Antidepressants that don't simply leave you with a flat affect

Posted by Gary, Alumni Mentor @gman007, Dec 7, 2017

I have suffered from depression for years, it is common in my family and I have been treated for it for many years. Since I became physically disabled and began suffering from chronic pain, it has gotten much worse. I have a Psychiatrist who should have retired about a decade ago and is unwilling to try anything new for my treatment. I currently take zoloft, busprirone, remeron(mostly for sleep), and klonopin for breakthrough anxiety. I don't think I need more medicines, just different ones. This cocktail still leaves me with depression, but almost never allows me to feel any joy or happiness. I don't expect a miracle drug that makes the depression go away and always keeps me slightly manic. I expect and can accept ups and downs, but I never get any of the ups. In my family, xanax and amitryptiline (sp?) seem to have been beneficial and I wonder if there is anyone out there who has had good results with the same meds that a family member has benefited from? Are there medicines that anyone takes who tends toward low mood that leaves them a bit less down and on occasion, a bit happy. I have a life that should allow for the latter and am very grateful for a lot of the people and things in my life, but not with any accompanying joy or happiness. Any suggestions would be appreciated.

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I currently take nortryptiline and lorazepam and have fairly normal ups and downs. I liked Prozac (because it relieved my social anxiety) but it suddenly stopped working. I've been on this combination plus a thyroid supplement (levothyroxine) for at least six years. I've gotten through the shock of my husband's death(after 60 good years), a move to assisted living, with my equilibrium intact, in spite of some really horrible times.

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Hello @gman007

I so appreciate your sharing so honestly about how you are feeling.

You said that your current psychiatrist should "have retired about a decade ago and is unwilling to try anything new for my treatment."

Have you considered a consult with another psychiatrist to see if your current meds might be updated a little?

Teresa

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@gman007

My therapist told me yesterday that the word for my lack of pleasure or satisfaction is anadonia. It's been an issue for a long time for me, but a few weeks ago, the psychiatrist added Remeron to the list of meds I take, and I think it's helping my mood and anadonia. Wellbutrin has been my main antidepressant for 13 years, after trying a bunch of others, and I take Klonopen for anxiety, along with pain meds - morphine, meloxicam and aspirin, and allergy medicine, and so on. I'm hopeful that Remeron will help me.

Could it be that you might need to try a new antidepressant? I know that they sometimes lose their effectiveness after awhile. I have to agree with Teresa that perhaps you'd be better served by a fresh view of a new psychiatrist. If you decide to do that, I hope you find a good one.

Jim

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@jimhd

@gman007

My therapist told me yesterday that the word for my lack of pleasure or satisfaction is anadonia. It's been an issue for a long time for me, but a few weeks ago, the psychiatrist added Remeron to the list of meds I take, and I think it's helping my mood and anadonia. Wellbutrin has been my main antidepressant for 13 years, after trying a bunch of others, and I take Klonopen for anxiety, along with pain meds - morphine, meloxicam and aspirin, and allergy medicine, and so on. I'm hopeful that Remeron will help me.

Could it be that you might need to try a new antidepressant? I know that they sometimes lose their effectiveness after awhile. I have to agree with Teresa that perhaps you'd be better served by a fresh view of a new psychiatrist. If you decide to do that, I hope you find a good one.

Jim

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@jimhd Jim,

Thanks for the explanation of anhedonia (or lack of pleasure or satisfaction).

Teresa

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@jimhd

@gman007

My therapist told me yesterday that the word for my lack of pleasure or satisfaction is anadonia. It's been an issue for a long time for me, but a few weeks ago, the psychiatrist added Remeron to the list of meds I take, and I think it's helping my mood and anadonia. Wellbutrin has been my main antidepressant for 13 years, after trying a bunch of others, and I take Klonopen for anxiety, along with pain meds - morphine, meloxicam and aspirin, and allergy medicine, and so on. I'm hopeful that Remeron will help me.

Could it be that you might need to try a new antidepressant? I know that they sometimes lose their effectiveness after awhile. I have to agree with Teresa that perhaps you'd be better served by a fresh view of a new psychiatrist. If you decide to do that, I hope you find a good one.

Jim

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@hopeful33250 - Thanks for the spelling correction.

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@hopeful33250

Hello @gman007

I so appreciate your sharing so honestly about how you are feeling.

You said that your current psychiatrist should "have retired about a decade ago and is unwilling to try anything new for my treatment."

Have you considered a consult with another psychiatrist to see if your current meds might be updated a little?

Teresa

Jump to this post

I am attempting to get in to see a recommended Psychiatrist - I have a friend who does quite a bit of work with DSS in my area and I have what I think is a very good referral, but this doctor is scheduling into Feb. and that does not include a waiting list of 134. There apparently is a shortage of good psych's in the area I live.

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I can attest to the fact that after a period of time some anti-depressants do lose their effectiveness. I've been on Zoloft for 18 years. In the beginning I felt so much joy I thought that life was just sunshine and roses. After a month or two, it leveled out and became what I think was normal. Now my doctor is very slowly tapering me off of it as it's no longer doing anything. So, he's started me on Effexor, Wellbutrin, and Klonopin.
abby

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Thank you Abby. I have also been on Zoloft for many years, so that may be what is needed.

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