Posted by Ame Sans Vie on August 12, 2003, at 18:28:16
In reply to Re: Followup Ame, posted by PhilipCarey on August 11, 2003, at 20:16:06
> A question for you; do you think that a person that has not responded well to SSRIs, and has a sort of anhedonic/dysthymic type of depression might instead respond better to a dopaminergic med?
Since you're asking what I *think*, I have to say absolutely. My depression never responded at all to SSRIs, and it was pretty much exactly as you described -- primarily characterized by anhedonia and dysthymia, with a complete lack of motivation as the icing on the cake. Due to social phobia, I also lacked confidence and assertiveness that I now know was related to dopaminergic dysfunction, since Mirapex rid me of all of these symptoms.
> I know, I know... you never know until you try. I'm fortunate to have a doc that is open to my suggestions. It's kinda funny actually... last time I saw him, he began by asking what I'd been researching on the internet?
>
> I lucked into getting a great doctor.Sounds like you and I have the same doctor -- are you in southeast Texas by any chance, lol? My doctor is always very open to my suggestions, and very grateful for them, as they give him treatment options for other patients he may not otherwise have considered. For example, he says that since I brought Mirapex and Ultram to his attention (for treatment of anhedonia/dysphoria and depression/OCD, respectively) he now has three other patients using these medications and responding wonderfully where dozens of other drugs have failed. He also asks me first thing at each appointment if I have any new internet research for him, lol!
poster:Ame Sans Vie
thread:249559
URL: http://www.dr-bob.org/babble/20030812/msgs/250349.html