Posted by Mitch on August 30, 2001, at 23:28:14
In reply to Some Call It Frontal Lobe/Amotivational Syndrome, posted by Darby on August 30, 2001, at 21:49:51
> 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.
>
> DarbyI was wondering when someone was going to find the words to describe the paradox I go through with SSri's. If I don't take them I feel bored to death, though with lessened cycling, but just a chronic blah dysthymia ensues, although I *can* be very reactive and emotional given the stimulus. If I do take them my mood cycling is aggravated, but I "get things done" and I am less anxious with more energy, although I can feel satisfied with doing nothing and just not care, and that doesn't feel right *either*.
poster:Mitch
thread:76909
URL: http://www.dr-bob.org/babble/20010828/msgs/77027.html