Posted by Darby on August 30, 2001, at 21:49:51
In reply to Motivation problems on Celexa, posted by Kathleen6674 on August 29, 2001, at 22:46:02
Some recent studies have identified this phenomenon with long-term use of serotonin enhancing meds. There's a very interesting piece covering this subject with detailed case reports in the Vol 11/no.2/ 2001 issue of JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY. For most of the subjects, reducing (not increasing) the dosage helped greatly. In the case of Celexa, halving dose to 10mg daily might help with motivation while preserving some of the antidepressant effects. There's a fine line between feeling "good" and wanting to be involved in the world on the one hand and feeling "nonchalant" and being unconcerned with and unconnected to the rest of the world.
Or, adding a small dose of a dopaminergic agent like bromocriptine, amantadine, pramipexole, or a stimulant might improve your situation.
Good luck.
Darby
poster:Darby
thread:76909
URL: http://www.dr-bob.org/babble/20010828/msgs/77022.html