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Suggest Treatment For Loss Of Emotional Reactivity, Anhedonia And Amotivation

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Posted on Mon, 4 Sep 2017
Question: I am 63 and have been on antidepressents for years changing from one to another i now feel as if i am on a flat line no high no lowes and i at a loss what to do
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Please elaborate your query

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns to some extent but I fail to understand how you are on the loss when there is flat line? Do you mean that despite the multiple medications there is not enough improvement?

Your elaboration will help me to understand your concerns in proper way.

Thanks again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (1 hour later)
What i mean is i am not crying and i am not laughing just feel flat dont get happy medium just get home from work and dont want to do anything just been away for 4 days but i cant remember when i had a real belly laugh dont want clean my house or do anything to it i used to clean when i git annoyed but dont get like that anymore
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (44 minutes later)
Brief Answer:
Pristiq houle be tried if not yet tried

Detailed Answer:
Hello,
Thanks for follow up.

I am sorry to know that despite the trial of multiple antidepressants there is no break through response and you are still dealing with loss of emotional reactivity and anhedonia and amotivation.

Although I am sure that your psychiatrist must have done everything possible on the earth to make you better but I still recommend following things.

Use pristiq as antidepressant. In my experience I have seen great results in post menopausal women with depression and hope that same gets repeated for you.

In case this has already been tried I feel adding modafinil 100 mg to your current treatment may help you. This is a kind of medication which helps in emotions and motivation. It also helps in apathy which seems to be most bothering aspect of your illness.

I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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Suggest Treatment For Loss Of Emotional Reactivity, Anhedonia And Amotivation

Brief Answer: Please elaborate your query Detailed Answer: Hello, Thanks for using Healthcaremagic. I read your query and understand your concerns to some extent but I fail to understand how you are on the loss when there is flat line? Do you mean that despite the multiple medications there is not enough improvement? Your elaboration will help me to understand your concerns in proper way. Thanks again.