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Re: Apathy from SSRIs -- any suggestions?

Posted by mbluett on August 10, 2007, at 15:15:27

In reply to Apathy from SSRIs -- any suggestions?, posted by Racer on August 1, 2007, at 15:43:56

> I'm taking Wellbutrin, Concerta, Prozac, and SAMe, which is working well enough, I guess, but I'm experiencing a good deal of SSRI-related apathy and sleep disturbance. The apathy is a problem, because it's not neutral apathy -- I'm definitely in a kind of "I'm depressed, but I don't care" sort of a state. Although, I don't know if it's really depression, rather than just a "oh, f--k it all, I just don't give a rat's behind" sort of a state.
>
> As many of you might know, I've taken many, many different antidepressants. My dx is major depession, unipolar; anorexia nervosa; and generalized anxiety disorder. I also have {ahem} "obsessive compulsive personality traits," and am on the cusp of diagnosable OCD -- actually, it's only lately that I brought that up with my T, and haven't actually discussed it with my pdoc, so maybe it's not a "cusp" thing at all.
>
> I'm debating dropping the Prozac entirely, although I know that the WB/stim combo isn't quite enough to fix me.
>
> So, can anyone offer any other suggestions? Might Zoloft be a better choice for SSRI? (The other SSRIs are out -- been there, done that, they're worse. Effexor and Cymbalta, ditto.) My pdoc says that he thinks I do need a serotinergic component, and I think he's probably right. But I'm just not satisfied by where I am now. I've got that feeling as though I really want to sit here and cry, but it seems to much trouble even to finish a thought, let alone bother with having an emotion.
>
> Thanks.

Drop the Wellbutrin, Concerta and Prozac. Get on Zoloft, Strattera, Lamictal 50mg and SAMe 200mg. Watch out for feeling of motivation and happiness, as they are side effects. Enjoy the ride.


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