Posted by desolationrower on November 24, 2008, at 16:40:11
In reply to Re: anhedonia along with severe insomnia » X_ander, posted by JadeKelly on November 24, 2008, at 9:57:18
> 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!
>
> ~JadeI think nort would be a good drug to add, its something i've been thinking about myself (although i think i have a somewhat different depression to you).
I like melatonin; i've also been taking trazodone and find that most nights i sleep totally normally.
-d/r
poster:desolationrower
thread:863507
URL: http://www.dr-bob.org/babble/20081123/msgs/865055.html