HI
As I replied before, my son definitely had a manic reaction on Tenex--it made him very irritable, hard to sleep, then he got way way out of hand aggressive. to the point where we were locking ourselves up in the bedroom to avoid being kicked. Went away a week or two after we d/c the Tenex.
My oldest son would also get a bit obssessive on Adderall before we added other drugs. He wanted to do what he wanted to do period, and he had clear ideas of the projects etc he wanted to do. It is a great drug for him, but he only needs a very small amount of it.
So I am not surprised at all at what you are recounting. It could well be the drugs.
in my onw experiences, the pscyhologists I have dealth with have not been knowledgeable about drugs. Only our board certified psychiatrist (the most recent one) was not surprised about the Tenex. she's also hesitant to precribe SSRI etc.
good luck with the medication wash.