CAN PMS TRIGGER BPD EPISODES? Ask The Doctor Dr. Leland Heller Biological Unhappiness CAN PMS TRIGGER BPD EPISODES? Question: Do you think PMS can trigger BPD episodes? My wife rages (more) consistently, under pressure and in the 10 days running up to her period. Perhaps the neuroleptics (e.g. Haldol) could be “increased” during these 10 days. The doctor is now trying Valium which I am objecting to. Dr. Heller’s Answer: PMS is a major trigger of BPD dysphoria (anxiety, rage, depression and despair). It usually responds amazingly well to powerful water pills during that time. I usually prescribe Demadex (torsemide) with potassium for my patients. I go into this at length in “Biological Unhappiness.” Prozac (fluoxetine) is absolutely necessary for someone with the BPD and PMS. Benzodiazepines like Valium can actually make the condition worse. When a borderline goes into dysphoria they will do almost anything to feel better, which is the main reason for self destructive behaviors. They usually still fear consequences, however. Tranquilizers like Xanax and Valium cause them to lose that fear and the severity of self destructive behavior worsens. This was shown in an article from NIMH published in the Archives of General Psychiatry, February 1988. The exact quote was “…those receiving alprazolam (Xanax) had an increase in the severity of the episodes of serious dyscontrol.” 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home 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 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 (TM) Start here to find it FAST!(TM)