Posted by JadeKelly on November 24, 2008, at 9:57:18
In reply to Re: anhedonia along with severe insomnia, posted by X_ander on November 22, 2008, at 4:35:50
Hello X_ander,
I have what sounds to be the same type depression as you, I've been calling it atypical/treatment resistant Major Depressive Disorder. Not sure if their similar, or anhedonia is more the correct term.
This "anhedonia" is as exactly as you describe, apathy, no pleasure in things, food, numb, able to "hide" it for short periods of time. No crying, etc.
No standard A/D's work for me. I do suffer from insomnia but as result of MAOI I am taking. My list:
Emsam: patch form of seleligine, started with 1/2 patch, equals 10mg. D/C'd to try Parnate
Parnate: 30mg 1x day (upping to 40mg) Current
Wellbutrin: Don't recall Dose. Took a while ago. I suspect you will soon experience a burst of energy on Wellbutrin as I did. How long it lasts I geuss is individual.
What I've noticed is profound early response, energy, cognitive ability restored, interest in going out, seeing people, exercise, etc. Slows way down as does effect past week 2.
Ritalin for a long time before depression, years, and functioned quite well. My PDoc diagnosed me back then with ADD. It worked quite well, I used as directed.
All early responses lasted approx. one week except Ritalin, was not depressed at that time. Wondering about the Dopamine/ noradrenaline connection "down the line". I've been on Parnate for a month. Are you saying some of that early good energy/ good mood may return? I've been considering adding Nortriptyline. Over kill?
Suffer(ed) insomnia from all these meds. Only thing that worked for me was 1mg Klonopin (clonazapam), plus 6mg Melatonin 1/2 hour before bedtime.
Thanks for the tip on the journal. Keep us posted on your journey!
~Jade
poster:JadeKelly
thread:863507
URL: http://www.dr-bob.org/babble/20081123/msgs/864995.html