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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest Treatment For Lack Of Motivation Despite Taking Aripiprazole

Currently on 300mg aripiprazole maintena for 2 months. Absolutely feel like doing nothing or don t want to do anything that requires thinking to be exact, it s painful feeling like doing nothing times goes slow. Is there any help I can get before i see a psychiatrist? I do have motivation on aripiprazole whereas i didn t on haloperidol. Background: been 3 years haloperidol before with hopelessness feelings and no motivation and lack of enjoyment. Im diagnoised with schizo-affective disorder although my only symptom was grandiose delusions for about 1.5 months at most, I had no cognitive problems i had studied for SAT and was passed my college english class right before psychosis. Now I see no joy in learning before i did. age 27, been to mental hospital 3 times. two times in 2012 in Australia 2 months apart due to psychosis didnt take any antipsychotic medication afterwards till end 2014 because i wasn t sure of their effects but was taking them 2 months in hospital. my last psychosis (2014) was in mental hospital for 1 week, didn t do anything crazy. If i had schizophrenia i should have felt some kind of symptoms in 2 year period but i was perfectly normal. I think my last psychosis was self-induced, I started believing in gods and belief that we are inside a computer not a bad hypothesis but got out of control.. I never took anything illegal. I was taken to hospital by family because i wasn t eating. I just didn t like their food and they didn t allow me to leave the house!
Tue, 3 Jul 2018
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Psychiatrist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I need a small clarification, whether you are on 300 mg of Aripiprazole or 30 MG of Aripiprazole. 300 mg of Aripiprazole is too much heavy dose that might be even toxic to the body, and even if it is 30 MG it might cause lot of side effects at higher doses. It is better you take low dose of Aripiprazole and add-on with low dose of antidepressant that is SSRI, under supervision of a psychiatrist which gives you motivation to work and be in happy mode. Consulting a psychiatrist, but before that you can go for a walk in the morning daily and exercise for 2 to 3 days per week, this will gives you little relaxation and you will feel enthusiastic and motivated to do work. As you have mentioned that you are not suffering from severe psychosis or schizophrenia so low doses of antipsychotics and low dose of antidepressants are preferable. Also focus on your diet which will makes you feel better, try to take foods rich in Omega 3 fatty acids.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Achampet Vikas
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Suggest Treatment For Lack Of Motivation Despite Taking Aripiprazole

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I need a small clarification, whether you are on 300 mg of Aripiprazole or 30 MG of Aripiprazole. 300 mg of Aripiprazole is too much heavy dose that might be even toxic to the body, and even if it is 30 MG it might cause lot of side effects at higher doses. It is better you take low dose of Aripiprazole and add-on with low dose of antidepressant that is SSRI, under supervision of a psychiatrist which gives you motivation to work and be in happy mode. Consulting a psychiatrist, but before that you can go for a walk in the morning daily and exercise for 2 to 3 days per week, this will gives you little relaxation and you will feel enthusiastic and motivated to do work. As you have mentioned that you are not suffering from severe psychosis or schizophrenia so low doses of antipsychotics and low dose of antidepressants are preferable. Also focus on your diet which will makes you feel better, try to take foods rich in Omega 3 fatty acids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Achampet Vikas