Posted by klein on April 26, 2014, at 19:48:20
In reply to Re: About SSRI-induced apathy, posted by porkpiehat on April 26, 2014, at 13:17:26
> I find this utterly fascinating. I have been taking micro doses of klonopin for almost three years in conjunction with 20mgs of Celexa.
>
> I would agree that SSRI's create their own kind of apathy, albeit different from the depressive apathy that came before meds.
>
> So if that is the case, that dopaminergic suppression is to blame for anhedonia, and one has access to methylphenidate (which I do), would it make sense to take that rather than up the Klonopin? Is one more of an actual "fix" than a band aid? So far, nothing has kicked my apathy's *ss like lamictal.
>
> Great now I have another possible brain defect to obsess about!Yeah, apparently it would make sense.
I resort to a benzo because I don't have access to methylphenidate, Provigil didn't work in this regard and Wellbutrin isn't practical as it takes a while to kick in. Lowering the dose of the SSRI also helps but takes time as well. The benzo strategy takes advantage of the benzo's dopamine releasing properties.
However, if your apathy is constant and low-grade, tweaking the dosage is probably the safest way to go.
poster:klein
thread:1064752
URL: http://www.dr-bob.org/babble/20140419/msgs/1064815.html