If you and your therapist think it's really dopamine specifically that's causing the problem, you may want to ask your therapist and doctor whether an SNRI is the best choice. I think some serotonergic drugs can affect dopamine indirectly, but raising serotonin levels can also affect dopamine levels negatively. I'm not a doctor, of course, but maybe just double check with your doc about the med or even possibly adding something.
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