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Re: sadness v emptiness and post-med brain changes » Elayne

Posted by fachad on March 22, 2002, at 11:41:43

In reply to Re: sadness v emptiness and post-med brain changes » fachad, posted by Elayne on March 22, 2002, at 10:12:11

Elayne asked: "Is this something you've ever seen studied or is it something you've observed and experienced personally?"

Both. I was experiencing it personally, but it had developed so gradually that I did not notice it. The first place I saw it documented was actually here at the old "Psychopharmacology Tips" section of Dr. Bob's site back in 1995.

Here's the link to the discussion on SSRI induced Apathy:

http://www.dr-bob.org/tips/split/SSRIs-and-apathy.html

Anyway, after seeing the description, I was immediately able to see that that was what had happened to me.

My pdoc gave me methylphenidate and it reversed the apathy / lethargy. The reversal of the apathy also persisted after I stopped taking methylphenidate, so I know it was not just symptomatic treatment.

Since seeing the discussion here on “tips” so many years ago, I have now seen a few references in the literature to this problem. It seems to be an issue that the professional psychiatric community would rather not confront directly. It is not mentioned very frequently and not much space or detail is given to the discussion.

I cannot help but think that as more people are exposed to high dose SSRIs over long periods of time this complaint will become more and more prevalent, and will have to be addressed more seriously and systematically.

> To John,
>
> My experience of depression is similar to yours.
>
> To Fachad --
>
> I was intrigued by your remark that this numbness or affective blunting is a commonly reported brain change that persists after meds are stopped. Is this something you've ever seen studied or is it something you've observed and experienced personally?
>
> I personally have also experienced a change in anger (much less intense) and anxiety (not so phobic and shy) that has persisted even when off meds.
>
> I don't miss the rage and fear. I do miss the ability to cry.
>
> Anyone else notice changes in these areas post-meds?
>
> Elayne


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poster:fachad thread:99188
URL: http://www.dr-bob.org/babble/20020322/msgs/99470.html