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Re: Is the psychosis in BPD real psychosis?

Posted by med_empowered on July 24, 2005, at 13:59:38

In reply to Re: Is the psychosis in BPD real psychosis? fairywings, posted by Deneb on July 24, 2005, at 11:29:07

hey! Having taken antipsychotics for a mood-disorder (bipolar) that sometimes had psychotic features in the past I can tell you...don't believe the hype: the new antipsychotics are still similar to the old ones...avoid if it all possible. Some docs do this weird, as-needed medication for borderline "dysphoria" : basically, the guidelines I've seen call for small amount of Haldol (up to 2mgs), up to 30mgs Abilify, or some Tegretol as-needed. The idea is to "defuse" the situation. I say...thumbs down. Antipsychotics are rough...unless you are floridly psychotic or have a god awful mood-disorder that responds well to them, you're usually better off avoiding them. Benzos can make borderline worse, but they can also help calm you down when used on an as-need basis. If you *absolutely* need something, I'd definitely opt for a benzo, even with the risks of disinhobition, before I'd go near an antipsychotic. Your doc sounds good...although it might seem strange to be so slow to go with the meds, its a good approach. Heavy-handed docs often do more harm than good...one shrink had me on 7 psychotropic meds a day when I was 19. It was awful, and it takes a lot of time to undo that kind of "treatment".


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