On 50 mg of pristiq (desvenlafaxine) but not addressing the adhd/ invasive thoughts? can i add something else? concerta gives me fevers and strattera fatigue.

Consider non-pharma: In the math of mental health, many forget that you can add things to your treatment equation that actually teach you things. Please consider CBT therapy to increase your skills to avoid, reduce and manage symptoms. Also Mindfullness Meditation, yoga and exercise programs can really help w/o drug interactions, side efx or w/drawal problems. It adds up to making life better. Best!

Interaction Effects?: Are you drinking coffee or ingesting other forms of caffeine with you Concerta? That interaction could give you the "fever" feeling. You can also try using something like Adderall, (dextroamphetamine and racemic amphetamine) but again, NO COFFEE unless it is decaf. Pristine is an antidepressant and will not likely help ADHD symptoms.

Alternatives: consider alternative medications to add to Pristiq, (desvenlafaxine) for instance Provigil, Nuvigil, Amantadine, Imipramine. consider neuropsychological testing to determine what is causing your inattention, ADHD or other cause.