tryingzen said:
kazza94x said:
Hey everyone,
Lately I’ve been noticing more flatness, tiredness, exhaustion, extreme fatigue, very dry skin, and a bit of emptiness.
I’m working with a therapist and doctor, etc., but these things have been ramping up after reta. Before that I was on sema and had no issues.
Has anyone else gone through something similar?
When did yours begin?
How bad does it get?
What do you do to cope?
Only share if you’re comfortable. No pressure.
I apologize in advance—there’s a lot I want to cover, so this will be quite lengthy.
Anhedonia has been something I’ve dealt with for many years. Over the past year, though, it has intensified, particularly after I began tirz at the start of this year.
Having spent a lifetime coping with this, I’ll share what I recommend:
1. Have your hormones checked. For women who still menstruate, request a complete hormone panel. Peri-menopause may begin in the 30s, or even sooner, when hormone disruption is present—and obesity can cause that disruption. For women past menstruation, inquire about hormone replacement, including testosterone supplementation. For men, obesity similarly affects hormones, and testosterone replacement can be transformative when it is needed.
2. The most important lifestyle shift for lessening anhedonia is savoring. Make an active effort to notice things that do feel good, could feel good, or ought to feel good. Then intentionally take part in those activities and truly, deliberately, soak in/wallow in/engage with them. Say to yourself that you’re having fun, that it’s a good time, that you’re enjoying it. I realize that may sound silly, but by altering your thoughts about a situation, you can persuade your brain to release more positive chemicals.
3. Find out which things cause the release of the feel-good chemicals, then do all of them every day. Dopamine, the reward chemical, calls for reward-seeking behavior: making goals and reaching them, rewarding yourself for “good behavior,” and listening to music (our brain’s anticipation networks consider music HIGHLY rewarding). Oxytocin, the bonding chemical, comes from hugging someone, cuddling, sex, a long kiss, or petting your dog. Serotonin, the contentment chemical, gets released once you are ok. You are good. Nothing bad is happening. So seek out ways to take joy in small things, stay present, let your brain rest (PUT DOWN THE PHONE), and spend some time simply realizing that you are good in this moment. Endorphins, which serve as energy and pain-relief chemicals, come from working out really hard, doing exciting things, and having adventures. Last, GABA serves as the rest-and-relax chemical. Meditate, breathe, do progressive muscle relaxation, yoga.
4.
NOTE: For many people, anhedonia appears once anxiety disappears. When you are anxious much of the time, your brain is set up to scan for danger, and having less anxiety can feel like flatness—as though something is wrong. The only way to help that flatness improve is learning to accept the absence of threat.
5. Supplements I’ve found useful—5htp (in the past, when my anhedonia came with fairly severe depression, this was literally a lifesaver for me). Tyrosine (not ideal in my case, but it takes the edge off and lifts mood a little). DLPhenylalanine—this affects my overall mood most strongly and my capacity to engage in positive behaviors.