you’re NOT supposed to take both Vyvanse and Abilify together

“It depends”. You have to monitor your blood work, heart rate, blood pressure, watch for arrhythmia etc. However your post implies Abilify was prescribed for autism alone. If this is the only reason, then you might as well discontinue as it’s only indicated for irritability and the costs almost certainly outweigh the benefits in that case. If it was prescribed for something else that may be another matter.

When you were put on these drugs were they prescribed at the same time? Did you start at low doses and titrate up to try to find a sweet spot for symptom reduction without significant side effects? You have a pretty long list of conditions. Were you experiencing all of this before you went on medication or is it increasing?

Was the Trintellix prescribed to replace this or were you on all 3 of these at once? All of these drugs inhibit the reuptake of serotonin (and Vyvanse increases it’s production). Dosages and individual body responses differ but it’s not usually advisable to stack lots of these drugs due to the risk of serotonin syndrome.

For SAD you should get a light box if you haven’t already. It’s mostly a one off cost + electricity. Also where possible getting outside in the fresh air for a walk (weather permitting) will do wonders beyond the effect of getting more light. www.mayoclinic.org/…/art-20048298