What is the rationale for the heavy drug load? Have you checked the interactions with tramadol and Vicodin? There are risks involves, especially as you drink a lot of alcohol.
Well I Gusse depression add bi polar apparently, and my dentist replaced the vicodin with the Tramadol
You might want to check the interactions on the internet.
My major concern is the effexor and the drinking. From what I have read there could be some serious liver problems with that combo. I have included a link to a site on effexor that gives a lot more info then you will find in most places. http://www.crazymeds.us/pmwiki/pmwiki.php/Meds/Effexor
I was a little surprised to see you also taking wellbutrin, as they attack the same problems. But one of the posts in the above linked talked about how that combo was apparently pretty good.
I also hope your doc clued you into what and how adhd can effect you anxiety wise. Understanding adhd and what it can do to you can also help you understand some of the anxieties you have. Speaking of that, here is a site with some tips on dealing with anxiety - http://www.additudemag.com/adhd/article/8112.html
Really couldn't tell from your post how much stim meds you are taking ( 2 when you wake up or 1 and another later in the day, etc.). Anyway, also included a link to adhd meds and max doses so you can check it out yourself. But my thought would be an XR early and then a short term later on if needed (but everybody is different). http://www.leeheymd.com/charts/adhd_1.html
Hope some of this helps. Best wishes.