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Dr. David
Dr. David, Board Certified MD
Category: Mental Health
Satisfied Customers: 48793
Experience:  Board Certified Physician
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I'm a thirty year old man, who has been disgruntled with my

Customer Question

I'm a thirty year old man, who has been disgruntled with my lack of ability when it comes to anything of serious academic rigor. It has quashed by career chances, in that I find frequently, that I am just unable to cope with workloads, attention and working memory that usually means that I leave classes more confused and less ambitious than when I first started trying to better myself.This has led to chronic self-loathing and a hatred of my own inabilities, which has been a life long battle psychologically speaking, which has resulted in bouts of depression and apathy. I've been medicated in the past, so whilst the feelings of dread and anxiety were stunted, and I felt better in general, the apathy was greater than ever. Nothing got done, I neglected myself because I didn't feel the need to do anything, so I decided to withdraw from my medication 3 months ago. Since then, I have become a ball of neuroses, desperate to cling on to bettering myself, but without the cognition to get through anything.I have been toying with the idea of studying animal behaviour, but I feel that I am just not competent enough, intellectually, to cope with the demands of constant study. Plus the amount of back-study I will have to complete, and money in pre-bacholar level education is also making it very difficult to put myself into a position that I feel confident with.I feel defective, as everyone I come across seems to be more competent and more 'conscious' to the world, whilst I am mostly in my own world of fog and lack of clarity when it comes to focus and drive, with zero motivation. I am unsure on how to resolve these issues, to the point that I do physically hate the person I am, because I feel like I am trapped in this inadequate shell.
Submitted: 4 months ago.
Category: Mental Health
Expert:  Dr. David replied 4 months ago.

This is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 4 months ago.

I am sorry you are having these issues.

what medications where you taking before?

you may need to go back on these medications

you may benefit from seeing a psychotherapist for regular talk therapy and psychotherapy.

Customer: replied 4 months ago.
I was on Sertraline, but they just muted the anxiety rather than contributed to any improvement in concentration or cognitive behaviour. In fact, I became more apathetic because I literately couldn't take anything seriously any more because nothing seemed to mean anything anymore. I stopped listening to music because I didn't receive any emotional impact from it.
Expert:  Dr. David replied 4 months ago.

I see.

you may need to find another medication which may work better for you

like effexor or wellbutrin or neurontin or amitriptyline

you may benefit from something like Vyvanse which is a CNS stimulant which could help you concentrate better.

Let me know if you have other questions.
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