
Losing Creativity And Mirth, Escaping Social Life. Medication To Keep Normal?

Thanks for the query.
From your query it is clear that there is decrease in creativity and talkativeness from your previous self. You have this problem from last year that mean total duration of symptoms is more than 6 month. As this problem is affecting your social life you are definitely having some psychiatric problem which needs to be treated.
With your description first thing will come in my mind is depression. But for that I want to know about your mood most of the time in day. You already having decrease talk (anhedonia), decrease creativity, difficulty in continuation of talk (decrease concentration) and dysfunction in social life.
I want to know following things to understand you better:
• Your mood, energy level, negative thinking about past/present and future, change in sleep pattern/appetite, libido
• Past history of low mood or over cheerfulness for more than 1-2 week continuously
• Family history of any psychiatric illness
In your condition treatment of current condition is more important than thinking about only creativity and talkativeness.
Please write back with the answers as this will help me in suggesting you better.
Awaiting your reply.


I think you are doing well in current situation and this is your normal self. As you are telling that you have normal mood, sleep, and appetite, able to do your work quite late in the night and normal sexual life. But a thing to worry that how is your social life affected or you are expecting more from yourself.
Now there are multiple possibilities in your case:
• Deficiency of vitamins affecting your concentration
• Some harmonal imbalance like thyroid
• May be in the past you had some hypomanic episode which characterized by increase talkativeness, confidence and creativity.
So I think you should have appointment with general physician to look in all these aspects.
Hope this will help you. Wish you Good Health


I mention about multiple possibilities in your case:
• Deficiency of vitamins affecting your concentration
• Some hormonal imbalance like thyroid
• May be in the past you had some hypomanic episode which characterized by increase talkativeness, confidence and creativity.
Now, one more thing is need to be considered after the spontaneous query of Dopamine role by you- that is substance use, specially cannabis use. It can lead to these symptoms but it will associated with other symptoms like increase appetite, anxiety and amotivation.
"You need detailed evaluation for all these problem to reach the final diagnosis and to make management plan".
Use of dopamine is immature to considered in your case now. Same time we avoid directly prescribing any medication to patient but give them direction to solve their problems.
Hope this helps you.
Wish you good health.
Regards

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