There may be hope for me yet. This morning on the bus ride to work, I felt happy to be sitting over the heating vent on this chilly morning. And I watched Lake Michigan out the window riding down Lake Shore Drive. The waves were churning up and down and foaming, so beautiful. I felt a calm gladness watching the rhythmic water. It was a small happiness I felt, but it was there. Not numb, peaceful.
That’s a rather…rosy outlook. But I agree it’s worth it to look into other treatment options including a different medication regimen. It can’t be worse than enduring long stretches of major depression and what goes along with it.
As to what to do for Anhedonia, I say it’s a shitty little country and they should stop exporting their main product.
In addition to Google Scholar and Quertle searches, a PubMed search using key words was conducted, and relevant articles published in English peer-reviewed journals (1990–2011) were retrieved. Only those papers that directly addressed treatment options for treatment-resistant depression were retained for extensive review.
Sorry, but things haven’t changed much since that paper came out. Here’s a study published last year:
“The annual prevalent population of individuals with medication-treated (major depressive disorder) included 8.95 million adults (Table 1), of whom 2.76 million (30.9%) had (treatment-resistant depression) and 6.19 million (69.1%) had (non-treatment resistant major depressive disorder).”
I’m a bit touchy on this subject, seeing that I was recently censored on a neighborhood Facebook group for raising questions about a depression clinic presentation at a local church. That clinic, which relies heavily on dietary supplements and a very expensive inpatient program, cites wildly successful results for treating depression which supposedly are far better than others can offer. Yeah, right.
Jumping on the “same” bandwagon. If I mention this to my doc, she just wants to immediately put me on SSRIs. I don’t feel good on those, they don’t do much and they make my legs twitch. There doesn’t seem to be any alternative med that MDs are willing to try any longer. So…whatcha gonna do!
Trouble is, the brain won’t always let you. I have this frequent, and sometimes persistent, feeling that whatever I’m doing, I ought to be doing something else that I’ve forgotten about.
Dumb but honest question, just to rule this out: is the status quo negatively affecting your life in any way (apart from existing)? Is it actually harming your job, or relationships, or preventing you from doing things that you actually feel like doing (not things you feel like you ought to do?
If not… I would suggest not worrying about it, at least. Not in the sense of ignoring it… it sounds like there’s underlying depressing that’s causing this. Don’t ignore that, seek treatment if you can. But you should only let this symptom distress you in proportion to the real impact. The world is rough these days. Feeling less might not be so bad, as long as it’s not causing other problems.
Write a film script about your anhedonia. Then retitle it with a name that will get more viewers. There must be such a name. Let me think. What would it be?:
I suspect that is a reason I often read mental health professionals’ records in which they advise their depresses patients to go out and do something/anything. You know sitting home watching TV isn’t providing what you desire, but if you are out and about you might run across something/someone that stirs something in you.
That’s pretty much what I’ve been doing since the age of thirteen. It used to affect my routines when I was a teenager, but now, no. I hold down a job, and do everything necessary. So, more of the same, I guess.