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Re: New diagnosis: Borderline PD (SLS, your thoughts?)

Posted by SLS on December 18, 2016, at 15:16:52

In reply to New diagnosis: Borderline PD (SLS, your thoughts?), posted by zonked on December 17, 2016, at 13:01:10

> Hi, all:
> I have mixed feelings about this. I am male, I don't cut, I am not malicious and do not intentionally manipulate people - however, a lot of this (fragmented sense of self, fear of abandonment, low distress tolerance, black and white thinking, substance abuse) seems to fit. I also tend to be a people pleaser, because fundamentally I want people to like me, so I (unconsciously, until recently) adapt myself to get a favorable response. The unconscious part was until diagnosis. And what people on the Internet say about borderlines is very hurtful, extreme, and terrible!
> I've uncovered roots of the trauma that caused me to be this way, but the good news is that borderline PD is (1). just a label and (2). is highly treatable with CBT/DBT/psychoanaysis.
> BTW, I have (believe it or not) done a lot of psychoanalysis on myself which, if I dig too deep, I have found a little bit dangerous - I don't want to relive traumatic memories without the aid of a therapist.
> Any thoughts, anyone?
> -z

Have you ever heard of Developmental PTSD or Complex Trauma? My treatment has been complicated by this. For what it is worth, I find high dosages (30 mg/day) of prazosin extremely helpful. For me, it acts as a very clean antidepressant when used as an augmenter. In PTSD, prazosin improves anxiety.

Historically, BPD has been maligned as being difficult for others to live with and all but untreatable. This isn't true. I have seen an antipsychotic combined with a mood stabilizer (Tegretol or Trileptal) work wonders when combined with CBT. DBT would probably help even more.

BPD looks different in males versus females. You really need to tease-out BPD in males.

Can you make one list of your symptoms and another list of your treatments with results?

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw




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