I am a 26 year old female who has ADHD and OCD, adderall is causing some problems?

I am a 26 year old female who has ADHD and OCD. I have been prescribed adderall for almost 10 years now and I love it. Over the course of time we have has to up my dosage due to it wearing off too quickly. My current dosage is 30mg BID. Recently I have noticed that my ADHD has really gotten out of hand. I cannot think straight. I am forgetting thoughts mid sentence, starting tasks and getting distracted leaving SO many things unfinished. The list could go on but these things have left me very anxious and chaotic. I need to get back to being able to think about what I need to do and actually be able to do it instead of getting overwhelmed. I don’t want to come off adderall but was wondering if anything could be added with and be taken together? Just trying to get more information before bringing this up to my PCP who does not know a lot about treating ADHD. I don’t have good insurance and my pediatrician was originally the one who put me on adderall. My PCP now just continues to write my prescription because I was already on it when I became her patient and it has worked fine all this time. Any advice would be very much appreciated. Thank you