare through, well, omitting some facts in eligibility checks.