Posted by bleauberry on February 14, 2009, at 17:05:05
In reply to AD Apathy: behavioural or medicateable?, posted by myco on February 14, 2009, at 11:13:08
The sleep issues are serious. You gotta do whatever it takes to tackle that head on. Not just mood, but everything else in your body will...and already is...breaking down from lack of good sleep. Premature aging. At risk for other diseases. Your immune system and hormones are taking a beating and setting you up for new problems you never had before.
If your GP is uncooperative, then you have to see another doc who is cooperative. Their motto is do no harm. If he isn't getting you to sleep, then he is participating in doing you harm. Just the way I see it. Whether you keep your GP and get a second one in addition, or switch completely, is a tough decision, but it has to be done. Finding the right one is also a chore, but has to be done. At the very least, you need to confront your current GP with some respectful seriousness about the issue.
Apathy could be med induced. It usually happens with increased serotonin, but in a minority of people...like me...it can also happen with increased dopamine. Numb numb numb.
Ever since Nardil's reformulation, there have been hundreds of reports of problems with it. Just a possibility.
I think Parnate is far less likely to allow apathy to exist. You might consider switching to it. Insomnia is common with Parnate too though, so that brings us back to that issue. That has to be taken care of immediately, no ifs, ands, or buts. Our board expert SLS recently said in a post that AD insomnia has to be treated as aggressively as the depression itself.
poster:bleauberry
thread:880078
URL: http://www.dr-bob.org/babble/20090213/msgs/880127.html