Posted by SLS on April 26, 2006, at 22:16:13
In reply to Labeled chronic losing hope. (Long), posted by tygereyes on April 26, 2006, at 20:56:46
I am dismayed that you feel injured as the result of your interactions here. I usually find people here to be kind and supportive. I don't doubt that you have encountered people who are less than supportive. However, it might be part of your BPD that is amplifying a sense of rejection.
Parnate isn't a bad choice if you can adhere to the diet restrictions. Another drug to consider is either Tegretol or Trileptal. It helps to reduce impulsivity and mood lability. You can combine it with Parnate. I have seen Zyprexa work wonders for BPD. However, it will produce weight gain. If this is an issue, it might be worth considering Abilify instead. Plenty of people will find my suggesting Zyprexa or Abilify as being unjustified when treating a disorder other than schizophrenia. However, BPD is difficult to treat, and one must weigh the potential benefits versus the risks of developing EPS side effects. For myself, I have decided that the risk of EPS with Abilify is low enough that I can justify using it to treat bipolar disorder.
I'm sorry that DBT didn't work out for you. I hope you fair better with the Schema Therapy.
I would say that you have some rough road ahead of you. However, I think you can make it. You are resolved and constructive. I know you have reached a point of frustration and despair, but this crisis will pass and you will continue your journey. I know this because of the strength of character you have demonstrated. I wish I could do more to help.
All I can say is that Parnate + Trileptal + Abilify is a weight-neutral treatment regime that might optimize your chances of success. There probably isn't a precedent for combining these drugs, but it should be safe. I hope others will chime in and comment on this.
- Scott
poster:SLS
thread:637352
URL: http://www.dr-bob.org/babble/20060423/msgs/637373.html