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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by iforgotmypassword on June 23, 2006, at 21:12:00
narcissistic personality disorder that stays in bed all day and can't do anything, but does not have depression, or anything resembling it (as confirmed by several doctors)...
Posted by iforgotmypassword on June 23, 2006, at 21:26:47
In reply to are there any treatments for a person with, posted by iforgotmypassword on June 23, 2006, at 21:12:00
Posted by iforgotmypassword on June 23, 2006, at 23:27:37
In reply to are there any treatments for a person with, posted by iforgotmypassword on June 23, 2006, at 21:12:00
Posted by Declan on June 24, 2006, at 1:06:53
In reply to are there any treatments for a person with, posted by iforgotmypassword on June 23, 2006, at 21:12:00
Uhhhmm, have you read the DSMIV blurb on it? I take it to be a moral statement (and why not?)
*Some* people cope with/act out their narcissism by doing substances, and then they can seek treatment for substance use. Can you channel it into a somewhat positive direction? The need for attention and the sense of entitlement. Some people do that (in the papers this morning) by doing martial arts, dealing drugs and being fairly awful. I would try to find something or some activity that centres on you and your welfare. There is therapy, but drugs (pharmaceutical, I mean)?
How are you feeling anyway? Not so good if you stay in bed all day? Do you like staying in bed all day? It sounds like you'd like to get out. How can you at least make yourself physically healthy? You're on that hormone thing?
Declan
Posted by iforgotmypassword on June 24, 2006, at 2:01:54
In reply to Re: are there any treatments for a person with » iforgotmypassword, posted by Declan on June 24, 2006, at 1:06:53
therapy-wise, i have done enough expensive talking with people who aren't interested in helping my obviously imaginary or embellished problems. if there is no medication for this disorder, then clearly it is not taken seriously as a disorder and we are people they want to see make a noiseless exit from the face of the earth.
Posted by Racer on June 24, 2006, at 10:33:46
In reply to Re: are there any treatments for a person with, posted by iforgotmypassword on June 24, 2006, at 2:01:54
> therapy-wise, i have done enough expensive talking with people who aren't interested in helping my obviously imaginary or embellished problems. if there is no medication for this disorder, then clearly it is not taken seriously as a disorder and we are people they want to see make a noiseless exit from the face of the earth.
Here's the thing about all the personality disorders: they're less about a disease process, and much more about a pattern of behaviors. Drugs aren't going to do much about behaviors, beyond things like giving someone thorazine to stop the behavior of moving.
I'm sorry. I'm not in a good place to be interacting right now. I'll make this as quick and reasonable as I can:
Personality disorders are not so much biological as they are learned patterns of maladaptive behavior. Drugs address biological processes. Ergo, drugs aren't going to "fix" personality disorders.
What drugs can do is improve certain distinct symptoms arising from those behaviors. For instance, many times BPD responds to antipsychotics, because those drugs will reduce the mood swings enough that behavioral treatments can help more.
In your case, I'd recommend a couple of things: first, find another doctor. Find someone who's more interested in helping you reach more optimized functioning. If you're staying in bed all day, that's not exactly a listed symptom of NPD. It's usually related to depression. And the two can coexist.
And think about giving therapy another try. Find a good therapist, someone who's a good fit for you.
Good luck.
Posted by Phillipa on June 24, 2006, at 14:11:42
In reply to That sure sounds like a distortion to me » iforgotmypassword, posted by Racer on June 24, 2006, at 10:33:46
Racer great advise. Love Phillipa
Posted by iforgotmypassword on June 24, 2006, at 17:48:32
In reply to That sure sounds like a distortion to me » iforgotmypassword, posted by Racer on June 24, 2006, at 10:33:46
they do not even tell me what my maladaptive behaviours are. when i say i am having extreme trouble doing things they usually don't answer or if i am lucky they tell me that it is my choice. this is many doctors, most just don't say anything even relevant to my life. they refer to my history, something which i have been passively denied access. (i have made several requests, all of which there is no response, something the clerk said just doesn't happen.)
i am not distorting things, they like a world i am completely restricted from participating in.
Posted by Racer on June 24, 2006, at 18:06:19
In reply to Re: That sure sounds like a distortion to me, posted by iforgotmypassword on June 24, 2006, at 17:48:32
> they do not even tell me what my maladaptive behaviours are. when i say i am having extreme trouble doing things they usually don't answer or if i am lucky they tell me that it is my choice. this is many doctors, most just don't say anything even relevant to my life. they refer to my history, something which i have been passively denied access. (i have made several requests, all of which there is no response, something the clerk said just doesn't happen.)
First of all, it sounds as though you haven't found a T who fits you. That doesn't mean that there aren't any -- it just means that you haven't found the right one yet.
Also, how long have you seen any one T? Are you saying that after, say, three months they still won't say anything to you about maladaptive behaviors? Or is this in the first few sessions? And are you looking for the T to tell you what your maladaptive behaviors are? Or are you working with a T to discover them for yourself, with guidance?
And it sounds as though you're saying you wanted to see your medical records, but they wouldn't provide access to them? If so, if you are in the US, check with your state's department of health. There are laws governing access to medical records, including mental health records. In CA, at least, the law says that patients have the right to see their mental health records, but that doctors can deny the request if it would be detrimental to their health. But they still have to do something to inform you of that, and you can still have the records sent on to another mental health professional, who can't show them to you, but can talk to you about what's in them.
>
> i am not distorting things, they like a world i am completely restricted from participating in.Actually, I am sorry to say that it still sounds as though you're seeing all this through a filter of depression. I know you said that you have NPD rather than depression, but it sure sounds like depression to me. That's not saying that there's something wrong with you, by the way. I have depression, and I am currently pretty seriously depressed. I can empathize with you, but I can also look at what you've written and say, "Hm... that sounds more like depression than reality to me... Maybe this guy oughta look into finding another doctor, one who'll treat him with respect..."
Good luck.
Posted by flip_flop on June 25, 2006, at 7:35:32
In reply to are there any treatments for a person with, posted by iforgotmypassword on June 23, 2006, at 21:12:00
According to online tests, I have narcissistic personality disorder. What has helped me is low-dose amisulpride (an antipsychotic.)
This is the end of the thread.
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