You're right, the alternatives don't work. I've tried every antidepressant and mood stabilizer in the book.

Try to work on getting that blood pressure down so that you can get the meds you need. Or just do what I do and bypass the doctor. It's risky but I absolutely can not function as an adult without Adderall so I take my chances. Hell, I didn't move out of my parents' house until my 30s, when I finally discovered amphetamines.