Psycho-Babble Medication | about biological treatments | Framed
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Re: Borderline Personality Disorder Meds

Posted by Elizabeth on October 25, 2001, at 11:52:59

In reply to Re: Borderline Personality Disorder Meds, posted by Andre Allard on October 25, 2001, at 6:54:20

> From the research I have done, it seems that the front runners in the treatment of BPD are:

I'm glad to hear that you have found some things that help for you. It really isn't reasonable, however, to suggest that what worked for you will work for others, especially since BPD patients are such a heterogeneous group. An impression of what works and doesn't work based exclusively on the self-reports of other patients is also likely to be pretty inaccurate.

Your experience that SSRIs and Effexor seem to work well (sometimes in high doses), and that tricyclics (except, perhaps, clomipramine) can make BPD symptoms worse, is consistent with what has been found when the effects of these medications on BPD symptoms were studied. There is no evidence suggesting that either Paxil or lithium worsens BPD symptoms, although anticonvulsants are often preferred over lithium when there are features of mixed (dysphoric) mania or rapid cycling. These anticonvulsant mood stabilizers are often very effective for emotional lability and impulsivity. Atypical antipsychotics can be helpful for certain symptoms, notably agitation and suicidal or parasuicidal urges.





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