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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 paddie on December 5, 2005, at 3:44:28
hi is there anyone who has a personality disorder who has had sucess with any medications?(Borderline with a touch of narssistic that flares up sometimes)thanks.
Posted by med_empowered on December 5, 2005, at 4:06:02
In reply to personality disorder, posted by paddie on December 5, 2005, at 3:44:28
hey! If you're considered Borderline, you may want to explore the possibility that your problems are better explained by a "Bipolar Spectrum" disorder..basically, these are disorders that have bipolar features, but may not quite fit into the BP I/BP II/ cylcothymia diagnostic categories. Sometimes hypomania results in narcissist-like features, also.
Anyway...Boredline symptoms can respond pretty well to mood-stabilizers (trileptal/tegreol, depakote), PRN meds (often as-needed antipsychotics, like 5mgs/zyprexa to deal with/prevent freak-outs), and sometimes there are pretty good results with antidepressants, especially the SSRIs at high-ish doses. That said..your mileage may vary.
Narcissism doesn't seem to respond well to medication, but if you're willing and able to stay in a talk-therapy long enough with a competent, dedicated therapist, you can make considerable progress. Medications such as SSRIs may be helpful in dealing with the problems associated with narcissism, such as occasional depression.
Good luck!
Posted by paddie on December 5, 2005, at 5:22:43
In reply to Re: personality disorder, posted by med_empowered on December 5, 2005, at 4:06:02
Thanks for that advice:-)
Posted by SLS on December 5, 2005, at 7:49:19
In reply to Re: personality disorder, posted by paddie on December 5, 2005, at 5:22:43
> Thanks for that advice:-)
I agree with everything Med_Empowered said. I have seen a combination of Tegretol + Zyprexa work wonders for one person. I don't think she is taking any antidpressants, but I am not absolutely sure.
Tegretol has been well-studied for BPD and deemed to be moderately effective. One disadvantage to this drug is that it carries a relatively small risk of producing agranulocytosis, a condition that prevents the production of white blood cells. Regular blood tests are necessary. More recently, a cousin drug named Trileptal has become available and is often tried first because it is less sedating, produces less cognitive impairment, and is without the risk of agranulocytosis, so that regular blood tests are not necessary. Its effectiveness in BPD has not been studied intensively, but I would endorse its use.
Another drug to keep in mind for further down the road is Parnate. It is an older MAOI antidepressant that seemed to be a favorite of some doctors for treating BPD before the SSRIs became available.
- Scott
Posted by Phillipa on December 5, 2005, at 19:15:29
In reply to Re: personality disorder, posted by SLS on December 5, 2005, at 7:49:19
Scott good article thanks. Fondly, Phillipa
Posted by paddie on December 6, 2005, at 2:28:58
In reply to Re: personality disorder » SLS, posted by Phillipa on December 5, 2005, at 19:15:29
thankyou for that.I dont know much about medication except that in the past iv been given the wrong drugs,so I dont have much trust in the doctors advice.My friend told me to try here.Thanks
This is the end of the thread.
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