Posted by linkadge on June 24, 2003, at 16:04:31
In reply to Zero Motivation, posted by AOB on June 24, 2003, at 13:40:22
It seems that purely serotogenic meds like zoloft, anafranil, etc can lower motivation.
Meds that also lower dopamine can impair motivation, (any of the antispychotics like Risperdal)
Wellbutrin can increase motivation but add irritability due to its ability to selectivly increase dopamine.
You may want to try a dual acting medication such as Effexor, (if you havn't already tried it)It can both improve mood and motivation(serotogenic and norepinephrine)
Some other dual acting ones are Amitryptaline, and Duloxitine (prozac 2, which is coming out soon)
I know these kind of cases, and the absolute *worst thing* you can do is overmedicate. Try as hard as possible to find as few agents to do the trick. Even if this means substituting instead of layering on.The reason I say this is because, too many meds can destroy the a persons sense of confidence and independance. It also gives the patient the idea that it is somebody else's responsibility to make them feel better (when infact the doctor and patient have to work hard together) You may want to find a psychiatrist that is slightly more attuned, and less liberal.
Best of Luck
Linkadge
poster:linkadge
thread:236674
URL: http://www.dr-bob.org/babble/20030624/msgs/236713.html