Q. I have been diagnosed with BPD and PTSD. I have been in therapy with my current psychiatrist for over 1.5 years. I feel he doesn’t care yet I can’t break away from him partly because there is nobody else out in Monmouth County NJ and partly because I don’t want to go through the “getting to know you” stuff with another doctor.
I don’t feel like I’m getting any better and at times I feel worse. But I can’t leave him-I want and NEED him to care. His words are cheap-he says he does but I am just one in a long number of patients he sees and the only one with BPD. I have broken therapy from him several times and although I want and need to trust him I am afraid he will hurt me again. I don’t know what to do about it.
A. Your experiences are classic for the BPD. There’s no way for me to interpret how good your psychiatrist is from your note. Don’t ever assume that a physician and/or therapist can’t care about you because they have lots of patients – that’s both inaccurate and extremely unfair.
Since it’s your life you need to find out more about the BPD and how to treat it. I believe very strongly it’s a medical problem that won’t get much better until the medical problem is better. This website gives lots of information for you. The medical literature is full of research showing how the right medication can work.
That you are suffering intensely is obvious. Just being a victim doesn’t help. When you start looking out for your own future it can give you an enormous sense of personal power and inner strength.
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