Quote:
Originally Posted by circles5
Hi.
For several years every single psychiatrist ive seen has been clamouring to prescribe me anti-psychotics.
I was actually prescribed olanzapine once... tried it; it helped massivley but i wouldn't take it more than once for fear of side effects.
Now all these psychiatrists wanted to prescribe me anti-psychotics for my anxiety issues.. as theyre on the severe side, especially my bdd.
So now.... as of the last month i have 3 new diagnosis. 3 personaloty disorders. The most prevalent being avoidant personality disorder.
So now.... ive been coming to terms with the knowledge i will never recover (i havent shared this feeling with them) and as a result ive decided id finally take them up on their offer of antipsychotic meds as my life is hanging in the balance while im this unwell... im suicidal.. depressed... housebound. . relapsed with my anxiety disorders majorly - its all gone horribly wrong lately.
But now. Suddenly. Theyve changed their minds. They wont give me an antipsychotic...
I dont have psychosis... never have but that isn't what ive in the past been told i need it for.
Is there something about personality disorders that doctors refuse to prescribe meds for? But what about my comorbid anxiety disorders??
Im stunned after all these years of doctors throwing every pill in the book at me. Now i have a new diagnosis and finally agree to take some meds; they now dont want to give them.
Im in crisis currently and they wont even give me a med review for 2 months!!!
Bizzare. And troubling.
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With most personality disorders, the most effective treatment, if any, is therapy, not medication. That being said, most people who struggle with a personality disorder usually don't have that and that alone, much like most other mental illnesses. They can have more than one Axis I disorder, i.e. depression, anxiety, bipolar, ocd, etc. or have waxing and waning symptoms of depression/anxiety related to difficulties with the personality disorder. So, those things can be treated with therapy as well as medication.
As far as why doctors don't want to prescribe you an antipsychotic, my guess would be a combination of it not being a first-line treatment for things like depression/anxiety and the most common side effects being counterproductive to at least one of your diagnoses (significant weight gain/metabolic syndrome and bdd)