ARE THERE ANY MEDICATIONS THAT WILL WORK FOR ME? Ask The Doctor Dr. Leland Heller Biological Unhappiness ARE THERE ANY MEDICATIONS THAT WILL WORK FOR ME? Question: Hello Dr. Heller, Your site has given me hope but also confused me as well. I know with certainty I have BPD. I have spent my whole life jumping to conclusions, being sensitive to rejection, desperately needing the people I’m pushing away at the same time, I’m empty, bored, moody, angry, and in SO much emotional pain. I’m also very impulsive, which has led to binges on food, alcohol, or drugs, and reckless spending. I also have GAD, major depression, and panic disorder. My psychiatrist scripted Valium, Paxil, and Trazodone (I forgot to mention I have considered suicide and self injure at times well). It has not really helped. I am wondering what meds have helped people such as myself with so many mental conditions. Should I be finding someone who will find the right combination for everything? I am desperately in need of help. I hope you can reply ASAP. Dr. Heller’s Answer: Every physician has his/her own way of treating things. It can be difficult to find a practitioner willing to try approaches from other physicians. The combination of BuSpar, Prozac and Tegretol is usually a miracle for my patients with the GAD and BPD. Sequencing is important as well. I usually prescribe BuSpar for two weeks first, then add Prozac, and then add Tegretol a week later. As needed medications are important as well. 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)
Category: Articles
Why Treat An 85 Year Old With Zoloft? * 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
WHY TREAT AN 85 YEAR OLD WITH ZOLOFT? Ask The Doctor Dr. Leland Heller Biological Unhappiness WHY TREAT AN 85 YEAR OLD WITH ZOLOFT? Question: Why would a doctor subscribe Zoloft for a 85 year old woman that all of a sudden starts having delusions of ghosts and people in the room with her when she wakes up from naps or sleeping. Zoloft sounds like a anti depression chemical problem. What has delusions to do with depression?Just curious–thanks. Dr. Heller’s Answer: Senility is the major sign of depression in the elderly. Depression with psychotic features happens relatively frequently as well. Depression can also markedly impair sleep and cause nightmares.Zoloft and other antidepressants are safer than antipsychotics. 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)
Why Isn’t His OCPD Better? (From Cyprus) * 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
Ask The Doctor Dr. Leland Heller Biological Unhappiness WHY ISN’T HIS OCPD BETTER? (FROM CYPRUS) 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home “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)
Why Is My Child Worse On Ritalin? * 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
WHY IS MY CHILD WORSE ON RITALIN? Ask The Doctor Dr. Leland Heller Biological Unhappiness WHY IS MY CHILD WORSE ON RITALIN? Question: I have a 6 year old son who is ADHD. Ritalin makes him violent. What else can we do? No punishment works. Teachers are getting upset and we dont know what else to do. Dr. Heller’s Answer: He’s almost certainly depressed. 30% of ADHD kids are depressed. If depressed and he’s switched to Adderall, he will do fine until it wears off, then he’ll be out of control later in the day. Treating the depression is extremely important. 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)
Why Have High Prozac Doses Stopped Working? * 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
WHY HAVE HIGH PROZAC DOSES STOPPED WORKING? Ask The Doctor Dr. Leland Heller Biological Unhappiness WHY HAVE HIGH PROZAC DOSES STOPPED WORKING? Question: I have been on Prozac for over two years now and have done exceptionally well, except that I required high doses. I not only have major depression with borderline personality disorder but also obsessive compulsive disorder.When I reached the 60 mg level of Prozac, there was notable change. At 80 mg I was like a totally new person. However, after about a year at 80 mg I suffered a relapse and my dosage was bumped up to 100 mg. again with good success. I have been on 120 mg. of Prozac for the last 8 months and just recently suffered a serious relapse in my depression and other symptoms. I have been taking 140 mg of Prozac for a week and finally the intrusive suicidal thoughts are disappearing. I have also read that some patients do require high dose treatment and can successfully be treated on doses as a high as 200 mg. per day (divided doses throughout the day).I have been searching for more information on high dose Prozac and it is difficult to find. If you have any information or can direct me to articles which deal with the use of high doses of Prozac, I would greatly appreciate it. I do not ever want to be taken off Prozac. It took me 12 years to get to this point and I tried many other types of antidepressants. Prozac worked a miracle for me.Thank you for reading this. Dr. Heller’s Answer: As youve experienced, 80-100mg of Prozac usually does miracles for those with the BPD combined with obsessive compulsive disorders.The suicidal symptoms youve described are likely due to BPD dysphoria (anxiety, rage, depression and despair). Prozac reduces the frequency of dysphoria episodes but not their severity. The addition of Tegretol 200mg should be a miracle 3 hours later. If not, you may need a 3mg dose of Risperdal to get you out of your dysphoric spell. 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)
Why Does My Anxiety Sometimes Get Worse With Medication? * 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
WHY DOES MY ANXIETY SOMETIMES GET WORSE WITH MEDICATION? Ask The Doctor Dr. Leland Heller Biological Unhappiness WHY DOES MY ANXIETY SOMETIMES GET WORSE WITH MEDICATION? Question: Hello sir,I wondered if you might answer the question of how a person would know if they are exhibiting GAD reactions to an SSRI, or whether it might be a slight hypomanic or manic reaction? I ask this because I am on just 20 mg. of Celexa, and I tried to elevate to 30 mg. One night, by taking a full 20 mg. tab. before bed, I felt very hyper and wired, with a very difficult time falling asleep. I am taking this primarily for OCD, but I question the diagnosis that was made of this. It seems to me that this Celexa is actually accentuating the OCD some days. But, I believe it to be some other anxiety problem too, because just .25 mg of Xanax at night, taken with the Celexa, makes me feel great. I don’t feel the OCD as much, and the anxiety is diminished too from the Xanax.I am on just 15 mg. of BuSpar in the morning, and I attempted an elevation to 30 mg.–with no success. I felt very moody when I raised BuSpar up, and I felt actually more anxiety.Can you explain these reactions to me? You have told me in the past that I might have PTSD problems, and I think I agree. But, doesn’t that have to be a life or death situation to bring that on? I was in a relationship a few years ago, and it was a nightmare. Ever since then, I have never been as right as I was before that. But, there was not any real physical violence either way. Just an insane amount of verbal abuse and constant degrading and insulting on this girl’s part, which seemed to leave a permanent impression on me. This is why I obsess so much before going out to a bar. It seems that I can’t reason that not every woman will pick my appearance apart like this girl did. The sad part is that I am a very attractive guy to almost all women I know and meet. But, I have this chronic low self-esteem that seems to always be there and cause me to obsess over my appearance. I feel like just elevating my Xanax to a higher dose, or asking to add something like Depakote, just to slow down my nervous system, which seems way to overactive. But, I realize that an elevation of Xanax will likely depress me, and make me need more down the road, and I don’t want that.Lastly, I should mention to you, I will have a few good days where I feel pretty good. Not very obsessive. Pretty calm. Decent self-esteem. Happy.  Then, it seems to switch to like 3 or 4 days of very high obsessive and compulsiveness,anxiety, chronic low self-confidence, depression, high-strungness, etc. I feel that I have still way more of these type of days than good days.Sound like a pattern to you? Or anything that might not have been identified? Dr. Heller’s Answer: You likely do have both the GAD and PTSD (or at least an elevated serotonin 2 receptor). The GAD is always present, usually with persistent worry. It is usually worsened by SSRI medications like Celexa. Generally when BuSpar causes anxiety that serotonin 2 receptor needs to be lowered with Remeron (at least temporarily).Many individuals have experienced an improvement in self esteem and rejection sensitivity from Prozac.Anxiety symptoms can come and go.PTSD symptoms do not require a life and death situation to be present, any significant emotional or physical trauma can cause some symptoms. 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)