Biological Unhappiness

Is There A Relationship Between Tricotillomania And BPD? * Dr. Leland Heller is a family physician who has treated thousands of patients with the Borderline Personality Disorder. BPD is a medical disorder and that this and other Biological Unhappiness disorders are treatable with medication first and then by retraining the brain * Biological Unhappiness * BiologicalUnhappiness.com

IS THERE A RELATIONSHIP BETWEEN TRICOTILLOMANIA AND BPD? Ask The Doctor Dr. Leland Heller Biological Unhappiness IS THERE A RELATIONSHIP BETWEEN TRICOTILLOMANIA AND BPD? Question: Good evening Doctor Heller,I am writing to you because I read the question and answer on http://pks.947.myftpupload.com/AskDoc/doc261.htmI suffer from tricotillomania and skin picking since I was about 9 years old. I am 27 now. I recently started treatment with a psychiatrist. I have been taking Sertraline for 15 days. Sometimes I have thought that my way of thinking and acting are very similar to those of a person with borderline personality.I would like to ask you if there is a possibility that people with tricotillomania present these symptoms. I am such an unstable person and neither I nor my family or friends or co-workers or my boss can explain my mood changes. From extremely happy to extreme anger!I would highly appreciate your reply and help.Best Regards… Dr. Heller’s Answer: Ive treated a dozen or so patients with tricotillomania. Its difficult to treat. Some individuals are self mutilating in an attempt to stop or reduce their dysphoria (anxiety, rage, depression and despair). For others its a compulsive anxiety reducing behavior. For some its a combination.Treating all the medically treatable problems as listed in my screening test is extremely important. Is There A Relationship Between Tricotillomania And BPD? 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home Is There A Relationship Between Tricotillomania And BPD? MENU: Screening Test “Ask the Doctor” (BPD)Borderline Personality Disorder Annual Updates Biological Unhappiness Disorders & Official Criteria Dr. Heller’s C.V. & Picture How Dr. Heller Got Involved If You Want to See Dr. Heller as a Patient Testimonials Table of Contents for the Book ‘Biological Unhappiness’ How to Order “Life at the Border” Why Read ‘Biological Unhappiness’? Goals AD(H)D and Relationships BPD, Bipolar or ADHD? Suicide What if BuSpar makes me anxious or ill? A Suicide Attempt Per Minute in the US Grandparents raising Grandchildren Information About Children What Signs are there that Someone May ‘SNAP’? TV & Cartoon Characters with Depression & Other Disorders Dr. Heller’s Office Website Dr. Heller’s Lectures Mentally Healthy People Retraining the Brain Today is a Gift Reviews Links Webrings Site Index Home Is There A Relationship Between Tricotillomania And BPD? Video DVDs now available! You can watch and listen to Dr. Heller in the comfort and convenience of your own home. Provides full explanations and treatment descriptions of Borderline Personality Disorder (BPD) – 90 minutes, other Biological Unhappiness disorders – 90 minutes. Click here to find out more about Dr. Heller’s educational videos. “Biological Unhappiness” “Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. “Biological Unhappiness” contains critical information for those who have lost hope.”Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World. Dr. Leland Heller Dyslimbia Press, Inc. 1713 US Hwy 441 N, Suite E Okeechobee, FL 34972 863-467-8771 Email: Hours: M-Thu. 8:30AM-5PMFri. 8:30AM-12 Noon*(*During November through April, the office is open until 3PM on Fridays.) All material not explicitly credited otherwise is copyrighted © 1999-2011 Dr. Leland Heller. All Rights Reserved. May not be duplicated without the permission of Dr. Leland Heller or Dyslimbia Press. Biological Unhappiness, BiologicalUnhappiness.com, & Dyslimbia Press are trademarks of Dr. Leland HellerDesigned and/or hosted by the webmasters at: US-Webmasters.com (T M) Start here to find it FAST!(TM)

Is Seroquel Safe With A Seizure Disorder? * Dr. Leland Heller is a family physician who has treated thousands of patients with the Borderline Personality Disorder. BPD is a medical disorder and that this and other Biological Unhappiness disorders are treatable with medication first and then by retraining the brain * Biological Unhappiness * BiologicalUnhappiness.com

IS SEROQUEL SAFE WITH A SEIZURE DISORDER? Ask The Doctor Dr. Leland Heller Biological Unhappiness IS SEROQUEL SAFE WITH A SEIZURE DISORDER? Question: Hi,I had asked a question about a wk ago about TLE (temporal lobe epilepsy) and if it is bad to take Seroquel (it’s prn for sleep) if I have it? I heard that neuroleptics can trigger seizures and was wondering if I need to stop the Seroquel (it works really well putting me to sleep). Dr. Heller’s Answer: Its highly unlikely Seroquel will cause a seizure. Not sleeping can cause seizures.Seroquel is very effective for sleep problems that dont get better with other medications. Is Seroquel Safe With A Seizure Disorder? 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home Is Seroquel Safe With A Seizure Disorder? MENU: Screening Test “Ask the Doctor” (BPD)Borderline Personality Disorder Annual Updates Biological Unhappiness Disorders & Official Criteria Dr. Heller’s C.V. & Picture How Dr. Heller Got Involved If You Want to See Dr. Heller as a Patient Testimonials Table of Contents for the Book ‘Biological Unhappiness’ How to Order “Life at the Border” Why Read ‘Biological Unhappiness’? Goals AD(H)D and Relationships BPD, Bipolar or ADHD? Suicide What if BuSpar makes me anxious or ill? A Suicide Attempt Per Minute in the US Grandparents raising Grandchildren Information About Children What Signs are there that Someone May ‘SNAP’? TV & Cartoon Characters with Depression & Other Disorders Dr. Heller’s Office Website Dr. Heller’s Lectures Mentally Healthy People Retraining the Brain Today is a Gift Reviews Links Webrings Site Index Home Is Seroquel Safe With A Seizure Disorder? Video DVDs now available! You can watch and listen to Dr. Heller in the comfort and convenience of your own home. Provides full explanations and treatment descriptions of Borderline Personality Disorder (BPD) – 90 minutes, other Biological Unhappiness disorders – 90 minutes. Click here to find out more about Dr. Heller’s educational videos. “Biological Unhappiness” “Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. “Biological Unhappiness” contains critical information for those who have lost hope.”Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World. Dr. Leland Heller Dyslimbia Press, Inc. 1713 US Hwy 441 N, Suite E Okeechobee, FL 34972 863-467-8771 Email: Hours: M-Thu. 8:30AM-5PMFri. 8:30AM-12 Noon*(*During November through April, the office is open until 3PM on Fridays.) All material not explicitly credited otherwise is copyrighted © 1999-2011 Dr. Leland Heller. All Rights Reserved. May not be duplicated without the permission of Dr. Leland Heller or Dyslimbia Press. Biological Unhappiness, BiologicalUnhappiness.com, & Dyslimbia Press are trademarks of Dr. Leland HellerDesigned and/or hosted by the webmasters at: US-Webmasters.com (T M) Start here to find it FAST!(TM)

Is Prozac Weakening? I Feel Bad. * Dr. Leland Heller is a family physician who has treated thousands of patients with the Borderline Personality Disorder. BPD is a medical disorder and that this and other Biological Unhappiness disorders are treatable with medication first and then by retraining the brain * Biological Unhappiness * BiologicalUnhappiness.com

IS PROZAC WEAKENING? I FEEL BAD. Ask The Doctor Dr. Leland Heller Biological Unhappiness IS PROZAC WEAKENING? I FEEL BAD. Is Prozac Weakening? I Feel Bad. Question: I have been on Prozac for 2 years and it doesn’t seem to be as effective as it once was. Is there a certain “life span” of this drug? All I want to do is sleep and hibernate!! It’s miserable. Dr. Heller’s Answer: There are usually two reasons for this phenomenon:

1) The BPD (Borderline Personality Disorder) with the development of chronic Dysphoria (anxiety, rage, depression and despair). This will usually go away within three hours with the addition of Tegretol 200mg.2) Prozac raises serotonin. Some people get a relative deficiency state with too low dopamine and noradrenaline. People who experience this feel blah and have a lack of interest in virtually anything. This is resolved with the addition of Wellbutrin, and usually goes away within two weeks. The Wellbutrin is rarely needed for more than 6-8 weeks.

In my opinion, Prozac is necessary for two conditions: the borderline disorder and a genetic depression I describe in “Biological Unhappiness” as “fractured enjoyment.” The cartoon characters Eeyore and Charlie Brown describe this phenomenon well. If neither diagnosis is present, switching to an alternative antidepressant such as Effexor, Wellbutrin or Remeron may be a good choice. Is Prozac Weakening? I Feel Bad. 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home MENU: Is Prozac Weakening? I Feel Bad. Screening Test “Ask the Doctor” (BPD)Borderline Personality Disorder Annual Updates Biological Unhappiness Disorders & Official Criteria Dr. Heller’s C.V. & Picture How Dr. Heller Got Involved If You Want to See Dr. Heller as a Patient Testimonials Table of Contents for the Book ‘Biological Unhappiness’ How to Order “Life at the Border” Why Read ‘Biological Unhappiness’? Goals AD(H)D and Relationships BPD, Bipolar or ADHD? Suicide What if BuSpar makes me anxious or ill? A Suicide Attempt Per Minute in the US Grandparents raising Grandchildren Information About Children What Signs are there that Someone May ‘SNAP’? TV & Cartoon Characters with Depression & Other Disorders Dr. Heller’s Office Website Dr. Heller’s Lectures Mentally Healthy People Retraining the Brain Today is a Gift Reviews Links Webrings Site Index Home Is Prozac Weakening? I Feel Bad. Video DVDs now available! You can watch and listen to Dr. Heller in the comfort and convenience of your own home. Provides full explanations and treatment descriptions of Borderline Personality Disorder (BPD) – 90 minutes, other Biological Unhappiness disorders – 90 minutes. Click here to find out more about Dr. Heller’s educational videos. “Biological Unhappiness” “Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. “Biological Unhappiness” contains critical information for those who have lost hope.”Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World. Dr. Leland Heller Dyslimbia Press, Inc. 1713 US Hwy 441 N, Suite E Okeechobee, FL 34972 863-467-8771 Email: Hours: M-Thu. 8:30AM-5PMFri. 8:30AM-12 Noon*(*During November through April, the office is open until 3PM on Fridays.) All material not explicitly credited otherwise is copyrighted © 1999-2011 Dr. Leland Heller. All Rights Reserved. May not be duplicated without the permission of Dr. Leland Heller or Dyslimbia Press. Biological Unhappiness, BiologicalUnhappiness.com, & Dyslimbia Press are trademarks of Dr. Leland HellerDesigned and/or hosted by the webmasters at: US-Webmasters.com (T M) Start here to find it FAST!(TM)

Is Prozac Safe With Weight Loss Medications? * Dr. Leland Heller is a family physician who has treated thousands of patients with the Borderline Personality Disorder. BPD is a medical disorder and that this and other Biological Unhappiness disorders are treatable with medication first and then by retraining the brain * Biological Unhappiness * BiologicalUnhappiness.com

Is My Daughter Doomed To A Life Of Pain? * Dr. Leland Heller is a family physician who has treated thousands of patients with the Borderline Personality Disorder. BPD is a medical disorder and that this and other Biological Unhappiness disorders are treatable with medication first and then by retraining the brain * Biological Unhappiness * BiologicalUnhappiness.com

IS MY DAUGHTER DOOMED TO A LIFE OF PAIN? Ask The Doctor Dr. Leland Heller Biological Unhappiness IS MY DAUGHTER DOOMED TO A LIFE OF PAIN? Question: My daughter, who is 18, has been having problems since she was 11 yrs old. It began with her becoming withdrawn from the family, moody, being disruptive in school, etc. We have been seeking treatment for her since that time without much success.We tried Adderall, which made her zone out. She was then prescribed 10mg. daily/Prozac for depression, at which time she developed an eating disorder. The dosage was increased to 60mg daily and we only got the side effects with no real relief from the symptoms. Then she was switched to Zoloft and became bi-polar, having extreme mood swings several times per day (which she had not had before). She was then prescribed Depakote along with the Zoloft for the mood swings. BuSpar was also added at this time. It’s hard to say if the BuSpar was effective. The Depakote made her so tired she actually fell asleep during her SAT test at school and her hair began to fall out.We switched doctors and felt it would be best to start her at square one and weaned her from all the medications. It became quite apparent that she was suffering from severe depression at which time he prescribed Celexa. The Celexa seemed to work pretty good for awhile but every two to three months we have had to increase the dosage to get the same effect. She is now taking 80mg/Celexa per day. Please help us. Her mental state is very fragile right now. She is extremely irritable and has made some very bad decisions because of her impulsivity which has added to her stressed state. Her thinking and reasoning is not realistic. She says her mind races all the time. It’s as if her mind can’t slow down long enough to think about any one thing. She constantly shakes her leg as if she is about to jump out of her skin when she’s seated.She is quickly acquiring a taste for alcohol. When she does drink, she rages and changes personalities to an extreme. She has no interests and few friends. She seems numb to anyone else’s pain but her own. She doesn’t seem to even know what her feelings are or who she is.She is a beautiful, creative person with an extremely dry wit, yet she thinks she is a bad person. She is extremely bright, yet she cannot get through algebra (she has taken it twice and had months of tutoring but just doesn’t get it and even basic math presents problems for her. She puts on a “front” to her friends, but keeping up the facade at school is so exhausting. She then comes home and doesn’t want anyone to even talk to her.The only thing that seems interesting to her is going to parties — everything else is boring. She was in therapy for months due to the eating disorder, but really didn’t have anything to talk to the therapist about as far as any trauma or life problems. Her doctor seems to think her problems are purely biological due to the family history.She is constantly tired and sleepy and will sleep up to 20 hrs per day. She craves carbohydrates but when she eats a lot of them she gets very mean and irritable. She has a high pain tolerance. She has cut herself before during one of her depressed episodes and wanted to die. She is miserable and it is tearing the rest of the family apart.Since she is 18 I feel our time is quickly running out to help her. None of the meds seem to have been very effective. She is at the maximum dosage of Celexa and her doctor won’t increase the dosage any more.What now? Is she doomed to a life of pain and trouble or is there something that can help her?Possible diagnoses from the screening test:(Attention Deficit Disorder)(Borderline Personality Disorder – BPD)(Cyclothymic Disorder)(“Fractured Enjoyment”)(Obsessive Compulsive Personality Disorder – OCPD)(Generalized Anxiety Disorder – GAD) Dr. Heller’s Answer: Assuming the diagnoses from the screening test are accurate she needs a combination of medications. Cutting generally implies the BPD.This is an approach I probably would take if I had a patient like her:BuSpar for two to four weeks should make it possible for her to take Prozac or another SSRI without increasing her anxiety. I much prefer Prozac for many reasons.The subsequent addition of Tegretol to stop her chronic dysphoria (anxiety, rage, depression and despair). I have found that most adolescent cutters need both Prozac and Tegretol together.Once the Tegretol blood level was good Id treat her ADHD either with a psychostimulant.Because of the fatigue her thyroid profile, CBC and ferritin (looking for iron deficiency) and B12 levels need to be checked. Is My Daughter Doomed To A Life Of Pain? 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home Is My Daughter Doomed To A Life Of Pain? MENU: Screening Test “Ask the Doctor” (BPD)Borderline Personality Disorder Annual Updates Biological Unhappiness Disorders & Official Criteria Dr. Heller’s C.V. & Picture How Dr. Heller Got Involved If You Want to See Dr. Heller as a Patient Testimonials Table of Contents for the Book ‘Biological Unhappiness’ How to Order “Life at the Border” Why Read ‘Biological Unhappiness’? Goals AD(H)D and Relationships BPD, Bipolar or ADHD? Suicide What if BuSpar makes me anxious or ill? A Suicide Attempt Per Minute in the US Grandparents raising Grandchildren Information About Children What Signs are there that Someone May ‘SNAP’? TV & Cartoon Characters with Depression & Other Disorders Dr. Heller’s Office Website Dr. Heller’s Lectures Mentally Healthy People Retraining the Brain Today is a Gift Reviews Links Webrings Site Index Home Is My Daughter Doomed To A Life Of Pain? Video DVDs now available! You can watch and listen to Dr. Heller in the comfort and convenience of your own home. Provides full explanations and treatment descriptions of Borderline Personality Disorder (BPD) – 90 minutes, other Biological Unhappiness disorders – 90 minutes. Click here to find out more about Dr. Heller’s educational videos. “Biological Unhappiness” “Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. “Biological Unhappiness” contains critical information for those who have lost hope.”Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World. Dr. Leland Heller Dyslimbia Press, Inc. 1713 US Hwy 441 N, Suite E Okeechobee, FL 34972 863-467-8771 Email: Hours: M-Thu. 8:30AM-5PMFri. 8:30AM-12 Noon*(*During November through April, the office is open until 3PM on Fridays.) All material not explicitly credited otherwise is copyrighted © 1999-2011 Dr. Leland Heller. All Rights Reserved. May not be duplicated without the permission of Dr. Leland Heller or Dyslimbia Press. Biological Unhappiness, BiologicalUnhappiness.com, & Dyslimbia Press are trademarks of Dr. Leland HellerDesigned and/or hosted by the webmasters at: US-Webmasters.com (T M) Start here to find it FAST!(TM)

Is Concerta Safe For My 4 Year Old Daughter? * Dr. Leland Heller is a family physician who has treated thousands of patients with the Borderline Personality Disorder. BPD is a medical disorder and that this and other Biological Unhappiness disorders are treatable with medication first and then by retraining the brain * Biological Unhappiness * BiologicalUnhappiness.com

IS CONCERTA SAFE FOR MY 4 YEAR OLD DAUGHTER? Ask The Doctor Dr. Leland Heller Biological Unhappiness IS CONCERTA SAFE FOR MY 4 YEAR OLD DAUGHTER? Question: Dear Sir,I have a 4 year old daughter that we just started on Concerta on the 11 of October. My question: is it safe for the 4 year old? I have noticed some changes in her daily routine. We are a military family so I am just hoping that her diagnosis gets looked at–instead of just treating and releasing. She was tested when she was 3 and then diagnosed. We didnt need meds at that time. Since then she has been zoning and acting out at school. She was diagnosed with ODD, Hypotonia and ADHD all during this visit.Thanks. Dr. Heller’s Answer: Yes, Concerta is safe for a 4 year old. After over 30 years the only long term effects of methylphenidate (Ritalin, Concerta) are a reduction in substance abuse, auto accidents and cancer. Part of your question seems to be “does she have ADHD?” While looking at the official criteria might help (http://pks.947.myftpupload.com/AD-H-Dcr.htm), Id be especially concerned whether one or both parents have ADHD because of the strong genetic component. If either biological parent has ADHD (either the inattentive or hyperactive/impulsive type) then using Concerta for likely ADHD is an excellent idea.Depression and childhood onset bipolar disorder would both be concerns. Irritability and hostility are often the major signs of depression in children. You can find out more about childhood onset bipolar at http://pks.947.myftpupload.com/BiPlrKid.htm and by reading “The Bipolar Child” by Dr. Papolos. Is Concerta Safe For My 4 Year Old Daughter? 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home Is Concerta Safe For My 4 Year Old Daughter? MENU: Screening Test “Ask the Doctor” (BPD)Borderline Personality Disorder Annual Updates Biological Unhappiness Disorders & Official Criteria Dr. Heller’s C.V. & Picture How Dr. Heller Got Involved If You Want to See Dr. Heller as a Patient Testimonials Table of Contents for the Book ‘Biological Unhappiness’ How to Order “Life at the Border” Why Read ‘Biological Unhappiness’? Goals AD(H)D and Relationships BPD, Bipolar or ADHD? Suicide What if BuSpar makes me anxious or ill? A Suicide Attempt Per Minute in the US Grandparents raising Grandchildren Information About Children What Signs are there that Someone May ‘SNAP’? TV & Cartoon Characters with Depression & Other Disorders Dr. Heller’s Office Website Dr. Heller’s Lectures Mentally Healthy People Retraining the Brain Today is a Gift Reviews Links Webrings Site Index Home Is Concerta Safe For My 4 Year Old Daughter? Video DVDs now available! You can watch and listen to Dr. Heller in the comfort and convenience of your own home. Provides full explanations and treatment descriptions of Borderline Personality Disorder (BPD) – 90 minutes, other Biological Unhappiness disorders – 90 minutes. Click here to find out more about Dr. Heller’s educational videos. “Biological Unhappiness” “Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. “Biological Unhappiness” contains critical information for those who have lost hope.”Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World. Dr. Leland Heller Dyslimbia Press, Inc. 1713 US Hwy 441 N, Suite E Okeechobee, FL 34972 863-467-8771 Email: Hours: M-Thu. 8:30AM-5PMFri. 8:30AM-12 Noon*(*During November through April, the office is open until 3PM on Fridays.) All material not explicitly credited otherwise is copyrighted © 1999-2011 Dr. Leland Heller. All Rights Reserved. May not be duplicated without the permission of Dr. Leland Heller or Dyslimbia Press. Biological Unhappiness, BiologicalUnhappiness.com, & Dyslimbia Press are trademarks of Dr. Leland HellerDesigned and/or hosted by the webmasters at: US-Webmasters.com (T M) Start here to find it FAST!(TM)