Posted by bleauberry on March 25, 2010, at 19:33:53
In reply to Severe anhedonia...I can't live like this anymore., posted by Economist on March 23, 2010, at 13:07:29
Sounds like either a norepinephrine or a dopamine problem, or both. Whether it is a syndrome of anhedonia which can stand alone without depression, or whether it is what is labelled negative symptoms of schizophrenia, who knows, doesn't matter. What matters is focusing on meds that will target that cluster of symptoms. That includes things like low dose amisulpride, savella, savella with low dose risperdal, ritalin, and sometimes even low dose ssri with low dose antipsychotic. You'll want to avoid high doses of anything as they'll probably make it worse or create other problems. For anhedonia it is tricky to tweak things in a fine sensitive window of opportunity, where either too much or too little is not helpful.
The above meds were mentioned based on hundreds of hours surfing pubmed studies and my own experiences.
Forgot to mention adrafinil with prozac. Low doses each, holding consistent with the overall theme.
poster:bleauberry
thread:940577
URL: http://www.dr-bob.org/babble/20100318/msgs/940850.html