Posted by Christ_empowered on June 12, 2010, at 9:11:21
In reply to Best med for anhedonia, lack of motivation, SCT?, posted by former poster on June 12, 2010, at 4:15:35
Maybe up the Vyvanse? Its weird that your docs would Rx dexedrine, then nix it, then prescribe Vyvanse which is just dexedrine in a new, supposedly abuse-proof and longer-acting form. Shrinks can be ridiculous.
I read on one shrink's blog that its kind of difficult to get the dosage right with Vyvanse, and usually it seems like he and other docs are erring in prescribing too little. It seems like upping the amphetamine would fix things pretty quickly, but who knows.
It seems like your docs are going all out to keep your amphetamine dose low--hence mixing emsam and wellbutrin, both stimulating. I guess if you can't get a switch back to dexedrine or up the vyvanse, then you can up the emsam or maybe the wellbutrin (although I've heard that some people start to feel kind of "dulled out" on wellbutrin, kind of like with the SRIs or TCA reuptake inhibitor-type antidepressants).
Have you considered a new doc? Sometimes, you just need to switch if your shrink is being uncooperative. When shrinks work together in a group practice, sometimes you have more problems than when you get one who's working solo (although if the solo shrink is a jackass, the opposite is true). Also, often shrinks who work on a "self-pay" (old term: "cash only") basis are more helpful. They don't have to deal with insurance and all that, and they seem more willing to get their patients better instead of going on power trips.
Good luck.
poster:Christ_empowered
thread:950779
URL: http://www.dr-bob.org/babble/20100604/msgs/950787.html