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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by ck on August 9, 2001, at 19:08:36
nobody was responding to my thread. i realise there have been many discussions about this before, but i couldn't find anything that really helped me...this is very important to me.. i realize none of you are doctors but i trust you almost more than doctors.
am going to go on antidepressants for the first time. this was really something i was trying to avoid. i just wanted to know if you guys think my dysthymia should be treated with wellbutrin. i have been depressed all my life but it has gotten much more severe this last year. i have no hopes for the future. i am not suicidal but i don't want to live. it's not so much pain as boredom and a disbelief that i could ever have fun again. i also find it hard to focus on doing anything because i am always upset about something. it's very hard for me to work towards goals--i'm always so upset emotionally that i try to
take care of that. i am also supercritical of people a lot of times (altho i do not know if this needs to go away). i get bored a lot. so what do you think? will wellbutrin help?
Posted by adamie on August 9, 2001, at 19:29:40
In reply to please this is important, posted by ck on August 9, 2001, at 19:08:36
> nobody was responding to my thread. i realise there have been many discussions about this before, but i couldn't find anything that really helped me...this is very important to me.. i realize none of you are doctors but i trust you almost more than doctors.
>
> am going to go on antidepressants for the first time. this was really something i was trying to avoid. i just wanted to know if you guys think my dysthymia should be treated with wellbutrin. i have been depressed all my life but it has gotten much more severe this last year. i have no hopes for the future. i am not suicidal but i don't want to live. it's not so much pain as boredom and a disbelief that i could ever have fun again. i also find it hard to focus on doing anything because i am always upset about something. it's very hard for me to work towards goals--i'm always so upset emotionally that i try to
> take care of that. i am also supercritical of people a lot of times (altho i do not know if this needs to go away). i get bored a lot. so what do you think? will wellbutrin help?any med is worth a try. regarding wellbutrin it is an activating/stimulating type of medication. some medications are activating and some are sedating. From the research I have done generally Wellbutrin is supossed to be one of the better meds suited for poor concentration. I dont know if that is one of your symptoms. But just like all meds it can work for a wide range of symptoms. you should ask your doctor about treatment options and be sure to mention your specific symptoms.
Posted by Elizabeth on August 9, 2001, at 22:25:31
In reply to please this is important, posted by ck on August 9, 2001, at 19:08:36
I don't know about Wellbutrin, but I think it's worth a try. It's a stimulant-like antidepressant.
Remeron seems like it might be a good option as well; it's worked for several people I know who have the sort of dysthymia you describe (anhedonia, boredom, sarcasm, cynicism, pessimism, etc.).
I'm not so sure about SSRIs (Prozac, Paxil, Zoloft, Luvox, Celexa). Personally, I think that Remeron and Wellbutrin would probably be better choices, but if those don't work, an SSRI might be a good thing to try next. (These medications can be used in combinations, too.)
Remeron should be started at 30 mg; lower doses tend to be too sedating. Some people experience weight gain on Remeron, and using it in combination with Wellbutrin might counteract that side effect as well as augmenting the Remeron and providing a bit of extra energy. Wellbutrin SR (sustained-release) is probably more tolerable than Wellbutrin (immediate-release).
Don't give up if the first thing you try doesn't work. There are many options, and not much information on which to base a choice of antidepressant, so it can take several trials before you get it right.
-elizabeth
Posted by angel1 on August 9, 2001, at 22:37:19
In reply to Re: please this is important » ck, posted by adamie on August 9, 2001, at 19:29:40
> > nobody was responding to my thread. i realise there have been many discussions about this before, but i couldn't find anything that really helped me...this is very important to me.. i realize none of you are doctors but i trust you almost more than doctors.
> >
> > am going to go on antidepressants for the first time. this was really something i was trying to avoid. i just wanted to know if you guys think my dysthymia should be treated with wellbutrin. i have been depressed all my life but it has gotten much more severe this last year. i have no hopes for the future. i am not suicidal but i don't want to live. it's not so much pain as boredom and a disbelief that i could ever have fun again. i also find it hard to focus on doing anything because i am always upset about something. it's very hard for me to work towards goals--i'm always so upset emotionally that i try to
> > take care of that. i am also supercritical of people a lot of times (altho i do not know if this needs to go away). i get bored a lot. so what do you think? will wellbutrin help?
>
> any med is worth a try. regarding wellbutrin it is an activating/stimulating type of medication. some medications are activating and some are sedating. From the research I have done generally Wellbutrin is supossed to be one of the better meds suited for poor concentration. I dont know if that is one of your symptoms. But just like all meds it can work for a wide range of symptoms. you should ask your doctor about treatment options and be sure to mention your specific symptoms.
HI adamie,I'm sorry you are not feeling well, but i would
highly recommend a combo of psychotherapy and medication for your dysthymia. Dysthymia sometimes is a lot harder to treat than a major
depressive episonde because most people have had it there entire lives not really knowing what it was until it turns into a major depressive episode.
Being hyper-critical is just one of many signs of
dysthymia. It is a chronic, devastating disease that needs aggressive treatment. Hopefully, you
will have luck with Wellbutrin. Find something
that works and stick with it. Keep us posted.
God Bless.
Posted by adamie on August 9, 2001, at 22:55:09
In reply to Re: please this is important, posted by angel1 on August 9, 2001, at 22:37:19
> > > nobody was responding to my thread. i realise there have been many discussions about this before, but i couldn't find anything that really helped me...this is very important to me.. i realize none of you are doctors but i trust you almost more than doctors.
> > >
> > > am going to go on antidepressants for the first time. this was really something i was trying to avoid. i just wanted to know if you guys think my dysthymia should be treated with wellbutrin. i have been depressed all my life but it has gotten much more severe this last year. i have no hopes for the future. i am not suicidal but i don't want to live. it's not so much pain as boredom and a disbelief that i could ever have fun again. i also find it hard to focus on doing anything because i am always upset about something. it's very hard for me to work towards goals--i'm always so upset emotionally that i try to
> > > take care of that. i am also supercritical of people a lot of times (altho i do not know if this needs to go away). i get bored a lot. so what do you think? will wellbutrin help?
> >
> > any med is worth a try. regarding wellbutrin it is an activating/stimulating type of medication. some medications are activating and some are sedating. From the research I have done generally Wellbutrin is supossed to be one of the better meds suited for poor concentration. I dont know if that is one of your symptoms. But just like all meds it can work for a wide range of symptoms. you should ask your doctor about treatment options and be sure to mention your specific symptoms.
>
>
> HI adamie,
>
> I'm sorry you are not feeling well, but i would
> highly recommend a combo of psychotherapy and medication for your dysthymia. Dysthymia sometimes is a lot harder to treat than a major
> depressive episonde because most people have had it there entire lives not really knowing what it was until it turns into a major depressive episode.
> Being hyper-critical is just one of many signs of
> dysthymia. It is a chronic, devastating disease that needs aggressive treatment. Hopefully, you
> will have luck with Wellbutrin. Find something
> that works and stick with it. Keep us posted.
> God Bless.hi. i'm just letting you know that ck is the one with the dysthymia. so you dont get our names mixed up. take care
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