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Do you have Borderline Personality Disorder? This new Exchange has been developed so we can encourage each other, share tips to get through those down days, and/or just vent.
New diagnosis of BPD
maxine729 posted:
I just came out of inpatient hospitalization and was diagnosed with MDD and BPD.
My current psychiatrist does not think I have BPD, just Bipolar. Although I have failed with lithium and Trileptal.
I have been to many psychiatrists and all have a different opinions, Major Depression, Bipolar, and the only psychiatrist who diagnosed me with BPD is the impatient Dr.
I just don't know. I seem to have the back ground.
It's very frustrating to have so many different opinions about my diagnosis.
Antidepressants don't seem to work for me anymore. I'm currently on a regime from the impatient Dr. of concerta, effexor, geodon, trileptal, and wellbutrin.
He wants me to wean off the effexor since SSRI's have been nothing but a problem for me, and the Geodon.

I have my doubts about ever giving up geodon since since any antidepressants after a week or so cause extreme anxiety. Which makes me hopeful for the wellbutrine.
Thats my story.
I am going to start therapy for DBT (?). Am curious to find out if I even have BPD.
I know that currently as someone who is only responding to Concerta (in my opinion) that I certainly can relate to a lot of BPD symptoms.
I had a wonderful four years on prozac but after stupidly discontinuing it things have really changed.
I guess I'm just introducing myself and my background and hoping for encouragement and support on how to deal with BPD if I indeed have it.
Thanks for listening
marysings responded:
Hi Max.

There is nothing about DBT that will tell you if you have Borderline Personality. Look up both things on the internet. You must meet a certain number of criteria to be diagnosed with Borderline. My psychologist waited 9 months before he felt comfortable giving my diagnosis to me. I can't imagine why an inpatient counselor would do that based on only a few meetings.

DBT is Dialectical Behavioral Therapy. It's learning the correct way to interact with others when your mind is hurting, shuts down, and you can't think of the correct response to stimuli. There are 24 skills and most of them are things we do everyday. What you will learn is how to grab 'em when you are in emotional trouble.

My advice would be to use only one person for meds and therapy. If your psychiatrist does not do therapy for his patients (and most don't anymore), then find a therapist and stay with that person. You're standing in muddy water with too many diagnosis'. My Dr.B (psychologist) says no therapist can make an accurate psych diagnosis without having a lot of time together with the patient. And as I said, I started seeing him in April and it was December before he gave me any kind of diagnosis other than depression.
I'm strong willed and I tell it like it is.I make mistakes,I'm sometimes out of control but I love and give with all my heart.If you can't accept me at my worst then you don't deserve me at my best.
Kack1973 responded:
Hi! I have a similar background with medications, going in and out of psych hospitals, etc, etc. I tried DBT twice and it never worked for me. I have heard so many stories about different people and what medications they have been on and what has worked for them and what hasn't and what has worked for me and what hasn't. Heck, with all the experience I have had since 2003, I could probably become a psychiatrist without going to school! One thing you should look into and I don't know where you live because it is not offered is called Schema Therapy. This therapy saved my life! DBT never made sense but once I got going with this one, it was like a light bulb went off in my head! I was inpatient for a few months but not everyone has to be inpatient and now I am in the outpatient program. It is great because my psychiatrist is my therapist also and she is wonderful! Look it up on the internet under Schema Therapy and also Jeffrey Young. He was the main guy who started it. Another drug you might try is Paxil. Out of all the drugs I tried, Paxil seemed to be the best for me and I tried a lot of the ones you mentioned! Keep me updated. I am anxious to find out how you do!
maxine729 replied to Kack1973's response:
I'm so scared, that's all I can say.
I am taking a combo of prozac and tegretol and I know the proza is adding to the anxiety, scary thoughts.
The tegretol brought me out of the deep depression but I'm still so anxious, so afraid. My life has never been like this.
I see a pdoc on the 9th who works with BPD but I don't know if he is familiar with people who become dysphoric on antidepressants.
I'm just so afraid I'll never have a normal life again.
Afraid, paranoid, I feel trapped by both.
SFGiantsgirl replied to maxine729's response:
Maxine, I was in the same boat as you. I feel so much better now. Prozac was a bomb for me, it helped with anxiety but not depressive thoughts. Zoloft was bad moody over time again, and really bad thoughts like hurting my DH. Wellburtrin was bad, crazy anxiety. I am now on a dose of Celexa and Abilfy these seem to help a lot. They're not perfect but darn close to it.
marysings responded:
Maxine, please look at my post "Identifying Borderline Personality Disorder". Maybe those questions will help you know if you have BPD.

Keep learning those DBT skills. They are a standard treatment for BPD.

I'm strong willed and I tell it like it is.I make mistakes,I'm sometimes out of control but I love and give with all my heart.If you can't accept me at my worst then you don't deserve me at my best.

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