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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by francesco on March 30, 2004, at 5:54:36
I'd likely to have to go on a mood stabilizer. I'm not sure about it yet. My sex life seems already offended by Zoloft, I'm on the sixth day and I seem to have no sexual drive anymore. I was wondering if also mood stabilizers have sexual side-effects. I know it's an official side-effect but I was wondering if lessening of desire can be an issue as it seems logical to me. Thanks
Posted by fragile on March 30, 2004, at 15:03:08
In reply to any sexual side effects from mood stabilizer ?, posted by francesco on March 30, 2004, at 5:54:36
I've been on Effexor for several months,and I have noticed that after a week or so on it, I went from having too much sexual energy, to having none whatsoever. Which was very difficult for my husband and I. It's slowly starting to trickle back, but... I'm still not where I used to be. I went from every night to once a week.
Posted by rod on March 31, 2004, at 15:56:30
In reply to any sexual side effects from mood stabilizer ?, posted by francesco on March 30, 2004, at 5:54:36
Dear Francesco,
Some things I also wnated to say to you. Your first diagnosis was OCD (right?). And you said you could meet the criteria for overfocused ADD, rigth? I think this definition sounds like OCD accompanied cognitive and attention abnoramlities.
Some mabye interesting thinks, and to further confuse you ;)----
Brain event-related potential correlates of overfocused attention in obsessive-compulsive disorder.Towey JP, Tenke CE, Bruder GE, Leite P, Friedman D, Liebowitz M, Hollander E.
Department of Biopsychology, New York State Psychiatric Institute, NY 10032.
A hypothesis of overfocused attention in obsessive-compulsive disorder was investigated by measuring auditory event-related potentials (ERPs) during a selective attention task. Unmedicated patients (n = 18) with this disorder showed significantly larger attention-related processing negativity (PN), with earlier onset and longer duration, than did normal controls (n = 15). In the N200 region (160-250 ms), PN was larger in patients with fewer nonspecific neurological soft signs. This task, however, did not yield any group differences in mismatch negativity (N2a) or classical N200 (N2b). P300 amplitudes for attended targets were smaller for patient than normal groups, but the reverse was true for P300 and positive slow wave amplitudes for unattended nontargets. Collectively, these ERP abnormalities suggest a misallocation of cognitive resources. Because of the importance of the frontal lobe in the control of selective attention, PN enhancement in patients with obsessive-compulsive disorder may reflect hyperactivation of this region. This conceptualization is consistent with recent functional neuroimaging findings.
PMID: 7846214 [PubMed - indexed for MEDLINE]
--------
Cognitive dysfunction in obsessive-compulsive disorder.Okasha A, Rafaat M, Mahallawy N, El Nahas G, El Dawla AS, Sayed M, El Kholi S.
Institute of Psychiatry, Ain Shams University, Egypt.
OBJECTIVE: Assessment of cognitive functions among obsessive-compulsive disorder (OCD) patients would help in understanding the neurobiology and brain areas involved in that disorder. The objective of this work was to study the cognitive dysfunction in OCD patients and to identify its correlation with both the clinical picture and the severity of the disorder. METHOD: Neuropsychological and electrophysiological event-related potentials were tested in 30 OCD patients and compared with 30 normal volunteers of a matched gender, age and education. RESULTS: Results showed a defective visuospatial recognition, which worsens with chronicity, deteriorated set-shifting abilities, overfocused attention to irrelevant stimuli and delayed selective attention to relevant tasks. Mild cases showed better selective attention than severe cases. Obsessive cases had a defective visual memory, while compulsive cases had delayed perception of task relevant stimuli. Mixed cases showed disturbed information-processing both early and late. CONCLUSION: OCD patients have a characteristic pattern of cognitive dysfunction that differs among patients of varied severity, chronicity and symptom type. We suggest a striatofrontoparietal neural pathophysiology. OCD seems to be a heterogeneous disorder, both clinically and pathophysiologically.
PMID: 10782547 [PubMed - indexed for MEDLINE]
--------maybe you overthink your AD(H)D vs. OCD diagnosis. I alctually dont know, becasue I am no doc and don't know you very well. But it might be of some help. These things came into my mind recently, and I just want to write them down... sorry to confuse you again =;)
Roland
Posted by francesco on March 31, 2004, at 16:50:02
In reply to Re: off topic... OCD » francesco, posted by rod on March 31, 2004, at 15:56:30
> Dear Francesco,
>
> Some things I also wnated to say to you. Your first diagnosis was OCD (right?).Your memory is far better than mine ! Which is not a surprise anyway ;-)
The article was interesting. If my understanding is correct it says that OCD involves to some extent ADHD. And also the opposite seems to be true (DOC as way to manages ADHD syntoms). My first diagnosis was probably wrong because obsessions and compulsions are very easy to recognize and, ok, I just don't have them. But the picture is clouded by the fact that in my country adult-adhd doesn't exist so nobody could have diagnosed me ADHD ! And my first doc didn't properly diagnosed me OCD, he said that I could have OCD-traits. But the first time he saw me I was on Anafranil, and serotoninergic meds tend to make me a little OCD, like thiking about the same things instead of thousand of things at once like when I'm not on meds. And I tend to become very 'pedant' and precise on the long term (like OCD-personality), as I am here and now, in my reply to your post !!! I'm on Zoloft at the moment : )
In this period I'm more focused in discovering if I have some bipolar issues anyway ;-)Sorry for the weird reply, I took a benzo, and see what happens ! : ) Thanks again !
Francesco
Posted by greywolf on March 31, 2004, at 18:39:54
In reply to Re: any sexual side effects from mood stabilizer ?, posted by fragile on March 30, 2004, at 15:03:08
Francesco:
Effexor did the same thing to me. Absolutely zero sex drive. I switched to Wellbutrin and that problem went away entirely. One problem, however, with the Wellbutrin is that it seemed to exacerbate my OCD, so we added Xanax. We'll see how that works.
> I've been on Effexor for several months,and I have noticed that after a week or so on it, I went from having too much sexual energy, to having none whatsoever. Which was very difficult for my husband and I. It's slowly starting to trickle back, but... I'm still not where I used to be. I went from every night to once a week.
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