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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Deneb on June 25, 2006, at 22:47:53
I found this website about borderline personality disorder (BPD). This guy named Paul J. Markovitz, M.D., Ph.D. claims to be an expert on BPD.
He answered a lot of questions and he actually gives recommendations on what meds to take and not take.
http://www.borderlinepersonalitytoday.com/main/markovitz_index.htm
What do people think of this guy?
Deneb*
Posted by Deneb on June 25, 2006, at 22:59:14
In reply to BPD and Paul J. Markovitz, posted by Deneb on June 25, 2006, at 22:47:53
I don't think this guy should be offering advice and possible diagnoses.
Deneb*
Posted by Deneb on June 25, 2006, at 23:29:11
In reply to BPD and Paul J. Markovitz, posted by Deneb on June 25, 2006, at 22:47:53
Can you believe this guy? This is what he writes in answer to a meds question.
"Medications, like therapy, are an option to get well. My own belief is that BPD is a purely physical illness with behavioral sequelae. Just like when you break a bone (physical), you get atrophy of muscle (behavioral sequelae). Without the right meds, DBT is not going to get you where you need to be. Actually, therapy is not nearly as good and often worse than nothing in a physical illness."
"...therapy is...often worse than nothing..." !!!!!!!????????!!!!!!!
Deneb*
Posted by SLS on June 26, 2006, at 7:44:13
In reply to Re: BPD and Paul J. Markovitz, posted by Deneb on June 25, 2006, at 23:29:11
I won't comment on the desirability of this doctor offering advice, but he does seem to be very knowledgable. Most of what he has written seems to be accurate.
- Scott
Posted by Racer on June 26, 2006, at 10:17:26
In reply to Re: BPD and Paul J. Markovitz, posted by Deneb on June 25, 2006, at 23:29:11
> Actually, therapy is not nearly as good and often worse than nothing in a physical illness."
>
> "...therapy is...often worse than nothing..." !!!!!!!????????!!!!!!!
>
> Deneb*Deneb, he says that therapy is "often worse than nothing IN PHYSICAL ILLNESS." And think about that? What would a physical illness be? Let's say he's talking about appendicitis. What does therapy look like for that? Probably some hot or cold packs to reduce discomfort, right? Maybe some analgesic? What does appendicitis actually need? Medications and surgery.
I don't agree with him about the value of therapy, but otherwise I think he was very knowledgeable, and I did agree with much of what he wrote.
And Deneb? Before you get upset about it all, think about this: MANY doctors will say that there's nothing to be done about BPD; that no medication will help people with BPD; that there's nothing biological, it's just a personality defect, etc. This guy may be hitting the "BPD is Biological" drum a little harder than he might otherwise, just as a way to counter what so many other doctors are saying. Sometimes you have to think about that, too. I was actually pretty impressed with some of his answers, because he seemed to be advocating for people with BPD.
I'm sorry you were upset by that site. I hope you can find the good in it, too.
Posted by Phillipa on June 26, 2006, at 13:59:05
In reply to Re: BPD and Paul J. Markovitz » Deneb, posted by Racer on June 26, 2006, at 10:17:26
Deneb I agree with the above comments. It's a little scarey for you huh? But do you have that as a dx? And the way or the part I read said a combo of a med and theraphy was the way to start out. love Phillipa
Posted by Deneb on June 26, 2006, at 18:45:11
In reply to Re: BPD and Paul J. Markovitz » Deneb, posted by Racer on June 26, 2006, at 10:17:26
I'm not upset by what he wrote, just annoyed I guess. I just don't believe that BPD is biological to the extent that meds are required, but I could be wrong since I'm not an expert. I suppose I don't like the idea of there being something wrong with my brain that can't be fixed with therapy alone.
I appreciate what he's doing though, countering stigma and all and it was awfully nice of him to answer so many questions.
Deneb*
Posted by cecilia on June 30, 2006, at 4:16:26
In reply to Re: BPD and Paul J. Markovitz, posted by Deneb on June 26, 2006, at 18:45:11
Well, bad therapy is far far worse than nothing. Cecilia
Posted by Dr. Bob on July 2, 2006, at 2:44:15
In reply to Re: BPD and Paul J. Markovitz, posted by cecilia on June 30, 2006, at 4:16:26
> Well, bad therapy is far far worse than nothing.
Sorry to interrupt, but I'd like to redirect follow-ups regarding therapy to Psycho-Babble Psychology. Here's a link:
http://www.dr-bob.org/babble/psycho/20060623/msgs/663400.html
Thanks,
Bob
This is the end of the thread.
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