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Doctor insights on: Severe Apathy

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What to do if I have severe apathy - how to treat it?

What to do if I have severe apathy - how to treat it?

Depends on the: cause. Do you have a hormonal imbalance, a depressive disorder, medical condition, a vitamin or mineral deficiency etc? This needs to be medically evaluated to get to the bottom of things. Once the cause (s) is better understood - a treatment plan can be developed. ...Read more

Apathy (Definition)

Apathy is a symptom in which a person lacks any desire to do things. Such a person may have little or no desire to get out of bed, clean the house, visit other people, go to work, ...Read more


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Depression manifesting as severe apathy, duloxitine 60mg any life hack to get me doing stuff?

Depression manifesting as severe apathy, duloxitine 60mg any life hack to get me doing stuff?

Clarify plz: How long have you been on duloxetine 60mg and prozac (fluoxetine)?You utneed to give these meds about 3-4 weeks to take effect. Usually we like you on them at least 6months. Is apathy manifesting as lack of motivation and inability to get the up n go to do activities previously fun? This can be extremely painful. So if you have given meds a good try, you should talk with dr for a change. U will feel better soo. ...Read more

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Would wellbutrin and Vyvanse be a good combo for narcolepsy and severe apathy w depression? Pristiq (desvenlafaxine) worked but no longer

Would wellbutrin and Vyvanse be a good combo for narcolepsy and severe apathy w depression?  Pristiq (desvenlafaxine) worked but no longer

Perhaps: Have you considered modafanil or xyrem [sodium oxybate]? Stimulants like vyvanse work, and perhaps stimulating drugs like wellbutrin (bupropion) . These drugs are widely considered treatment of choice for narcolepsy. A neurology consult is in order. ...Read more

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What is the treatment for severe fatigue and anhedonia/apathy?

What is the treatment for severe fatigue and anhedonia/apathy?

See a doctor: You should see your doctor to rule out any physical causes and then see either a psychiatrist or psychologist for diagnosis and further recommendations regarding treatment. Best wishes.Sounds like classic depression. ...Read more

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Severe narcolepsy (no cataplexy) and recent findings of pmdd not mdd. Stims help but lose effectiveness. Pristiq (desvenlafaxine) dn work. Super fit but bad apathy?

Severe narcolepsy (no cataplexy) and recent findings of pmdd not mdd. Stims help but lose effectiveness. Pristiq (desvenlafaxine) dn work. Super fit but bad apathy?

Unusual?? Hmm!: Unusual for the meds used in narcolepsy to develop tolerance or tachyphylaxis, and much of what you describe involves psychiatric symptomatology. Believe you should first see a psychiatrist, and also, get an overnight sleep study. I am not convinced that your diagnosis is complete. ...Read more

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High serum B12 (960/200-900). High WBC 8 yrs but last lab ok. Severe fatigue 3yrs., pituitary tumor 5 mm 30 yrs. 57yr old female mdd, panic, apathy?

High serum B12 (960/200-900). High WBC 8 yrs but last lab ok. Severe fatigue 3yrs., pituitary tumor 5 mm 30 yrs. 57yr old female mdd, panic, apathy?

High B12 level: Is of no consequence. If WBC is normal not much there. Sounds like there is a lot going on here. Best strategy is to follow with your treating docs who can try to put the pieces together. From a heme standpoint no reason for anxiety. ...Read more

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Lung cancer metasised to the liver stage 4 suffering from stomach pains fever lethargy severe constipation given prognosis less than a year 3 months ago what am I also to expect before the end is near?

Can vary: If the tumor in the liver is progressing, that can cause severe pain but can also eventually cause liver failure and increasingly more lethargy and eventually coma which can be a "god-send" if there is no hope of improving your situation. In a coma, you will likely feel little pain or feel much of anything at all. If liver pain is a large problem, several high doses of radiation therapy may help. ...Read more

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Cause of severe headache, ear ache, sore throat, chest pain and tightness, loss of appetite, lethargy and vomiting?

Cause of severe headache, ear ache, sore throat, chest pain and tightness, loss of appetite, lethargy and vomiting?

Multi symptoms : You have too many symptoms, you should see your doctor right away or go to ER, you can't ignore chest pain & tightness . Please take care of yourself. Feel better. ...Read more

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Where does my apathy come from?

Tough to answer: This sounds like a question where we'd really need to get to know you in a sit down type scenario. What's going on? ...Read more

Dr. Michael Rothman
1,268 doctors shared insights

Lethargy (Definition)

Lack of energy, ...Read more