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Re: What is the difference between anhedonia + apathy? Margit

Posted by JohnX2 on November 30, 2001, at 23:15:07

In reply to What is the difference between anhedonia + apathy?, posted by Margit on November 30, 2001, at 22:59:11

Anhedonia is the complete inability to
experience pleasure. That may include even
experiencing pleasure from stimulants, sex,
whatever. I think this is more of a blanket
symptom of depression, so it would be more
of a crapshoot as to which direction to take.
I would assume one would start with an SSRI,
and if that failed, try Wellbutrin or Effexor,
and if that failed, try an MAOI inhibitor or
a mood stabilizer like Lamictal.

One could be apathetic, (not interested in
doing anything), but still be able to experience
pleasure. For example, I may get pleasure from
alcohol and drink a lot, but do nothing else with
my life because of apathy.

Generally apathy respons well to noradrenergic/dopaminergic
meds. Wellbutrin, Effexor may work of the more
prescribed meds. The more activating SSRIs Prozac
and Zoloft may help too. Stimulants like Adderall
definately help. The Maoi inhibitors Parnate or
Selegiline are other choices.

These are my thoughts. Other people may have
varying viewpoints.


> I thought that they are the same thing, but I read a lot of post talking about anhedonia while others talk about apathy. I am also interested which meds respond best to either. Thanks for any responses.




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