Psycho-Babble Medication Thread 1095139

Shown: posts 1 to 12 of 12. This is the beginning of the thread.

 

Cognitive Impairment, lack of motivation, etc.

Posted by Confusedcius on September 27, 2017, at 12:09:10

I'm 27 years old and struggling with cognitive impairment, no motivation, social anxiety, no libido (lost at about age 21 BEFORE going on an SSRI), no self confidence, irritability, etc.

The cognitive problems go all the way back to when I was a little child. Basically, I've always felt dumber than the average person. And lazier.. I would always want to stay home from school and play videogames. Which turned into staying on the computer and there I still am to this day.

It has gotten so bad that all I do all day is sit on my computer, still living in my parents house. My life is so hopeless that I've considered suicide.

I've tried lots of supplements and nothing helped.

Medications I've tried: Zoloft generic, Lexapro generic, Wellbutrin XL generic, Ritalin SR generic. The only one that helped was the Wellbutrin XL generic and only for the first 1-2 weeks on it and then I went back to how I was prior, even after staying on it for a few months and increasing the dosage to 450mg.

I've seen many mental health professionals including psychologists & psychiatrists which have all been ineffective (very hard to find a GOOD psychiatrist that accepts Medicaid). I was thinking of going back to one former psychiatrist and actually suggesting that I go on Adderall XR or Vyvanse since it seems like my problems are Dopamine/Norepinephrine related and because of the positive initial response to Wellbutrin.

Any suggestions are appreciated. Feel free to ask questions.

 

Re: Cognitive Impairment, lack of motivation, etc. Confusedcius

Posted by pedr on September 27, 2017, at 16:32:21

In reply to Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on September 27, 2017, at 12:09:10

sorry you're having a rough time of it. Ostensibly you haven't tried many meds nor any combos so it's nowhere near time to give up yet. Regarding Adderall XR or Vyvanse - that's not a bad idea. I benefit from stimulants even though I've never been diagnosed with ADD.
HTH.

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by rjlockhart37 on September 29, 2017, at 16:00:20

In reply to Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on September 27, 2017, at 12:09:10

adderal xr would be good choice to start, vyvanse is long acting also....they each last around 8 hours....they only thing else they would proably consider also is concerta or focalin.....

the others like dexedrine spansule, and older stimulant meds are not really considered first choice anymoore

 

Re: Cognitive Impairment, lack of motivation, etc. Confusedcius

Posted by porkpiehat on October 2, 2017, at 13:53:12

In reply to Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on September 27, 2017, at 12:09:10

What were your responses to the SSRI's? Just "no change" or something different?

Two thoughts on stims:
-If you have a problem being on the computer all day this could be made worse.
-Stims can feel like a game changer but they can also turn on you after a few weeks.

This may not be your experience...I've seen it in some other people and myself and it's something my doctor warned about.

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by baseball55 on October 2, 2017, at 18:19:43

In reply to Re: Cognitive Impairment, lack of motivation, etc. Confusedcius, posted by porkpiehat on October 2, 2017, at 13:53:12

I've always had a paradoxical relationship to stims also. The first couple of times I take them, I feel good, but then I start to feel awful and enervated and can't wait for them to wear off.

> Two thoughts on stims:
> -If you have a problem being on the computer all day this could be made worse.
> -Stims can feel like a game changer but they can also turn on you after a few weeks.
>
> This may not be your experience...I've seen it in some other people and myself and it's something my doctor warned about.
>
>

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by phidippus on October 7, 2017, at 18:13:06

In reply to Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on September 27, 2017, at 12:09:10

Um, you suffer from straight up depression. ADHD seems like a possibility, but Ritalin didn't help. How long were you on Lexapro and Zoloft?

Eric

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by Confusedcius on October 8, 2017, at 8:39:58

In reply to Re: Cognitive Impairment, lack of motivation, etc., posted by phidippus on October 7, 2017, at 18:13:06

> Um, you suffer from straight up depression. ADHD seems like a possibility, but Ritalin didn't help. How long were you on Lexapro and Zoloft?
>
> Eric

Lexapro- 2 months
Zoloft- 1 month

I'm pretty sure I had ADHD as a child which progressed into Depression & Social Anxiety as an adolescent and became worse as an adult.

The Ritalin didn't help me when I took it a few years ago but I'm primarily inattentive and I've read that people in my subtype respond least to Ritalin of all ADHD meds.

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by phidippus on October 8, 2017, at 9:41:49

In reply to Re: Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on October 8, 2017, at 8:39:58

You really should nail down an ADHD diagnosis-look up a neuropsychologist who will do testing.

ADHD can spawn depression and anxiety. Sometimes when you treat ADHD the anxiety and depression can lessen significantly.

If you do have ADHD and its primarily inattentive, it doesn't matter whether yoo take Ritalin or amphetamines, you just don't happen tto respond to Ritalin. Try dextroamphetamine and see how you respond.

Eric

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by Confusedcius on October 17, 2017, at 12:09:35

In reply to Re: Cognitive Impairment, lack of motivation, etc. Confusedcius, posted by porkpiehat on October 2, 2017, at 13:53:12

> What were your responses to the SSRI's? Just "no change" or something different?
>
> Two thoughts on stims:
> -If you have a problem being on the computer all day this could be made worse.
> -Stims can feel like a game changer but they can also turn on you after a few weeks.
>
> This may not be your experience...I've seen it in some other people and myself and it's something my doctor warned about.
>
>

Honestly, I don't think I gave the Zoloft a fair chance. I was either on 50mg or 100mg before tapering off but if I were to try it again, I'd take some supplements along with it like Omega 3 fish oils to improve it's efficacy. I would also go up to 200mg if need be, before tapering off.

The problem is that I'm not sure whether I should try Adderall XR/Vyvanse first or Zoloft first. My biggest problem is that I'm unmotivated. I stay at home all day, on my computer and I'm just not interested in life. I don't know which medication is more suitable to treat that main culprit.

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by Confusedcius on October 20, 2017, at 15:45:36

In reply to Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on September 27, 2017, at 12:09:10

I've been thinking a lot about this lately and I'm pretty sure I have it nailed down: I have had ADHD since childhood that went undiagnosed and untreated. I developed Chronic Atypical Depression & Social Anxiety in adolescence and to this day I have all three conditions.

The question is: what is the best course of treatment for these 3 conditions? I'm thinking the only 3 meds approved for Social Anxiety (Zoloft, Paxil & Effexor) would be a good choice to try since SSRIs are also supposed to be helpful for Atypical Depression.

Then if those three don't work, I will have to try MAOIs.

Somewhere along in this, I'd have to address the ADHD problem but I assume it should be done after the Depression & Anxiety is under control. Unless anyone here thinks I should tackle the ADHD first?

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by phidippus on October 21, 2017, at 8:57:10

In reply to Re: Cognitive Impairment, lack of motivation, etc., posted by Confusedcius on October 20, 2017, at 15:45:36

I think you'll find if you address the ADHD, some of the depression and anxiety will come under control.

Eric

 

Re: Cognitive Impairment, lack of motivation, etc.

Posted by Confusedcius on October 23, 2017, at 12:28:21

In reply to Re: Cognitive Impairment, lack of motivation, etc., posted by phidippus on October 21, 2017, at 8:57:10

> I think you'll find if you address the ADHD, some of the depression and anxiety will come under control.
>
> Eric

I think so, too. Hopefully I can get started on Adderall XR or Vyvanse soon.


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.