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Re: Borderline personality: serzone + what?

Posted by Elizabeth on July 19, 1999, at 23:49:19

In reply to Re: Borderline personality: serzone + what?, posted by Deb on July 19, 1999, at 0:20:49

> Thanks, Elizabeth. We've tried to be as supportive as possible since we learned her diagnosis, but my psych. tells me this disorder is not only difficult to live with, but to treat as well.

Well, don't use the diagnosis *against* her, but if it helps you to understand her better, that's good. It's hard to treat but supposedly a modified form of cognitive-behavioral therapy has worked well.

>She says the serzone keeps her "low" periods less severe than before. Yes, she has also been diagnosed with bipolar tendencies, and we're looking for a med to supplement the serzone which would curb the "high" times. She will spend all her paycheck in one day and give away anything she has just because she thinks someone wants it. She always regrets her impulsive actions later, but by then the harm is done; and dwelling on it just helps bring on a low mood.

It does sound like one of the anti-manic drugs might be something to consider. Most of these are anticonvulsants like Depakote, Tegretol, and Lamictal; lithium carbonate might work too, although the anticonvulsants are probably better tolerated.

Depakote in particular has shown promise for reducing rage episodes. I think that the anger is perhaps another manifestation of impulsivity.

Out of curiosity, had she tried other antidepressants before the Serzone?

>I've already gotten some leads from these posts that I am following up, and I want to thank you all for your support and just listening. This is a bright, witty young womam with her whole life in front of her. Sure would like to make it as "normal" for her as possible. Again, thanks you all so much.

The fact that she's smart and motivated will definitely work in her favor! Best of luck to your family.




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