At a loss for what to do with my medication

I’m 30 and was diagnosed with ADHD at 13. The majority of the time since my diagnosis I have been on medication, but I’ve never felt fully comfortable with any regimen. I’ve also been in therapy for years and consistently take care of myself, so I try to take a well rounded approach to dealing with my ADHD. In high school, I took Concerta 18mg. It helped academically, but I felt more anxious and less socially connected. In college, I stopped medication. Academically, I struggled and failed some classes, but socially I thrived. I felt fluid, confident, and completely myself. After starting my first full-time job, I tried to go without medication for about a year, but I couldn’t sustain it. I had almost no follow-through, felt emotionally overwhelmed, and wasn’t performing well. I found a psychologist who said I would be a good candidate for medication, I asked to avoid stimulants and was prescribed Wellbutrin. It worked somewhat for a few years, but emotionally I felt anxious and internally chaotic, even if I looked “put together” from the outside. I still struggled with focus and task initiation. At my next job, I tried Vyvanse 30mg. It significantly improved my focus and emotional regulation, but my anxiety increased and social interaction felt strained. My doctor added Buspirone, which I took with a stimulant for about three years. It took the edge off but made me feel numb, so I eventually stopped. For the past year, I’ve been on Concerta 27mg. It’s been decent overall, but I still deal with anxiety, facial tension, and feeling less socially connected. As an extrovert, that loss feels heavy. I need daily interaction to feel energized, and lately I’ve started feeling low again. I’m meeting with my doctor next week and feel unsure about what direction to take. I’m open to trying something new, but I feel stuck and would really value insight from others who’ve navigated something similar.