Manic, depressed, anxious, traumatized, or addicted people don’t forget their education, their knowledge, or their common sense when they make unwise choices or make poor decisions. They make unwise choices, poor decisions, and take unhelpful actions because the drive to avoid immediate pain, to obtain a near-term reward, or to experience a fleeting pleasure is so very overwhelmingly strong.

Charles Tadros, M.D. March 28, 2023 Saint Louis, Missouri

MANY TREATMENT RESISTANT, DEPRESSED PATIENTS HAVE INERTIA AND ANHEDONIA. INERTIA IS THE INABILITY TO GET STARTED. ANHEDONIA IS THE INABILITY TO DERIVE PLEASURE FROM SITUATIONS OR ACTIVITIES. WHAT THE REST OF US SEE IN THESE PEOPLE ARE:

Procrastination Tardiness Exhaustion Altered sleep-wake patterns Quickly starting (forced), but quickly ending in incompleteness (inability to sustain effort) Finishing a project or reaching a goal, but deriving no satisfaction or pleasure in their accomplishments. This lack of a sense of reward reinforces not trying again in the future. Charles Tadros, M.D. June 16, 2022 SaintContinue reading “MANY TREATMENT RESISTANT, DEPRESSED PATIENTS HAVE INERTIA AND ANHEDONIA. INERTIA IS THE INABILITY TO GET STARTED. ANHEDONIA IS THE INABILITY TO DERIVE PLEASURE FROM SITUATIONS OR ACTIVITIES. WHAT THE REST OF US SEE IN THESE PEOPLE ARE:”

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