[Elektra_]

hi there. recently my ex-t said that i need neuroleptics (anti-psychotics) caz i need help with cognitive-perceptual symptoms, p.e. splitting. i decided to search results on this matter and most trial results show that olanzapane (zyprexa) and aripiprazole (abilify) are the best ones in treating bpd symptoms in general. sooo i would like to know ur experiences. here is the results ive seen in many places i read... http://www.healio.com/~/media/Journa...06/table1.ashx

thanks

[HazelGirl]

From what I understand, most people don't treat BPD symptoms with drugs.

[ThingWithFeathers]

I take olanzapine, as well as an antidepressant. I haven't been diagnosed with BPD - but I have been diagnosed with the complex form of PTSD. Olanzapine was given to me originally as a temporary measure during a crisis, but I have found it works so well to help me regulate my emotions that I've been told to stay on it. What it does for me is lower my anxiety and makes me feel somewhat grounded. Not sure if this is the kind of information your after?

[archipelago]

I have known people finding some anti-psychotics helpful for agitation and self-harm or impulsivity. Some take anti-depressants as well since there is that component though it is not officially part of the diagnosis, but BPD often has its roots in trauma and loss so it seems appropriate. I do not buy that BPD is so bad that it is resistant to treatment. There are people who wanted to rename BPD as "emotional dysregulation disorder" because that is the core feature. Anything that helps regulate emotions then would be helpful.

[InRealLife45]

Originally Posted by Elektra_

hi there. recently my ex-t said that i need neuroleptics (anti-psychotics) caz i need help with cognitive-perceptual symptoms, p.e. splitting. i decided to search results on this matter and most trial results show that olanzapane (zyprexa) and aripiprazole (abilify) are the best ones in treating bpd symptoms in general. sooo i would like to know ur experiences. here is the results ive seen in many places i read... http://www.healio.com/~/media/Journa...06/table1.ashx

thanks

both of those drugs will make you fat, zyprexa especially. but abilify also known for weight gain. not worth the trade off IMO.

I'm on a new drug now called latuda which I actually feel ok on and isnt supposed to cause weight gain. try that instead.

(other posters are correct that bpd is not treated with drugs, but some of the other symptoms are, like the anger, the depression- take care of those and it makes it easier to unwind the cognitive distortions.)

[ScarletPimpernel]

BPD usually occurs with other mood disorders. So medication is used to treat the mood disorders, and therapy is used to treat the BPD.

I take Lexapro for depression, Lamictal for mood stabilizer, Ativan for anxiety attacks, and Ambien for insomnia.

Typically, antipsychotics are not used to treat anyone with BPD because they come with a lot of side effects. The worst medications for BPD are MAOI's. The class of medication that has shown the best results for people with BPD are SSRI's.

But still, therapy is best for BPD. Most say specifically DBT.

[ThingWithFeathers]

Yes, others are right - olanzapine does increase your appetite, greatly! In the first 6 weeks I gained 10kg. But my appetite has now stablised. I am small person, so an increase in wieght hasn't bothered me so far.In fact, it has put me in the 'healthy' weight range. But yes, it will likely impact on your weight. I have had no other side effects.

[Elektra_]

hi. thanks thats exactly what im looking for do u feel any bad side effect?

Originally Posted by ThingWithFeathers

I take olanzapine, as well as an antidepressant. I haven't been diagnosed with BPD - but I have been diagnosed with the complex form of PTSD. Olanzapine was given to me originally as a temporary measure during a crisis, but I have found it works so well to help me regulate my emotions that I've been told to stay on it. What it does for me is lower my anxiety and makes me feel somewhat grounded. Not sure if this is the kind of information your after?

[Elektra_]

hi. as u can see the main issues of bpd are affective and cognitive perceptual dysregulation and impulsivity... of course the affective/emotional is the most notorious.
as ive been taking an SSRI and hasnt been working and im not functional at all, i need better option. as she said there is no point keep talking about the same things (that i already know) if my behavior doesnt change and im basically stuck. thats why the anit-psych suggestion.

Originally Posted by archipelago

I have known people finding some anti-psychotics helpful for agitation and self-harm or impulsivity. Some take anti-depressants as well since there is that component though it is not officially part of the diagnosis, but BPD often has its roots in trauma and loss so it seems appropriate. I do not buy that BPD is so bad that it is resistant to treatment. There are people who wanted to rename BPD as "emotional dysregulation disorder" because that is the core feature. Anything that helps regulate emotions then would be helpful.

[Elektra_]

hi. lol for me that would be wonderful. im skinny. my first psych even prescribed me socian to get some weight but i had to quit because of high levels of prolactin.
oh latuda im not familiar with, gona check it out thanks
ya ill be taking to make it easier caz im not functioning at all.

Originally Posted by InRealLife45

both of those drugs will make you fat, zyprexa especially. but abilify also known for weight gain. not worth the trade off IMO.

I'm on a new drug now called latuda which I actually feel ok on and isnt supposed to cause weight gain. try that instead.

(other posters are correct that bpd is not treated with drugs, but some of the other symptoms are, like the anger, the depression- take care of those and it makes it easier to unwind the cognitive distortions.)

[healed84]

Originally Posted by archipelago

I have known people finding some anti-psychotics helpful for agitation and self-harm or impulsivity. Some take anti-depressants as well since there is that component though it is not officially part of the diagnosis, but BPD often has its roots in trauma and loss so it seems appropriate. I do not buy that BPD is so bad that it is resistant to treatment. There are people who wanted to rename BPD as "emotional dysregulation disorder" because that is the core feature. Anything that helps regulate emotions then would be helpful.

My T has the same belief about BPD.. as far as renaming it. He said, that is the most promintent symptom I deal with when it comes to BPD, but I do also deal with others as well. Thankfully, I have a T who has a wonderful understand of BPD and is not afraid to treatment.

He encourages meds if I feel I need them, but is ok with me not taking them as well. I do think BPD symptoms can be managed with different meds, I just have not looked into them.

[Elektra_]

lol i only saw this now. as i said its cool to put some weight too so is fine for me glad u dont have any other bad effect.

Originally Posted by ThingWithFeathers

Yes, others are right - olanzapine does increase your appetite, greatly! In the first 6 weeks I gained 10kg. But my appetite has now stablised. I am small person, so an increase in wieght hasn't bothered me so far.In fact, it has put me in the 'healthy' weight range. But yes, it will likely impact on your weight. I have had no other side effects.

Hi Elektra,

here's some more items I found in my bookmarks:

Click on picture to enlarge:



source: Medscape: Medscape Access

In cases of severe borderline personality disorder, it is common to combine the use of medication with psychodynamic psychotherapy, as suggested by the American Psychiatric Association practice guideline on the disorder (26). While a variety of psychopharmacologic agents appear to be useful for patients with borderline personality disorder, the selective serotonin reuptake inhibitors (SSRIs) have garnered supportive data in four double-blind placebo-controlled trials (15, 27—29). SSRIs may facilitate therapy by reducing the intense anger, dysphoria, and hypervigilant anxiety connected with the patient’s internal object world (20). Rinne et al. (30) noted that fluvoxamine is associated with a significant reduction of ACTH and cortisol response in borderline patients, particularly in those who sustained childhood abuse. It may well be that toning down the hyperreactivity of the HPA axis with an SSRI moderates the patient’s specific object-relations unit of victimized, hypervigilant self linked to a potentially malevolent object. The diminution of the hypervigilant anxiety promotes greater reflective capacity, allowing the patient to consider what is going on in the therapeutic relationship more effectively (20).

source:

PsychiatryOnline | FOCUS: The Journal of Lifelong Learning in Psychiatry | Psychodynamic Approaches to Personality Disorders strategies and evidence

[C0Nspiritus]

Originally Posted by HazelGirl

From what I understand, most people don't treat BPD symptoms with drugs.

I agree with you Hazel and thanks for your post.

[InRealLife45]

Originally Posted by Elektra_

lol i only saw this now. as i said its cool to put some weight too so is fine for me glad u dont have any other bad effect.

i was skinny too when i started taking zyprexa. 6 months later i was obese. if i had realized sooner it was that drug id of stopped taking it sooner but i didnt know at the time it was the zyprexa.

[Depletion]

In the article skies posted it mentions Hyper-reactive hypothalamo-pituitary-adrenocortical axis is common in people with BPD. This article http://www.timeforwellness.org/files...bruary2014.pdf mentions some herbal remedies for this problem, I already take the Theanine that he mentions and have good success with it. So if you think some of your issues might be anxiety related it might not hurt to try some of these. Although if your not interested in herbal remedies I understand. But I do know that there are pub med articles that show Theanine can help with anxiety.