Posted by ZenTen on November 26, 2004, at 19:24:42
In reply to Borderline Personality Disorder, posted by amy smith on November 25, 2004, at 18:38:10
> I've just been diagnosed with BPD and I finding a lot of negative things about it on the Internet. Please, does anyone have any success stories or even a tad of encouragement for me?
I have read that from Dr. Leland Heller, who is supposed to be an expert in Borderline... he always starts his patients on Prozac and 2nd line to that he uses Celexa.
He highly advocates these over other SSRI's for some reason or another in Borderline people.
For dysphoric reactions or having an urge to cut or self-harm (the hallmark feature of this disorder) he states that once on one of these SSRI's to use either Haldol or Risperdal, as needed.... they are not to be taken regularly as daily use leads to strong side-effects and dimishes its impact if used in an emergency self-harm episode. So basically, it seems he advocates Prozac and once on it, PRN use of Haldol or Risperdal.... he seems to believe they work faster than other antipsychotics (within hours)
He higly advices against tricyclics and benzo use with this disorder as studies how they have a negative impact on the syptoms.... go figure.
I think clinicians despise the Borderline diagnosis because most people with this disorder require a HIGH degree of medical interaction and tend to have many superficial suicide attempts(I know that sounds horrible--I read it though) and require a lot of the clinicians time , as well as emotional energy (I know that sounds horrible--I read it though) It says Boderline people tend be refractory to medical treatment.
However, everything I read seems to say that the proper medications tend to drasticall helps symptoms...