- Are Borderlines More Susceptible To Hormonal Changes?
QUESTION:
Dear Dr. Heller,
Do you think women with Dyslimbia and Dr. Siever’s subset of this population more likely to have marked dysphoric reactions to hormonal changes, such as PMS, post-partum, post-abortion, and post-miscarriage? What about women with bi-polar and OCD? What is the best medication for OCD?
Thank you for taking the time to answer these questions.
ANSWER:
Yes, individuals with the BPD (my term Dyslimbia) are much more likely to have bad reactions to hormonal changes such as PMS and post partum changes (including post abortion and miscarriage). There’s a debate about the best medication(s) for OCD. Prozac and other SSRI’s work well. So does the TCA “Anafranil.” The B vitamin inositol in high doses (18,000mg daily) can be effective as well.
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