Posted by OldSchool on February 20, 2002, at 18:48:47
In reply to Treatment resistant depression/Axis II disorders?, posted by Anna Laura on February 18, 2002, at 2:18:06
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> Hi all,
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> Is there any evidence that Axis II personality Disorders such as Borderline and Narcisistic could play a role in maintaining depressive symptoms within the sub-group of treatment resistant patients?
> I've recently bumped in to The College Board's policy of British Psychopharmacologists stating that if the patient is not responding after two drug trials he should be reffered to a psychiatrist.
> I've been to a psychiatrist who told me that i could be uncounsciously resisting the treatment, and when i said it wasn't so he added i could be suffering form a personality disorder that could prevent me form healing.
> I've looked in to personality disorders and they don't seem to fit me that much.
> I've done psychoterapy and a lot of self-interrogation with no significant results.
> Do these theories have any scientific evidence/back up or is it just another subtle way of blaming the patient for not responding?LOL hehehe Youve found out the hard way about psychiatry. Its not very scientific or reliable. As for not responding to antidepressants and then the psychiatrist assigning you a "personality disorder" thats rather typical of mainstream psychiatry. For your knowledge, there is no such thing as a "personality disorder." Its a made up label the psychology people came up with. A personality disorder is a subjective, psychology based classification, not a brain based medical disorder like major depression, manic depression, schizophrenia or anxiety disorders.
Psychiatrists tend to assign personality disorder labels to patients that are hard to treat or whom the psychiatrist doesnt like. I wouldnt pay much attention to this personality disorder stuff...its BS.
However, if you dont respond to antidepressants there might be a problem with your diagnosis. You could be bipolar when they think you are unipolar depressed. You could have a thyroid problem thats not been diagnosed. There are lots of reasons why people dont respond good to antidepressants and Id be more inclined to search for a medical cause rather than one of these hokey pokey psychology labels like a "personality disorder."
Old School
poster:OldSchool
thread:94483
URL: http://www.dr-bob.org/babble/20020215/msgs/94843.html