8 replies to this topic

[fishinghat]

This article is a survey of 233 drs who have private practices and the rate of use of certain drugs.

 

Please note the following result from that paper.

 

"Psychiatrists predominantly saw an indication to prescribe antidepressants (98%), ..."

 

http://www.ncbi.nlm....les/PMC4047315/

[Carleeta]

fishinghat. This is so true...the psych drs do prescribe anti-depressents most of the time, due to one of the main reasonhis one goes to the psychiatrist. This doesn't surprise me one bit....What does surprise me is the fact that psychiatrist are medical doctors first, then they go on to get their degree in psychiatry...They should know all about these med's when they are just plain doctors...first! Great article by the way...

[FiveNotions]

Here's my favorite ...

 

"In the treatment of patients suffering from borderline personality disorder (BPD), long-term and disorder-specific psychotherapy is commonly accepted as the most successful approach . . . There is no strong evidence for pharmacotherapy . . . Despite the small evidence base, pharmacological treatment is widely used in BPD therapy."

[DoneWithCrap]

People with borderline personality disorder are typically very hard to deal with. They are manipulative and usually know how to "yank your chain" and play the system. DBT is most affective treatment but the patient most be willing to do the work. It takes many years to treat. The people I know with BPD are very intelligent and can get their doctors to prescribe what ever they want. Self harm is a big piece of BPD which means these patients not be on dangerous meds.

This is terrible. 

[Carleeta]

To add to ReneeRJ (which I agree) this diagnosis is very difficult to diagnose!

[brzghoff]

 

i was told by two different therapists that there is absolutely nothing that can be done with someone with borderline personality unless they make a committed choice to make changes and do the work. i had an associate/work friend who admitted that she had been told by several therapists that she was borderline. i tried to develop a real friendship with her but it was impossible. she was not willing to accept responsibility for her behavior and the situation was so toxic i had to cut it off. i really felt guilty but it was seriously affecting my own mental health struggles. i always thought the title of the book "i hate you don't leave me" was an apt description. it must be terrifying to be in her situation. i know that most cases are tied to serious childhood trauma. i really wanted to help. 

[DoneWithCrap]

Please don't feel guilty, brzghoff. Any relationship with  BPD person is a toxic one. You need to take care of yourself right now and with BPD comes a lot of drama. They need to be the center of attention. If they're not, they will do something to make them the center of attention.

 

I have had plenty of exposure to at least half a dozen people with this disorder. Mainly while I was hospitalized for nearly 2 years and my own daughter most likely has BPD. I treat them with respect but I won't let them suck me into their illness. Once they realize they can't manipulate me, they don't want to bother with me anymore but I think they have respect for me in the end.

 

I have been in group therapy called DBT (Dialectical behavior therapy) which is supposed to treat BPD. Maybe it was because we were required to get this treatment and didn't seek help on our own, but in my experiance, It didn't help much. It just got us off the locked unit for an hour and a half a day.

 

PS. I don't have BPD. I had severe depression. (just fyi)

[brzghoff]

thanks for the follow up Renee. and i understand how even though you didn't have borderline pd that you'd go to that therapy class to get out of the unit for a few hours a day ;-)

 

i bet you learned a lot

[DoneWithCrap]

I did learn a lot, brzghoff. I have a dissociative dissorder. The group did give me a whole toolbox of grounding skills. I also learned a lot about people that truly have borderline pd. sometimes I believe I have a better understanding on this dissorder than many doctors and therapist do. I say this because I lived with them 24/7 not just during group.
All in all I can't say it was a waste of time (at the time, that is what I thought). I feel I'm more compassonate to all people with mental health issues. Especially the toxic ones.