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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by borderliner21 on December 7, 2001, at 17:26:03
Hi this is my first time posting in here for a while. I come here sometimes and browse through some of the threads. My main problems are social phobia and borderline personality. In the past I have been diagnosed with depression, tourrett's syndrome, ocd, borderline personality, anti-social personality and social anxiety. I am very concerned about finding the right drug for my problems. I was on paxil for 2 years, this drug was a life saver but it made my bpd worse. I don't know why I stayed on this drug for that long but I was recently diagnosed with antisocial and borderline personality disorders; my last 2 diagnosis.
I need to find a drug that will treat all of my problems including bpd. Are there any other srri's that treat social phobia as well as paxil does? I need something that doesn't make bpd worse. Expert advice needed!!!
Posted by judy1 on December 7, 2001, at 19:27:57
In reply to I need some help, posted by borderliner21 on December 7, 2001, at 17:26:03
It's my understanding that personality disorders respond to therapy more than medication; with BPD the use of DBT is considered the best. Maybe someone has suggestions on medication- sorry- judy
Posted by jay on December 8, 2001, at 8:33:59
In reply to I need some help, posted by borderliner21 on December 7, 2001, at 17:26:03
HI:
Well, I don't think I can give "expert" advice...but I will give you my 2 cents, like everyone else.:-)
What I would say you might want to focus on right now is 1) getting a *good* doctor, and 2)focus on symptoms rather than your general disorders. (I don't like that word...but...you know what I mean.)
OK...are you still on the Paxil? This med, like any a.d., can trigger manic symptoms. You may be able to manage to get by with either smaller doses of an a.d., and/or an a.d. and mood stabalizer. BUT...as you can see on this board, that is *no* guarantee that combo will work for you. Here in Canada, it is common to start a person off with a benzo and an SSRI, but again I say it's best to consult a doctor, because there may be issues around 'boderline-personality' and benzo use.
There are many SSRI's, and there are differences. What you need is to be able to try some different ones...but under a doctors care. As everyone has shown on here, there are good and bad to all of them. They may be your best bet for first-line treatment, because of both their safety, and being a bit more tolerable than other a.d.'s.
With the SSRI's...and my doc has said this...it is really the 'luck of the draw'. You may have to go through a few until you find one that not only helps your symptoms, but you can tolerate.
That's about the best I can say...as I really think you need a doc to help you with your symptoms, and each illness.
Please let us know how you make out!
Best...
Jay
> Hi this is my first time posting in here for a while. I come here sometimes and browse through some of the threads. My main problems are social phobia and borderline personality. In the past I have been diagnosed with depression, tourrett's syndrome, ocd, borderline personality, anti-social personality and social anxiety. I am very concerned about finding the right drug for my problems. I was on paxil for 2 years, this drug was a life saver but it made my bpd worse. I don't know why I stayed on this drug for that long but I was recently diagnosed with antisocial and borderline personality disorders; my last 2 diagnosis.
> I need to find a drug that will treat all of my problems including bpd. Are there any other srri's that treat social phobia as well as paxil does? I need something that doesn't make bpd worse. Expert advice needed!!!
Posted by Pamela Lynn on December 12, 2001, at 19:20:17
In reply to I need some help, posted by borderliner21 on December 7, 2001, at 17:26:03
Hi borderliner21....My name is Pamela Lynn..I too have Borderline Personality Disorder; and am Bi-polar, also suffer from anxiety/panic attacks. I am NO EXPERT, not even by far...but here is the med. combination that I am on, that has FINALLY worked for me:
Effexor 75mg Capsules...One in the morning and two in the evening, before bed. (For me the Effexor was a literal life saver.)
Wellbutrin SR 100mg Tablets...Two in the morning and two at 5pm.
Zyprexa 2.5mg Tablets...one in the morning, one mide morning, one in early evening and TWO at bedtime...also a life saver for me!
I take Alprazolam (Xanax) as needed for anxiety/panic attacks.
I am also in Cognitive Therapy with a wonderful therapist. In my opinion..Therapy is ESSENTIAL for the Borderliner...the meds. help, ya know?
Keep us posted. Good luck to you.
P.L.
> Hi this is my first time posting in here for a while. I come here sometimes and browse through some of the threads. My main problems are social phobia and borderline personality. In the past I have been diagnosed with depression, tourrett's syndrome, ocd, borderline personality, anti-social personality and social anxiety. I am very concerned about finding the right drug for my problems. I was on paxil for 2 years, this drug was a life saver but it made my bpd worse. I don't know why I stayed on this drug for that long but I was recently diagnosed with antisocial and borderline personality disorders; my last 2 diagnosis.
> I need to find a drug that will treat all of my problems including bpd. Are there any other srri's that treat social phobia as well as paxil does? I need something that doesn't make bpd worse. Expert advice needed!!!
Posted by jazzdog on December 12, 2001, at 20:35:13
In reply to Re: I need some help » borderliner21, posted by Pamela Lynn on December 12, 2001, at 19:20:17
I believe there has been some success with lamictal for treating bpd. Makes sense that a mood stabilizer would help.
- Jane
Posted by Pamela Lynn on December 13, 2001, at 6:48:20
In reply to Re: I need some help, posted by jazzdog on December 12, 2001, at 20:35:13
I figured this was important for me to say...in the past I have been on Lithobid, Lamictal, Depakote, and Topomax....Again, for 'me', none of these 'mood stablilers' worked for me. Taking the Effexor WORKED on my moods though, and the Zyprexa keeps me 'grounded' so to speak. (Don't forget here...I am bi-polar too.)
There was one post that said with BPD'ers the therapy was important...IT IS, IT IS...but you have to be in a somewhat 'stabile' place before you can really dedicate yourself to the therapy-whatever therapy it may be...That is where the meds. come in.
P.L.
> I believe there has been some success with lamictal for treating bpd. Makes sense that a mood stabilizer would help.
>
> - Jane
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