[athena2011]

I found this article today and found it quite helpful. I hope the link works here. If not, somebody let me know and I will post the copy instead. It just reinforces why meds do not work for me.

http://www.psychiatrictimes.com/pers.../10168/1432463

[Girl_Interrupted]

That's why there's DBT though. That's still a treatment The link doesn't work by the way.

[athena2011]

Here is an excerpt from the article in 'Psychiatric Times':

Empirically validated treatments have demonstrated how therapies need to be specifically tailored for successful treatment of BPD. The first of these, dialectical behavioral therapy (DBT) was developed only after it was realized that patients with BPD resisted a traditional behavioral approach. DBT incorporated techniques of validation and the concept of acceptance to a cognitive-behavioral framework. Similarly, schema-focused therapy was developed for personality-disordered patients who were “nonresponders” to—or “relapsers” from—standard cognitive-behavioral therapy. Several of these approaches explicitly address the borderline patient’s typical treatment-interfering behaviors so that his or her responses are not personalized or overreactive.

Originally, the concept of treatment resistance was defined in psychoanalytical terms. Freud described the phenomenon of resistance broadly as “whatever interrupts the progress of analytic work.” The term “resistance” often referred to defenses or aspects of character structure that were obstacles to therapists. Currently, treatment resistance often refers to psychiatric symptoms that do not respond to otherwise effective treatments. The most widely recognizable use of this modern meaning of resistance is treatment-resistant depression, which describes a form of depression that does not remit despite reasonable and extensive (usually psychopharmacological) treatment. Both psychological resistance to treatment and the resistance of symptoms to respond as expected refer to a variety of phenomena that can render generally effective treatments ineffective.
BPD is associated with both forms of resistance, and these underlying sources may overlap. Particular forms of defenses exhibited by patients with BPD can constitute therapeutic resistance. However, when BPD coexists with mood disorders, those disorders often fail to respond to treatments as well as expected.


This about a quarter of the article. I can paste more or if anybody's interested, you can sign up for a free subscription to Psychiatric Times (which I highly recommend if you are into self-help) and search for the article. Case studies are presented which I find particularly helpful but it's kind of hard to start in the middle of the article.

[cboxpalace]

Originally Posted by athena2011

I found this article today and found it quite helpful. I hope the link works here. If not, somebody let me know and I will post the copy instead. It just reinforces why meds do not work for me.

This applies to most, if not all, people with bpd. Those of us with bpd learned ineffective coping mechanisms from an early age. There is no pill that is going to cure that or give you new coping mechanism.. You learned bad coping mechanisms over years, and it will take time to learn new coping mechanisms.

Now most of us have bpd along with anxiety, depression, bipolar or whatever. A med may or may not treat those symptoms associated with those illnesses. So you could be resistant to treatment for those conditions, but it would only be those conditions.

Meds will be of virtually no use to bpd itself. Like the person above stated bpd needs to be treated with something like dbt. Even that isn't 100% effective..

[BrokenNBeautiful]

BPD is hard to treat.

It's the BPD that's difficult, not us.

And many t's scratch their heads. So do bpd's loved ones.

I feel like when I attempt to deal with symptoms, they resist ME. lol It's like theres a voice in me that says, "No way, you're not gonna treat me!" lol

Med's don't work for me either.

Billi

[athena2011]

Originally Posted by billi_leli

It's the BPD that's difficult, not us.

Something I've got to keep reminding myself!

Originally Posted by billi_leli

I feel like when I attempt to deal with symptoms, they resist ME. lol It's like theres a voice in me that says, "No way, you're not gonna treat me!" lol

Yes, yes, yes! That's it exactly. Was PINK talking to herself when she wrote "Don't let me get me"?

[BrokenNBeautiful]

I wonder if PINK is bpd. Did she write a song with the words, "Don't leave me" or was that someone else? She was singing about wanting the man to understand that she was being mean, but she did not mean it. And she sounded afraid of herself. Which i can definitely relate to.

Billi

[unaluna]

have you been able to dump your husband yet? seems like getting that load off your shoulders would help matters a lot. then maybe you could concentrate on your issues with better success. dumping my FOO helped me, but the cure still wasn't instantaneous.

[athena2011]

Originally Posted by hankster

have you been able to dump your husband yet? seems like getting that load off your shoulders would help matters a lot. then maybe you could concentrate on your issues with better success. dumping my FOO helped me, but the cure still wasn't instantaneous.

No, unfortunately not. His recent threats have made me very trigger prone again. Every once in a while I feel like tearing my skin off - partly subliminal human voodoo doll, partly an attempt to rip myself out of his claws, partly just utter, sheer frustration at being completely out of options. I'm sure that at least the urge to do that or otherwise jump off a tall building would subside once I get my freedom. I would so like to move on with my life but I just can't bring myself to do it when it is not even my own.

[MellyAngry]

Originally Posted by billi_leli

I wonder if PINK is bpd. Did she write a song with the words, "Don't leave me" or was that someone else? She was singing about wanting the man to understand that she was being mean, but she did not mean it. And she sounded afraid of herself. Which i can definitely relate to.

Billi

I think it was pink... I love her..hi Billi.. I like your posts, I can relate to some