QUESTION:
Dear Dr. Heller,
I suffer from BPD, OCD, body dysmorphia and of course depression. Been on Prozac. It "kicked-out" regardless of the dose I took. Prozac and other SSRI's make me more tired. My problem is my lethargy is so very bad it interferes with 75% of life, literally! Doctor's seem to be at loss. What can I do?
ANSWER:
It's usually due to the generalized anxiety disorder (GAD) and/or attention deficit disorder (ADD). The GAD is worsened by Prozac (and needs BuSpar), and those with ADD need their medication (usually Ritalin). Low vitamin B12 and thyroid levels can also contribute to the fatigue.