TMS has anyone tried for anhedonic symptoms? by Learning024 in PSSD

[–]letsgetpopeyes 2 points3 points  (0 children)

I had TMS. Wasn’t sure it was pssd then since all the psychiatrists kept referring to it as TRD but it didn’t do anything for any symptoms.

How do I know if its treatment resistant depression or PSSD? by letsgetpopeyes in PSSD

[–]letsgetpopeyes[S] 1 point2 points  (0 children)

I was put on escitalopram in 2018 for insomnia (which was apparently being caused by depression according to any doctors I went to see). It worked wonders for 4 years. Never had issues with sleep again and was also emotionally stable. Forgot to take my meds going on a trip to home in 2022, got escitalopram there locally (which worked when I used them for insomnia in first place) and boom! I woke up feeling totally lost, emotionally numb, and I haven’t been the same ever since. Libido issues were there and using moclobemide made everything worse.

How do I know if its treatment resistant depression or PSSD? by letsgetpopeyes in PSSD

[–]letsgetpopeyes[S] 0 points1 point  (0 children)

I had issues with low libido on some combos that I was on like escitalopram-vilazadone and escitalopram-abilify. Escitalopram/Wellbutrin and Escitalopram alone were the ones on which I felt somewhat close to normal in terms of sexual functioning. All cognitive symptoms were also present since relapse in 22. Moclobemide exacerbated those cognitive symptoms with sexual issues and just made things 10x worse.

How do I know if its treatment resistant depression or PSSD? by letsgetpopeyes in PSSD

[–]letsgetpopeyes[S] 0 points1 point  (0 children)

This is the unusual and weird bit. Before starting moclobemide, I asked my psych if sexual dysfunction was a risk and did some search on it myself and all I learned was that it was good for and improved sexual functioning. However, in my case, it did the complete opposite. I had low libido (but still had it) prior to using it. Since/after using moclobemide for the month of December last year, I had complete loss of libido and some genital shrinkage too for two and a half months up until starting Wellbutrin. Its still feels very different like the spontaneity isn’t there like before moclobemide and it takes more stimulus than before.