How did you know you needed to increase dose?

Currently on 40mg for the last two months. None of my meds work during my period but after my last period my vyvanse has not started working again. I started vyvanse in August and stopped titration at 40 bc it helped enough. It’s been a life changing med.

I’m noticing that a lot of my adhd symptoms are returning and my binging. I’m tired during the day and can’t sleep at night bc my mind is back to being so full of chatter. I’m getting like a slight weird headache about 4 hours after taking my vyvanse and overall it doesn’t feel like I took it. I kinda noticed before my period that my anxiety and other things were slightly returning as well ( vyvanse had pretty much eliminated my anxiety since starting) . I’m bouncing from tasks and thought’s like more meds. I thought maybe the dose was too high, then my cycle came around and I just figured it would return to normal after. Now I’m thinking it could have been that I needed a higher dose and now it’s just worse. I also tried strattera for about a month and feel that could have affected how my vyvanse felt briefly before this as well.

I’m just looking to see if this is what anyone else felt when needing to increase. I’m unfortunately very uncomfortable with my psychiatrist and after leaving her a message I was told I had to wait until my next appointment in 4 weeks so the rejection feeling is really not helping me rn .