Posted by novelagent on June 13, 2012, at 16:36:40
In reply to Boring reality...no dopamine release, posted by rjlockhart04-08 on June 11, 2012, at 1:45:25
Ideally, a low dose each day of a psychostimulant like Vyvanse would be perfect for someone with anhedonia induced by a history of drug abuse-- it can't be snorted or injected, and it peaks out just after the therapeutic window of dosing.
Unfortunately, people who have abused drugs basically have the mindset of children who can't grow up, and want to live in neverland. If you try to help them with a low dose of a stimulant, they'll just take an excessive dose for as long as it lasts, and then live with the anhedonia once their supply runs out. Even though Vyvanse peaks at a certain dose, they'll just find out what dose that is, and try to always be at that dose.
You've demonstrated little maturity in your reflections on this board, so I can't feel terribly sympathetic for your cause. I'm not even convinced the Nuvigil isn't "working"-- assuming you're taking it regularly- in the sense it's treating your anhedonia.
It doesn't even sound like you care about treating your anedhonia-- as in, if someone came up with a cure for anhedonia tomorrow, and you took it, I don't think you'd really care. I think what you're really obsessing over is the absence of feeling euphoric, which is something else altogether.
I m not very sympathetic. For one, you're the reason why it's so difficult with some doctors I see, and why I get treated like a drug addict for taking a stimulant when I'm not an addict. Heck, I got psychosis in large part because I lost klonopin, and suffered without it out of fear if I reported it missing, I'd be deemed as having drug-seeking behavior and never again get my medicine. So I endured, and it lowered the threshold for psychosis.
All so you could get high now and then. So no, I will not sit with you during this pity party. People like you have ruined my life, and continue to ruin my life-- I still can't get at a reasonable dose of Vyvanse in part because drug addicts make doctors paranoid they'll be held accountable for prescribing even moderate, low doses.
In other words, save it and get a life, respectfully. You could have appreciated the power of these drugs, and respected them by not taking them recreationally. Now that they could treat your anhedonia, you can't have them, because you've proven you aren't willing to respect how powerful they are.
Do we really have to go over this tired pity-me session? Am I suppose to feel sorry you have yet to take responsibility for why you are like this? You're not saying, "man, anhedonia sucks, and it was pretty stupid of me to take those drugs that caused this." You're just saying "anedhonia sucks-- pity me." If you knew how responsible you are for this, you wouldn't be seeking pity.
So until you get the maturity to post something cliche like that, try avoiding this trope again. It's getting old.
We're here to support people, not pity them.
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> I don't know how many times I've read but when we feel alive...its vary crude awnser but usally dopamine is envolved, when we have a successful way to make money...when we eat fav food and enjoy it, maybe some of us even enjoy wine and beer....its all directed toward the pleasure systems in our brain...if we had no dopamine release...we would not love the things that we do for pleasure. There's alot more indepth info on this...this is just a tiny view....but I've realized that I have lost my ability to expierience life and pleasure...nothing makes me feel like im alive unless I use methamphetamine, cocaine occastionally....but theirs got to be a reason why this happening...I can't just rely on substances to let me feel normal...there got to be some other way to fix this without medication. I know the first thought is ECT..wouldnt mind it, but its the last resort. Like i've thought about changing my belief and thought structures to diffrent aspects to see reality diffrent.
>
> I'm awnsering my own post, but im asking who ever reads this...i feel trapped in this grey thinking of numb to get away from radiating pain of failure.
> anyone?
>
poster:novelagent
thread:1019562
URL: http://www.dr-bob.org/babble/20120608/msgs/1019674.html