The Antipsychotics Leave Me with Little to No Motivation
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]


Q:  The Antipsychotics Leave Me with Little to No Motivation

I am in a catch 22. I take the antipsychotics, and they make me so  unmotivated I can t even take a shower, cook, or clean my house. I heard this is due to dopamine blockage --a motivator chemical).I have bipolar, and without them I am always depressed, and occasionally get mania & psychosis. I tried the antidepressant-mood stabilizer combo for a number of years, and did not find anything that worked. I am going to visit my bf in Oregon soon, and I am sure I will be embarrassed because I have a hard time even taking a shower. I cant stand this.  One doctor added Wellbutrin as some people get more energy with it, but it's not working. I'm so tempted to quit them, but I know I will land right back in the hospital.
Also, please don't tell me its depression causing this extreme laziness. I was way more motivated when I was depressed. These antipsychotics do the trick in relieving my bipolar symptoms, but I cant get a thing done. ps: I also tried all the other atypicals, Zyprexa, Respiradal, Seroquil, and they all totally unmotivate me.



It does sound as though you are in a bind.  You listed Zyprexa, Risperdal, and Seroquel, but I am wondering if you have tried either Abilify or Geodon.  They may have a less negative effect on your energy levels.  Another possibility is trying a mood stabilizer with a smaller dose of your current antipsychotic to see if that will improve your motivation issues.  Have you been on a stimulant such as Adderall or Provigil?  Sometimes that will help with drive/motivation.  Also the older antipsychotics such as Haldol, Prolixin, or Trilafon could be useful but they do have higher risks of muscular side effects.  And lastly a round of ECT may be a worthwhile consideration.    

Dr Plyler

Published in May, 1011


Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan

Email Us at Bipolar World


About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?