what treatment should i be getting for my BPD? what should you do when your psychiatrist won't give you meds

Question

for your distressing symptoms?

i have bad persecutory paranoia, where i dont trust alot of people, i think people are out to get me, are ostracizing me, want to ruin my life, prevent me from accomplishing my goals, im being talked about.....people know who iam..

i have racing, obsessive thoughts each day, where i cant hold a train of thought, i keep forgetting...100 thoughts, anxieties, insecurities, racing round my mind all at once...cant concentrate or organize anything.

i have high levels of panic and anxiety which has prevented me going out anywhere...i dont feel safe outside, feel ill be attacked or something will happen to me...i have panic attacks, where i cant catch my breath...im startled by loud noises..i only go out when i have to.
i have flashbacks to traumatic times, bullying times, when i was victimised and attacked.
i have rage and anger feelings constantly still, years ago i used to have rage outbursts regularly, but now i contol it, but get the feelings alot

i have disocociation when outside, when im in panic
and anxiety mode...i sort of just zone out..

these symptoms are very dibilitating and are impairing
my ability to go out, live my life or function...
i cant even leave my apartment now, unless i gots to.

my psychiatrist has organised some ''psychotherapy''
and an occupational therapist..
but he wont perscribe meds because he said their
addictive.....plus i heard the proper treatment
i should be getting is DBT dialectal behavioural
therapy.
so i feel as though im missing out and not getting the right
help, treatment or support.
can anyone give ' clear ' advise on what i should do?

i feel i exibit symptoms of PTSD , anxiety disorder, depression.....although ive not been diagnosed with these things.
just the BPD

ive suffered like this since 16.....im 30 now

i just want to get well and recover, accomplish a happy life.
this is why im so frustrated

Answer 1

Hey, please find a new doctor if you can? This is ridiculous that you can't get the help you need to stop all of your pain and suffering.
It is time for a second opinion. I hope that someone will help you and give you medication to help you feel better. That is a cop out from the doctor... There addictive, my ***. It is only addictive if the patient starts to abuse them.
I am so sorry that your suffering endlessly without the medication that could help you feel better.

Answer 2

Sounds to me like you need some form of behavioural therapy. DBT might be just the thing for you, if that's what your therapist wants you to have.

I'm sure your therapist will have a much better idea of your needs than any of us here who have not had the opportunity to interview you or discuss your symptoms in much detail at all.

What you should do when your psychiatrist won't give you meds is really to get into the behavioural therapy and make the most of it!

Particularly if 14 years of meds haven't done much to fix things!

Answer 3

Your psychiatrist wont give you any meds since BPD is a personality disorder and does not respond to meds. BPD happens in response to a chaotic childhood and there is only one way to work your way out of it and that is counseling and hard work to develop insights. Most people with BPD are very resistant to working through their past, feeling the the feelings they have repressed for so long to be able to move on. Its hard, tedious work. And then starting to change and adjust is scary, uncomfortable and tough all over again. On the other hand, you just cant medicate life away.

Answer 4

You're right DBT is the best therapy for BPD.

If your doc isn't working for you, find a new one.

Til' then go to the library and check out books on DBT. There are workbooks you can do at home.

Answer 5

Sorry you're experiencing this. Dialectical behavior therapy (DBT) is the treatment of choice for BP. You might also like to get some sort of treatment for anxiety (e.g. benzos) or an antidepressant that has an antianxiety effect (e.g. Celexa or Buspar). Good luck to you.

Answer 6

sounds like paranoid personality disorder mixed with Adult ADD and a generalized anxiety disorder, possibly acute agoraphobia sprouting from the paranoia..

Answer 7

Personally, if I was that concerned with my treatment plan I would seek a second opinion. I have never heard of a Dr. refusing to medicate someone with that level of disfunction.