Pharmacotherapy of Borderline Persona...

Pharmacotherapy of Borderline Personality: Medicine or Mayhem

There are 15 comments on the Psychology Today story from Jul 17, 2011, titled Pharmacotherapy of Borderline Personality: Medicine or Mayhem. In it, Psychology Today reports that:

Until the late 20th century, personality disorders were thought to be impervious to any pharmacological interventions.

Join the discussion below, or Read more at Psychology Today.

cheeser

Ashford, UK

#1 Jul 18, 2011
Certain drugs don't really cure personality disorders but simply mask it by doping the user.
Great progress has been made in the field of psychotic drugs as I take zyprexa which saved my life and made me sane again after all my twenties been a mad alcoholic with severe depression living in a fantasy world completely crazy.
Drugs can effectively treat many personality disorders and the days of just giving people valium are long gone.
The problems are that if you do not take the drugs even for a few days you really suffer and feel you are losing it worse then ever. My specialist told me when he put me on zyprexa olanzapine that I would be on it all my living days.

http://hosted.comm100.com/Forum/Forum.aspx...

Since: Jun 11

UK

#2 Jul 18, 2011
only a fraction of BPD are psychotic. Its a generic label for hundreds of so called conditions. Not that a lot of them are not real problems of course. Has to be put into context. Long term unemployment can give rise to the symptoms of BPD.

Most people take drugs because they like it, have insomnia, a girlfriend breakup etc,, or perhaps an anxiety condition from having lived with somebody that has a real Personality disorder.
T K Lawson RPhT

Grass Valley, CA

#3 Jul 18, 2011
'Borderline'? Someone's personality is just beyond the norm ? That seems a disorder that smacks of a mild case of coping ineptitude and psychoneurotic behavior atypical to those that deem it less than acceptable.

Since: Jun 11

UK

#4 Jul 18, 2011
psychoneurotic ? is that not just anxiety ? i have to google that one

Since: Jun 11

UK

#5 Jul 18, 2011
Psychoneurotic is anxiety variations. Bit unsympathetic TK, as if there can be one standard human that can deal with everything. Its impossible for everybody to be genetically suited to their environment and anxiety is a natural response to not being so. Its Natural variation and losing in the lottery. Not that drugs is the remedy, but they can help with short term problems, insomnia etc

Since: Nov 10

Worthing, UK

#6 Jul 19, 2011
i have borderline, i have just been released from the mental hospital again, it is an inability to cope and one of the hardent mental illnesses to treat. interesting artilce
T K Lawson RPhT

Grass Valley, CA

#7 Jul 19, 2011
Psychoneurosis is common in most everyone's life. In fact, the more complicated and stressful your situation, the more it happens.'It's not a indignity. The new edition of the American Psychiatric Association's DSM-V completely will be amended next year to eliminate " Labeling " Not all agree on listed 'disordered' personalities. I believe a disorder is only problematic if it significantly interferes with life functioning to a certain degree of disturbing so called-'normality'.
T K Lawson RPhT

Grass Valley, CA

#8 Jul 19, 2011
BPD used to be treated with powerful psychotropics like thioridazine,halperidol, Prolixin, trifluoperazine, Thorazine, all of these piperazine, aliphatic, and thiothixines are a direct causation of irreversible syndromes of late acting, or what is known as tardive dyskinesia. As well, akathisia, psuedoparkinsonism, neurolelptic malignant syndrome to name a few. The treatment risks outweigh the "abnormal" behavior or worsen it.

“Fraternity and Peace”

Since: Jan 11

Oxhey nr Watford, NW.London

#9 Jul 19, 2011
Borderline Personality Disorder is, I think, much better labelled 'Emotionally Unstable' PD, and generally comes in two types.

In women, I think it is the most awful condition to be lumbered with; turning all that anger and confusion inward, hating yourself, hurting yourself because you think you 'deserve' it.

In men, it tends to lead to those emotions being expressed as violence, alcohol and drugs being used to try to control things, but - alcohol especially - makes it worse.

If you are genuinely suffering from psychotic symptoms, you have an additional disorder; but many of the symptoms of BP/EU PD are severe enough to appear - and certainly feel - like psychotic symptoms: believing things that most people would say cannot be true, even hearing voices. These are strictly pseudo-psychotic symptoms, if you have the PD alone. Not that that makes the disorder any less of a nightmare to have.

People with this disorder are treated very badly by the general medical / emergency department staff. "You brought this on yourself; you're wasting our time". When I was a trainee psychiatrist [late nineties] I would NEVER sned a woman who had cut herself to casualty - unlike my 'colleagues' who were stupid,@rse-licking, arrogant and callous - as they would be treated so badly. I took the time, as I anaesthetized their skin and stitched up the wounds, to talk to them about what had been bad about that day, tried to give them time to put things into words, to feel heard, that someone was at least trying to understand them.

Low doses of modern antipsychotcs can really help. Often, their is a depressive element, so a modern antidepressant might also help. There is a drug - amisulpride [Solian] which, at 25-50mg twice a day is an antidepressant (used in Europe, but not the UK for this] and a low-dose antipsychotic. I found this very helpful for many men and women. Quetiapine [Seroquel], at the same doses in fact, also helps.

Olanzapine [Zyprexa] is also good, say 2.5-5mg once a day; but REALLY causes weight gain in many people, which only makes women, in particular, hate themselves more. It was an early 'new' antipsychotic, that I came to leave alone.

Aripiprazole [Abilify - what a brand name!] is a newer one thay have come out with since I left all that behind [BAD, bad time; driving ME to depressive psychosis], but I imagine 5mg, perhaps 10mg, would help in the same way.

TIME AND CARE is what people with BP/EU PD need; dynamic/analytic therapy. But try getting THAT, from someone who's not some cleaner or nurse wanting to get some more money, on the NHS!

“Fraternity and Peace”

Since: Jan 11

Oxhey nr Watford, NW.London

#10 Jul 19, 2011
after writing all that:

B U M P E T Y - B U M P

Since: Jun 11

UK

#11 Jul 19, 2011
really though its just anxiety and variations right ?

most experience in life has a level of anxiety. The information encoding part of your brain ( amygdala ) operates by producing a slight anxiety spike, but in every day life that is excitement at learning.

Not everybody has a standard brain in that respect or to certain types of input. Some people may have a different thalamus structure (part of the brain which filters sensory input) so too much sound or whatever sensory input gives rise to anxiety as brain is coping to try and deal with input.

Asperger spectrum for example cannot processes faces properly and other sensory integration

Point is everybody has a different makeup for what is going to cause the brain to go from doing a good job at dealing with input to hiking up to anxiety where brain is saying no thanks get me out of here or get rid of whats causing the problem (why anxiety is linked to agression).

With everybody having a different profile thats why there is all these BPD types, but there is psychopathy (no anxiety) to psychotism (extreme anxiety)
molah0ff cocktail

Ireland

#12 Jul 19, 2011
good post grumpster
those zyprexa might help some,but i was like a zombie on em,yeah they slow down the madness but u loose your personality.

i choose madness over numbness.
but helpful was ur post
yoda yoda layhe hoo
Opblissfree

UK

#14 Jul 29, 2011
Mollypaxin are ok with a sedative effect.
Only thing is they left me wobly the newt day lol!!
Reynaldo
#15 Sep 24, 2013
I have ordered 2 times from this website PILLSMEDSHOP. COM . I called yesterday the customer care and asked for a discount as i was about to order twice the regular amount.
Anjanette

Germany

#17 Oct 2, 2013
I have ordered prescription drugs (without a prescription) from RXPILLHOME .COM about two years ago, and was pleased with the speed and quality of service.
I'm thinking of doing the same thing with my medication. The meds is expensive, but there is a generic version available overseas.
I love the idea of taking responsibility for my own health (or lack of health) and skipping the bureaucracy... to say nothing of having to drive to the doctor, wait in line, yet again, to get a prescription refilled.

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