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The motivation issue

Posted by blanding on June 8, 2004, at 20:02:53

In reply to Is your apt. messy? How to clean when...., posted by jerrympls on June 8, 2004, at 19:29:40

> ....you're depressed and have no energy? First of all here's my current cocktail:
>
> Effexor XR 375
> Valium 10mg/4x daily
> Concerta 56mg am/18mg late afternoon
> Seroquel 200mg (for insomnia and nighttime anxiety)
> Ambien 20mg (in case I wake up and can't get back to sleep)
> Synthroid 0.0125mcg
>
> I can get through work ok - but when I come home - cleaning my apt. is the last thing I want to do. It's gotten to the point where I don't take out the garbage for weeks, dishes sit in the sink, unopened mail is piled in boxes, clothes are everywhere, etc.
>
> I know that in the past when I've had my apt. in order and clean I've felt better when coming home from work. I think my lack of motivation to keep things in OK shape is due to the Seroquel muting my dopamine and the Un-effective Effexor making me lethargic. I usually don't take the Valium as prescribed - I take it more at night because I get VERY anxious at night before bedtime - so I don't think the Valium is causing unnecessary effects. And even though I'm on a stimulant - it runs out by 6 or 7pm and then I just eat and watch TV.
>
> I've told all this to my pdoc - but it's one ear out the other. And I really think this is a MEDICATION issue - because when I was on Nortryptaline, Dexedrine and Xanax I always kept my apt. clean even though I was severely depressed!
>
> Am I alone here? I don't hoard or have OCD but it's getting to the point where I dread coming home after work because it's such a mess.
>
> Any thoughts? experiences? comments? solutions??
>
> Thanks!
> Jerry

Hi Jerry,

I've got the same problem, and I've been on a combo of the TCA trimipramine (50 mg) and the SSRI sertraline (75 mg) since about a year.

These two meds decisevely keep me from falling into severe troughs of depressions, yet I have no "drive" or motivation to clean myself or apt.
Every second or third day I take either alprazolam (1 mg) or diazepam (10-20 mg), both benzodiazepines, in order to get the necessary "kick" to get these basic chores done.

Since I'm afraid of getting addicted, I don't use them daily, so for the long run this is merely a mediocre type of solution.

You write about Seroquel muting your dopamine. Does this med enhance dopamine levels or inhibit dopamine's action?



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poster:blanding thread:354883
URL: http://www.dr-bob.org/babble/20040608/msgs/354898.html