Posted by g_g_g_unit on January 2, 2009, at 0:57:03
In reply to re: suicidal - follow-up/ advice on deprenyl » g_g_g_unit, posted by bleauberry on December 30, 2008, at 19:25:57
> Start with 1mg first day. 2mg second day. 3mg 3rd day. Stay there for a week and feel it out. If all is well, keep going, 1mg at a time.
>
> If you follow the usual internet hype of 5mg, 10mg, whatever, you could get hit with some nasty or scary stuff. Maybe, maybe not. To avoid that risk, start low.
>
> From experience I can tell you that even 1mg is something you will feel.Thanks. tried 1mg this morning. felt a slight rush that was pleasant but artificial and amphetamine-like, and which didn't really lift my mood. anyway, have decided against self-medicating for the time being.
i was wondering, bleauberry, given that you've often mentioned that you suffer from anhedonia, how would you distinguish it from depression? i used to be highly-anxious/OCD-stricken yet at the same incredibly socially orientated; i 'got off' on making others laugh etc. of course, that wasn't ideal since i found myself neglecting academic stuff (which was being aversely affected by the OCD) in exchange for the more immediately rewarding pleasure of socializing.
lately, what i've been suffering from is more like an emptiness. my sex drive is gone. that 'spark' or trigger which helped lubricate social functioning - helped lubricate my pleasure in writing, life - is gone. it would disappear on SSRI's, but i could usually rely on returning to baseline. when people speak to me now, i struggle to reply, usually falling back on stock questions to keep the conversation moving. coffee makes it worse. ritalin helps but i know i'd end up addicted.
for you, does anhedonia break down to a loss of interest in those minute, day-to-day tasks like conversation? or is it more an overall lack of wellbeing? my GP has dismissed it as depression, which i don't really buy, since low mood for me has usually been more tumultuous and never really affected stuff like conversational fluidity. i am just trying to think of how to 'frame' the problem to my pdoc when i saw him in a week, since i think he has left medication suggestions up to me at that point. my hope is that nardil might hit all three (OCD, GAD, anhedonia(?)/depression) bases. have you ever found any useful augmenting agents for SSRI's that were specifically pro-social/anti-anhedonic? memantine sounds interesting since it's also been studied for OCD
poster:g_g_g_unit
thread:871436
URL: http://www.dr-bob.org/babble/20081223/msgs/871881.html