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Dr. Bob is Robert Hsiung, MD,
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Posted by floatingbridge on April 11, 2010, at 14:00:13
In reply to Re: Any med that made you gain interest in people? » Economist, posted by SLS on April 10, 2010, at 17:22:34
Hi Economist,
I find Scott's comments (and the entire thread) helpful on parsing out this symptom. Does sound like your lack of interest is depression based. Nardil has been the gold standard.
For my SA, (and depression), stimulant therapy works, though I suspect an maoi could too. Best to you.
> > Interesting. Did Nardil poop out on your after a while?
>
> Yes.
>
> > What was your loss of interest in people like?
>
> It sounds like your loss of interest in people runs parallel with your loss of interest in things in general. This is often a prominent feature of depression. You might be more focused on your lack of interest in people because you had previously found meaning in your relationships with them. It is not necessary to have social anxiety in order to let relationships lapse.
>
> > Were you so depressed that you couldn't hang out with people, or did you simply lose interest in them?
>
> Both. Probably more of the former.
>
>
> - Scott
Posted by manic666 on April 11, 2010, at 14:52:16
In reply to Re: Any med that made you gain interest in people? » manic666, posted by bulldog2 on April 11, 2010, at 12:03:41
you are right lots of people just prefer there own company//thats cool if you have no interest only in your own world ,nothing wrong with that///a lot of thing,s happen to you in depression,you loose confedence an sparkle ///some times it never return,s///withme i never go on holiday, fly anywhere ,avoid long trips//the anxierty i suffered in the years in the build up to events like holidays an stuff has never left me , so i never trigger them//the not meeting people at set organised events, is a throw of from anxierty..so i run my life round what i want to do, i have a good social life this way//take today i went to the horse raceing with all my family //it was me who suggested it yesterday , notice quick planning not long time arangement..i took benzo with me but didnt need them/// most of my biggest set backs is when i have been away from home, like working away holidays , i never want to visit away from home//my sister lives 180 miles away an although i see her from time to time ,i have never been to her house///the fear of makeing a mental fool of one self is to strong to break///so i am saying ,i dont really do anything i dont want to do// i think this thread where the poster says he has to put on a face for friends even though they dont want to //i just carnt see it ???????you do what you do like, not what you dont like.// no one is offended at the way i tackle life , they no it helps me cope,,sometimes i faulter but hey thats the way it pan,s out
Posted by mike0388 on April 11, 2010, at 15:27:20
In reply to Re: Any med that made you gain interest in people?, posted by manic666 on April 11, 2010, at 11:34:02
This post is 100% correct.
Posted by Economist on April 11, 2010, at 15:54:45
In reply to Re: Any med that made you gain interest in people?, posted by manic666 on April 11, 2010, at 11:34:02
I do have a lot of friends from before my anhedonia set in, when my life revolved around parties and socializing. They still continue invite me out every weekend because the "party girl" is the person they remember me to be. For 24 years I never grew up disinterested in people. So if I suddenly stop going out to parties they will notice something is different about me and I'd rather they not be aware of it.
Posted by floatingbridge on April 11, 2010, at 16:37:40
In reply to Re: Any med that made you gain interest in people? » manic666, posted by Economist on April 11, 2010, at 15:54:45
Irrelevant or not, I'm impressed you can pass so well. Your friends don't even suspect?
I imagine that might complicate things--not having people notice, or if this is the case, wanting to hide the depression....
Posted by Economist on April 11, 2010, at 17:15:00
In reply to Re: Any med that made you gain interest in people? » Economist, posted by floatingbridge on April 11, 2010, at 16:37:40
"Irrelevant or not, I'm impressed you can pass so well. Your friends don't even suspect?"
I'm surprised, too. At the most, my friends either think I'm bored, tired, slightly quiet, or thinking of some deep problem, all things that normal people do occasionally. My smiles look sincere because I know what a sincere smile ought to look like, with a slight closing of the eyes accompanied by a rise in voice pitch when saying "it's so good to see you". This tactic has allowed me to blend in and even ATTRACT new people towards me.
But I'm not convinced my problem with disinterest is depression. I'm pretty sure it's related to the negative symptoms of schizophrenia.
Posted by mike0388 on April 11, 2010, at 19:46:56
In reply to Re: Any med that made you gain interest in people? » manic666, posted by Economist on April 11, 2010, at 15:54:45
> I do have a lot of friends from before my anhedonia set in, when my life revolved around parties and socializing. They still continue invite me out every weekend because the "party girl" is the person they remember me to be. For 24 years I never grew up disinterested in people. So if I suddenly stop going out to parties they will notice something is different about me and I'd rather they not be aware of it.
I smell a lie.
=x
Posted by conundrum on April 11, 2010, at 20:16:52
In reply to Re: Any med that made you gain interest in people?, posted by mbluett on April 11, 2010, at 12:07:21
Sounds interesting but I don't think anything posted on biopsychiatry.com is objective.
Posted by conundrum on April 11, 2010, at 20:20:44
In reply to Re: Any med that made you gain interest in people? » manic666, posted by Economist on April 11, 2010, at 15:54:45
Suffering from anhedonia is nothing to be ashamed of.
Maybe its easier to not go out cuz I'm a guy. Men aren't held to social obligations like girls are. I can pretty much not see friends for months and then start talking to them again like nothing happened. Girls would probably start to think you disliked them or were disloyal or some other nonsense.
Posted by conundrum on April 11, 2010, at 20:21:43
In reply to Re: Any med that made you gain interest in people? » floatingbridge, posted by Economist on April 11, 2010, at 17:15:00
Wait are you schizophrenic?
Posted by floatingbridge on April 11, 2010, at 21:35:31
In reply to Re: Any med that made you gain interest in people? » Economist, posted by mike0388 on April 11, 2010, at 19:46:56
I'm lost here, Mike.
>
> I smell a lie.
> =x
>
>
Posted by kaylabear on April 11, 2010, at 21:44:47
In reply to Any med that made you gain interest in people?, posted by Economist on April 10, 2010, at 15:02:48
There are differences in axix II and axis I depressions. A narcissistic decompensation is usually indicated by boredom, feelings of futility, and lack of interest as opposed to feelings of worthlessness and guilt that often go along with a more neurotic depression.
Basically if a person doesn't feel "sadness" with depression, it might be beneficial to look into axis II conditions. Medications wouldn't be as helpful if that is the case. Psychoanalytic or psychodynamic therapy would be your best bet. In contrast, today's psychiatrists normally don't screen for this and seem content with years of medication trials for people who do not benefit.
It sucks either way, but sometimes the search for medication after medication is a distraction or an aspect of psychological denial/lack of insight which keeps people from getting more appropriate treatment...And I think everyone deserves effective treatments...to feel serenity, to have a more fullfilling life.
Posted by conundrum on April 11, 2010, at 21:45:35
In reply to Re: Any med that made you gain interest in people? » mike0388, posted by floatingbridge on April 11, 2010, at 21:35:31
Its funny cuz I would say I have anhedonia but i still like to party sometimes. However I couldn't do it every weekend and there is nothing wrong with that. Most people wouldn't like that. Especially as you get older.
As far as caring about peoples lives i think thats an odd thing to be talking about at a party. Don't you usually joke and talk about light hearted stuff? Last thing I want to talk about is work or something like that.
Posted by kaylabear on April 11, 2010, at 21:54:10
In reply to Any med that made you gain interest in people?, posted by Economist on April 10, 2010, at 15:02:48
Forgot to answer your question directly - Effexor would be my #1 choice (guess) for the symptoms you described.
Posted by Economist on April 11, 2010, at 22:28:10
In reply to Re: Any med that made you gain interest in people? » Economist, posted by conundrum on April 11, 2010, at 20:20:44
For the past two years I have been accepting every invitation to go out, partly in an attempt to show that my anhedonia is not a result of not "having a life". I can be active with different social plans every weekend, and yet none of this will stir a pleasant emotional response in me. When I'm out and people ask if I'm having fun, the pressure is obviously to say "yes" because a long explanation about not being able to have fun due to anhedonia is just extremely repetitive and burdensome for the whole group to hear. But actually, I've decided that beginning next week I will refuse invitations to go out because it is less stressful for me not to show up than to show up and have to act the entire day. I'm going to be my natural anhedonic self from now on, away from the view of others so they won't have to frustrate themselves with trying to "cheer me up". My friends and family need to understand and accept that anhedonia is simply a part of my life now, and there's nothing that can be done about it.
Regarding schizophrenia -- I have annual periods where I start hallucinating and having delusions of grandeur and persecution, followed by a visit to the hospital whenever someone notices my behavior is off. The first time this ever happened, I was diagnosed schizophrenia. However subsequent doctors have told me I am too high-functioning to be schizophrenic -- my memory is extremely sharp, I groom myself well, and I don't have the speech or thought disturbances normally associated with schizophrenia. Still, I personally agree with the first diagnosis. I may not have the cognitive problems but I sure as hell have the negative symptoms -- anhedonia being the worst of them.
Posted by Economist on April 11, 2010, at 22:37:58
In reply to Re: Any med that made you gain interest in people?, posted by conundrum on April 11, 2010, at 21:45:35
"As far as caring about peoples lives i think thats an odd thing to be talking about at a party. Don't you usually joke and talk about light hearted stuff?"
Usually the first thing you do ask ask what they've been up to since you last saw them. Then you proceed with the joking and light-hearted stuff. I have no instinct to do either one.
There has never been a moment since 2008 (after my first psychotic episode happened) where I wanted to go out to meet my friends.
Posted by Economist on April 11, 2010, at 22:56:35
In reply to Re: Any med that made you gain interest in people?, posted by kaylabear on April 11, 2010, at 21:44:47
For the record, at the request of my mother, I do see a talk-therapist now. Very pointless though, as I have no thoughts in mind and find nothing interesting to talk about. There is nothing for the therapist to work on because my feelings simply don't exist. I have no desire, no guilt, no anger, no sadness. I am simply waiting for the therapist to run out of questions. Not that I would have anything more interesting to do if I weren't sitting in her office answering questions. So it doesn't matter to me either way if we spend the entire hour just sitting in silence. I am just using up my insurance benefits so she can have business.
Posted by mike0388 on April 11, 2010, at 23:02:41
In reply to Re: Any med that made you gain interest in people? » kaylabear, posted by Economist on April 11, 2010, at 22:56:35
I think your trying to tell your doctor you have no problems, just lack of interest, but only you know your problems.
Posted by floatingbridge on April 12, 2010, at 0:21:16
In reply to Re: Any med that made you gain interest in people?, posted by mike0388 on April 11, 2010, at 23:02:41
Would declining invites create isolation which might, in the long run, not serve you very well? That it is stressful indicates some feeling register. Not that I have an answer...
Maybe a different therapist-- one to intellectually engage you?Best to you.
Posted by kaylabear on April 12, 2010, at 0:56:55
In reply to Re: Any med that made you gain interest in people? » kaylabear, posted by Economist on April 11, 2010, at 22:56:35
Economist,
What is the orientation of your therapist, if you don't mind if I ask?
It sounds like you have a lot of pain trapped deep inside. I am sorry you are having such a difficult time getting well. :(
Posted by Economist on April 12, 2010, at 1:28:27
In reply to Re: Any med that made you gain interest in people?, posted by mike0388 on April 11, 2010, at 23:02:41
"I think your trying to tell your doctor you have no problems, just lack of interest, but only you know your problems."
My only problem actually is my lack of interest. But what kind of talk-therapy fixes that? If I have no interest in life I have no interest in life. No amount of talking will make me interested in it again.
Posted by Economist on April 12, 2010, at 1:52:27
In reply to Re: Any med that made you gain interest in people?, posted by floatingbridge on April 12, 2010, at 0:21:16
> Would declining invites create isolation which might, in the long run, not serve you very well? That it is stressful indicates some feeling register. Not that I have an answer...
>
>
> Maybe a different therapist-- one to intellectually engage you?
>
> Best to you.Hi, thanks, floatingbridge. You're right, stress is an indication of feeling, I suppose. I am stressed because I am not feeling any interest in my friends and family, and there is some desire to hide this from them so they won't take it the wrong way or take it too harshly on themselves. I am also stressed because my lack of interest (boredom) does not go away no matter what I do.
If I sat at home by myself I would be stressed anyway because of the persistent boredom, but going out to meet friends would be an extra stress in addition to the baseline stress, because then I'd have to put effort into masking the persistent boredom, which requires energy and deliberate planning. So in the end, staying at home exerts slightly less energy and less stress.
Kind of an annoying condition, really.
Nothing is intellectually engaging either, unfortunately.
Posted by Economist on April 12, 2010, at 1:58:47
In reply to Re: Any med that made you gain interest in people? » Economist, posted by kaylabear on April 12, 2010, at 0:56:55
> Economist,
>
> What is the orientation of your therapist, if you don't mind if I ask?
>
> It sounds like you have a lot of pain trapped deep inside. I am sorry you are having such a difficult time getting well. :(
I'm not sure I understand what you mean by orientation.But yeah, persistent boredom and anhedonia is actually quite painful. "Painfully bored", "bored to death", and "so bored I could scratch my eyes out" are phrases for a reason. :/ Now imagine having that feeling for 16 hours a day, every day...for two years...that never goes away...no matter WHAT you do...
Anhedonia at its worst.
Posted by Economist on April 12, 2010, at 2:23:55
In reply to Re: Any med that made you gain interest in people? » Economist, posted by evenintherain on April 11, 2010, at 13:17:55
"i also try to go out and see people once a week or so, because in the past it helped with depression. But it hasn't helped at all for the past 6 months or so, it just makes me more aware that there is something wrong. I still like my friends and want to show support for them, but I find the time spent with them is very unsatisfying (and sometimes unbearable) and makes me sad. Maybe it is some extreme form of anhedonia and maybe it is actually Causing social phobia?"
Yes, I know exactly what you mean by time spent with friends being unbearable and unsatisfying. I believe this is extreme anhedonia. For me, my decision to decline invites from now on is not due to phobia, as I am not fearful of people. In fact, if they didn't mind me just sitting at their parties and not dancing, not laughing, not looking at people, and not responding to questions, I would continue to go. But as you can imagine, a well-dressed girl sitting like this at a party will just be an incredible distraction to everyone. People will either come over and ask what's wrong/if someone just died, or they will think I am being an a-hole/weirdo/begging for attention. Either situation will cause stress upon the party. So my avoidance of people now is not due to fear but rather of concern for their well-being.
Posted by manic666 on April 12, 2010, at 3:45:53
In reply to Re: Any med that made you gain interest in people? » evenintherain, posted by Economist on April 12, 2010, at 2:23:55
where the hell do you live beverlly hills //a party every weekend wow.//in the situation you say your in an dont like //if me i would be hammered 10 minutes after walking through the door just to get by.//your not telling me your friends see you as a bubbly party goer// the condistion you are discribeing would make you the talk of the party an stand out like a beacon,, or you deserve an oscar for you acting
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