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Re: cutting not in control » judy1

Posted by SLS on March 21, 2001, at 22:19:44

In reply to cutting not in control, posted by judy1 on March 15, 2001, at 10:30:42

> My therp mentioned a hospital that specializes in this, 2 weeks inpatient. I freaked out. I just can't do hospitals. I was up all night with panic attacks and e-mailed my shrink this morning to make sure everyone understands. If you have any suggestions on how to protect myself, please help. thanks, judy


I am sorry if someone else has already mentioned this (I lack the concentration to read the whole thread), but what about trying the drug naltrexone (Revia)? I know it is being studied for use in a variety of conditions displaying SIB (self-injurious behavior). It might be the quickest way to mitigate cutting without hospitalization. I don't know how well accepted this treatment is yet.

I came across a few optimistic studies concluding that even a short course of treatment (acute) can produce improvements that last for some time beyond the end of treatment. Similarly, long-term treatment with naltrexone can have long-lasting effects once the drug has been discontinued. Improvements can be progressive over the course of time with continuing treatment. These are just the results of some of the very few investigations into the use of naltrexone in SIB, and probably best evaluated with caution.

Naltrexone doesn't seem to be particularly effective in cases of SIB associated with autism, and may even make it worse. Most of the studies of naltrexone involve mental retardation and pediatric developmental disorders.

There really ain't too much good work done on naltrexone treatment of SIB yet, but large-scale investigations have begun. There is a lot of anecdotal stuff, though. For now, perhaps the material involving borderline-personality disorder is the most relevant.


- Scott

 

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