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good question ed_uk

Posted by pseudoname on November 7, 2006, at 9:43:03

In reply to Re: more on buprenorphine tolerance pseudoname, posted by ed_uk on November 6, 2006, at 13:52:40

Thanks for the question, Edski.

> what are your symptoms? ie. which symptoms does bupe leave untreated?

I don't do things, or *want* to do them. I don't read books, learn about new things, shower, clean my house, do bookkeeping, spend time with people, enjoy food, etc. Even things that are easy & presumptively pleasurable I have no interest in doing, and I don't enjoy them when I do force myself to do them. Even my fantasies end in indifference. Shall we call that *anhedonia*?

I also have some huge neurotic fears, obsessions, and intrusive thoughts centered around What Other People Think Of Me (chiefly that everyone hates my guts or finds me ridiculous & undeserving), but I suspect that if the anhedonia were cleared up, I could tackle those obsessive thoughts behaviorally / therapeutically / mindfully.

ECT might still help with the anhedonia, might it not? Or perhaps Provigil? Do you think an MAOI might have a different effect for me when I'm on buprenorphine than they did before? I got no response from several MAOI trials 10+ years ago. Don't opioids & MAOIs have an area of intersection in the brain?


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URL: http://www.dr-bob.org/babble/20061104/msgs/701209.html