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Border polar

C

Constantine

Well-known member
Joined
May 27, 2020
Messages
63
Location
United States.
So i have the rare diagnosis of borderline and bi polar and was wondering if anyone else here shares in this distinct honor. Funny thing though was that when i mentioned Border polar to my Dr. after having read about it online, he shut that shit down real quick and didn't want to talk about it anymore. None of my Dr.s will ever bring up my diagnosis and i have a laundry list. Anyway, just real curious who else out there might relate. Thanks!
 
HLon99

HLon99

Well-known member
Joined
Apr 15, 2020
Messages
290
Location
London, UK
Dear Constantine,

I don't have borderline personality disorder, but I am Bipolar. Let me tell you right off the bat, you are by far not alone. As much as 40% of people with Borderline Personality Disorder suffer from co-morbid Bipolar disorder. Its a common enough condition which has been widely investigated in both theory and practice. I do not know why your psychiatrist is ignoring. One of the first things my psychiatrist told me when I was diagnosed with bipolar is that many people also have BPD. Either he is incompetent or purposefully trying to ignore it as they do not think that it warrants attention. Either way, if your psychiatrist continuous to be uncooperative in giving you the comprehensive treatment that you think you need, I suggest that you go looking for a new doctor. If that is not possible, perhaps seek out help from a psychologist that specialises in dealing with BPD. This may be a DBT specialist, as this is often the treatment for BPD.


I hope you feel better soon, and if you have any questions please feel free to ask.

-H
 
C

Constantine

Well-known member
Joined
May 27, 2020
Messages
63
Location
United States.
Have you heard it said that ECT is not a viable therapy for people with BPD? I've been told it will not help me at all and neither would Ketamine Infusions.

Thanks!
 
HLon99

HLon99

Well-known member
Joined
Apr 15, 2020
Messages
290
Location
London, UK
Have you heard it said that ECT is not a viable therapy for people with BPD? I've been told it will not help me at all and neither would Ketamine Infusions.

Thanks!
Dear Constantine,

Both ECT and ketamine infusions are controversial therapies for treating mental disorders, with only the former being officially licensed treatment. ECT can treat mania and depression associated with Bipolar and Depression, but usually only used as a last resort when medications have failed. I cannot comment on whether or not it can help BPD directly, but if you have depression associated with you BPD then perhaps it could help. Ketamine therapy is currently being researched as a potential treatment for Major Depressive Disorder. However, ketamine, as a deliriant hallucinogenic has the potential to worsen psychoses, potentially worsening outcomes for Bipolar patients.

No medications as of yet exist to cure the core issues of BPD (splitting, black/white thinking). However, many of the medications used to treat bipolar disorder can help curtail some of the symptoms such as mood swings, depression, dissociation as well as reduce suicidal behaviour and improve quality of life. Mood stabilising medications such as Lamictal (which I am on) are particularly popular off-label treatment for BPD as they help control some of the worst symptoms, improve decision making and make therapy more effective. Its often very highly spoken of. If you are Bipolar, there is a chance you will be prescribed it, so its something worth talking about with your doctor.

But the only real proven treatment for BPD is long-term psychotherapy. Particularly, DBT which emphasises growth in emotional self-awareness, impulse control, self-regulation and social behaviour. With hard work and correct treatment, I am sure that you will be able to overcome you psychological problems, and many with BPD who enter therapy grow to see marked improvements.


Just out of curiosity, what treatment are you receiving so far, in terms of medication and therapy?

Best wishes,
-H
 
C

Constantine

Well-known member
Joined
May 27, 2020
Messages
63
Location
United States.
Right now i'm on 1200 mg lithium and 120 mg latuda. i was just taken off efexor, which was a bitch. I just got out of inpatient care after a suicide attempt and currently debating on next steps. Medicine is not working for me and psychotherapy hasn't been working although i'm not sure i've been getting good service in that department. Truly, i'm at my wits end and not sure how much more i can take. The struggle is real for myself as well as my family. I can understand the benefit of suffering, i see where it serves a purpose, but this is getting ridiculous. I feel that all these things take so much time and it seems time is the one luxury i do not have.
 
HLon99

HLon99

Well-known member
Joined
Apr 15, 2020
Messages
290
Location
London, UK
I understand you frustration, but you really just got to work with the program. It can take several attempts to get the treatment right, but believe me its something worth doing. I've had times when I've felt that I was ready to give up and check out. But each time you fall, you just have to pick up the pieces and move forward. It ain't over till its over, and you do not get to dictate that. Suicide isn't to be taken lightly, your life is not your own to take, you are not the one who is going to have to deal with the fallout. If you've already tried many meds before, and they have all failed you, then perhaps ECT is something worth looking into. It has been know to help treatment-resistant cases. Just be aware of the risks.

I sincerely hope that you feel better soon, and if you ever feel like you need to talk feel free to message me.
 
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