Posted by capricorn on April 16, 2006, at 13:04:10
In reply to Re: Irrationality and stress » capricorn, posted by SLS on April 16, 2006, at 7:45:40
> > > Have you been evaluated for borderline personality disorder?
>
> > Not been dxed with borderline but pdoc switched me from a schizoaffective/bipolar diagnosis to 'personality disorder' last year without specifying an actual PD.
>
> Two drugs that help with BPD are Tegretol and Zyprexa alone or in combination. Personally, I would try using Trileptal instead of Tegretol. I know someone whose life was turned around with this combination of drugs along with psychotherapy. The drugs alone will probably help with impulse control and perhaps mood lability. If mood lability remains an issue, an antidepressant can be introduced.
>
>
> - ScottI am not on any drugs at the moment.Last combo was olanzapine and tegretol.Neither of which i was
able to take regularly for
differing reasons.Found it hard from a psychological perspective to take the tegretol as
i was switched to this after being on lithium for years and then being told the only thing they had me marked down for was dependant personality disorder.Intellectually i knew you do not treat DPP with mood stabilisers so emotionally got it into a 'eff you. if you say i've not got a mood problem then eff the tegretol.' state of mind.
Deep down i knew i had mood problems of a primarily reactive kind but as they'd said i hadn't i just went into full 'why should i take it?' mode.Zyprexa is by far and away the best drug i have ever been on in terms of therapeutic effect ie
reducing the dyshoria and having an emotionally calming effect.
Unfortunately i couldn't take it regularly as it made me feel like a zombie.Could have perhaps worked through this if i hadn't been looking after a wife with dementia and couldn't afford to be
operating at zombie level.
Of course on an emotional level the stress of
trying to do my best whilst being scared by it all pushed me into some really dark places and certainly exacerbated my symptoms.
Tried asking if they could titrate the olanzapine to get the best symptom effect with the least side effect but it fell on deaf ears.
Was taken off the olanzapine and tegretol in August last year about 3 wks before my wife died unexpectedly in hospital.Treatment if you can call it that consists of attending a few groups at my mh centre.Rambling group on a Tuesday morning .Gardening group on a Thursday morning and an all male discussion group
on Thursday afternoons.
The discussion group which is lead by my care co-cordinator follows the format of her asking all of us how we are and then we just informally chat about a variety of things at a 'coffee morning' kind of level.It's not unpleasant and, like the other groups, relieves the loneliness and isolation for a few hours.
poster:capricorn
thread:633467
URL: http://www.dr-bob.org/babble/20060412/msgs/633846.html