Posted by bleauberry on October 18, 2009, at 14:40:22
In reply to What is the best med for lack of motivation?, posted by Deneb on October 17, 2009, at 14:13:54
Too many posts here for me to read. So maybe I am repeating something already said.
Motivation is usually in the dopamine/norepinephrine circuits. Things that worsen motivation are SSRIs such as Celexa Prozac.
Things that can help:
1. Add the supplement Tyrosine to your cocktail.
2. Add Provigil (must try both generic and brand before making a judgement on this drug)
3. Add Ritalin.
4. Add Adderall.
5. Lower the SSRI doses.
6. Lower an antipsychotic dose.
7. Keep one SSRI replace the other with Nortriptyline.
8. Keep one SSRI replace the other with Desipramine.
9. Emotionall and physically do battle with the motivation monster...in other words, feel like it or not, get up and do it. Win a battle. Then win another one. It helps retrain the mind and brain chemistry.I would start with Tyrosine because it is easy and cheap and effective often enough as to not ignore it. It will beef up the NE/DA circuits that the SSRIs are keeping silenced.
I do not like the trap of adding med on top of med, because at some point it seems too common to see someone in real bad shape who has a laundry list of 8 meds or so. It is a slippery slope, one med at a time, and you don't see it coming.
Whenever I see people in total remission, it is usually with 1 to 3 substances. More is not usually better. It just means the ones that were added to were not doing their job and probably should have been eliminated rather than added to.
poster:bleauberry
thread:921259
URL: http://www.dr-bob.org/babble/20091012/msgs/921419.html