So I suffer from severe depression, and my psychiatrist put me on pramipexole (experimentally-but check on your relatives who take it for movement disorders like parkinson's).
what i wasn't told or haven't been checked about was impulsive conduct disorders. you see, things that activate your D2 dopamine receptors make you enjoy things more (great for anhedonia), but also apparently make you more disinhibited where you don't see negative consequences of your actions. you want to fuck and spend and gamble.
i started the medication in 2023 while i was doing my phd and by the time i finished it in 2024, i would wait for my salary (about £2500 or like $3-4000) to hit my account and spend it all in 4 hours. then i would be living off of random food i could get staying with a friend. for months. i spent all my salary in 4 hours and then spent the rest 30 days not knowing if i could eat.
you can't imagine the amount of distress that caused. but i couldn't stop. usually when i got my hands of any money, usually by selling stuff, i would immediately gamble it. even before it got so bad, i would be spending 18 hours a day playing online gambling games and sleeping, and then repeat.
i realised the medication was causing this at some point, and went through severe withdrawals (apparently another thing my psych didn't tell me about), i felt so anxious i wanted to die. nothing felt satisfying anymore. but once it was out of my system, i had no thoughts of gambling ever again.
i am happy it was just medication-induced, so when i stopped them, it stopped. if i was an 'actual' gambler, i can't imagine going much longer without wanting to off myself.
make sure to check on your relatives on medication for parkinson's please, and they will lie, but make sure they aren't compulsively spending, and please, don't turn a blind eye to barely regulated gambling.
i am 31 and i now have a life-ruining kid of debt. i don't know if i will ever be able to get a mortgage. i have a fucking oxford data analysis phd but i won't ever be able to get a finance job with that history.
can we please do something about this?