Posted by Mitch on August 3, 2001, at 1:49:01
In reply to Re: Amotivational on Zoloft-Mitch and Kingfish, posted by AMenz on August 3, 2001, at 0:25:16
> Yes my husband is on Zoloft monotherapy. However, his moods are stable just on the AD. No doctor has ever wanted to prescribe a stabilizer. I think therefore for now the Neurontin is out of the question.
How is his sleeping patterns? Is he routinely getting consistent, adequate sleep every nite?
I guess my question is: what were his "moods" like BEFORE he started taking Zoloft and what has changed since for better or worse?
> How about Adrafanil-( we ordered it but are having trouble receiving it) Could that help him together with the Zoloft (or Prozac if we can get that changed. I thought this arousal issue would get resolved by Adrafanil.
> Also is it possible to have antisocial personality disorder comorbid with ADD. He has a lot of the traits (not criminal behavior though).I wouldn't even consider something such as Adrafanil at this point. You still are just trying to figure out just what the heck is going on! I think that ADD is most likely to be a differential diagnosis for someone that had been previously labeled as an "antisocial personality" rather than a "comorbid diagnosis". I guess it is possible, but ADD is more of a "treatable" entity than any personality disorder per se. A stimulant is the best treatment for ADD generally, but if he is responding positively to an SSRi antidepressant such as Zoloft-that complicates the diagnosis. For example-you mentioned all of the antisocial stuff-was he angry and temperamental before he started taking the Zoloft and now he is less temperamental, but can't focus?????
> He is perpetually in trouble about finances from he says inability to plan and to maintain focus in his activities. This is such a long standing pattern that all I'm hoping is to convince him to take a job and leave his business which is below his level of ability at which he can function without trying.Ok, so Zoloft didn't *cause* his attentiveness problem, then? (a "long-standing pattern").
>
> Thank you all for your response. I'm very discouraged by this problem which is affecting my ability to achieve mood stability.It sounds to me that he might have been quite temperamental and callous in the past and the Zoloft helped a lot with that. You may be interpreting (rightly so) his temper as being pathologically anti-social. So, now he is much less grouchy, but his attentiveness is still shot like it always has been?? You have solved one big problem, but still have this trouble..
I dunno.. I still have this hunch if you tried a *little* Neurontin it might help the ADD (say 100mg 3x daily). Forget the idea of it being a "mood stabilizer", or whether any pdoc thinks he ought to be taking one. Neurontin has been used for ADHD children, adults with some success. Yes, I still think you ought to try that route first.
Mitch
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URL: http://www.dr-bob.org/babble/20010731/msgs/73265.html