Q. Based on all the diagnostic criteria I have read, there is a very high likelihood my husband has bpd. He has been treated for many of these symptoms over the past 10 years, all leading to disastrous results. His symptoms have become more intense this past 6 months. He has become so disillusioned with the Drs. He had given up until I came across this bpd information.
There are so many questions we don’t know where to begin. Probably the most helpful would be what should our pcp (aetna hmo plan) do first? He is very open to helping. What kind of referrals should he make?
Should he be seen by a neurologist first? We have an EAP benefit to direct our mental/nervous care.
Barrys predominant symptoms currently are severe depression, rage, splitting, isolation, memory loss, chronic anger, ticking, to name a few!! His history includes mother-son incest, head injury,35 year drug/alcohol abuse. No illicit drugs or alcohol for 11 years now. Please we need help. He has been upside down with all the different meds he has been trialed on
A. This is a straightforward and common problem – what to do first?
As always, please understand I’m not his physician, and I don’t know his diagnoses.
If your PCP (primary care physician) is willing to help, get information off this website about medication. If the BPD diagnosis is correct, generally patients respond quickly to prozac 20-40mg daily, some require tegretol. After a week on prozac, the tegretol can be a miracle.
He needs to have all the diagnoses made and a treatment plan established.
The memory loss may be due to depression, the BPD, low thyroid, or low B12. Most borderlines have impaired access to memory, which has to be dealt with by using reminders such as a day planner.