Borderline Personality Disorder: Risperdal and Weight Gain

Q. I am a 36 year old female with BPD, OCD, Major Depression and Acute Stress Disorder. I was diagnosed 6 years ago and have been under the care of a Dr for the past 5 years.

I have had about 14 hospitalizations during my treatment including one at the Menninger Clinic. During one of my hospitalizations, my Dr. called you to find out what medication you would recommend for BPD and you suggested Risperdal. It was of great benefit and I thank you for helping him, but here is my question. Have you ever treated a BPD patient with Risperdal and immediately had them gain 5-6 pounds of body weight a month-consistently?

When I started Risperdal, I weighed 202 pounds for my 5’8″ frame. This was my highest weight ever. I usually weigh 170 pounds but had gained 30 pounds with my second pregnancy and was then working at getting it back off. Anyway, I started Risperdal at 202 lbs and then started gaining 5-6 lbs every single month consistently without fail for the next 18 months. I DID NOT increase my normal 800-1200 calorie a day food intake and I walked 20 minutes- 3-6 times a week. Yet I continued to gain weight! My Dr. and I discussed this at the time and he said we would worry about the weight gain later, that the important thing is keeping me alive. I was getting fat but at least I didn’t suicide–he said.

I begged him to take me off of Risperdal and 18 months after I started the med. I weighed in at 297 pounds!!!!

My weight gain stopped immediately, but I CAN NOT get the weight off. I exercise regularly and eat between 300-800 calories a day, yet my weight WILL not budge.

My husband can attest to my low food intake. Please don’t tell me to decrease intake and increase exercise, I know all of that. I know my weight gain and maintenance is illogical. That’s why I am appealing to you. PLEASE write me back. My weight has stayed at 297 for the past 3 years now. You have treated 2,700 patients with BPD surely someone else has had this happen to them, What can I do? I am absolutely desperate to lose this weight. I don’t want to live if I have to look and feel like a beached whale.

I have never taken Tegretol. I have had my liver functions checked. Two years ago, a benign nodule was discovered on the left side of my thyroid gland. The Endo. Doc said that my thyroid function was normal and prescribed .125mg of Synthroid daily to possibly shrink the nodule. I recently had my annual Endo. check-up and the blood test results will be given to me at my October 14th appointment. I’ll let you know if anything changed, but as far as I know, my thyroid functions are still normal.

A. I remember that conversation with your Dr. He was genuinely interested in helping you.

No, being a beached whale is not the goal. I agree with your Dr. that your survival came first. Hopefully things have changed.

Please understand I don’t know you or your other diagnoses. Your Dr. is your physician, not me.

If your facts are correct, and you are telling the truth regarding your activity and eating, it does appear Risperdal is changing your metabolism. I have not seen it happen before, but that doesn’t mean you aren’t experiencing this effect. Anything can happen to anybody.

That type of weight gain is not a part of hypothyroidism that’s slightly undertreated either.

There are other medication options. The antipsychotic medication Zyprexa is an alternative. Prozac and tegretol (tegretol one week later) can be helpful as well.

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Borderline Personality Disorder: Distressing Relationship: Wonders What to Do

Q. Dear Dr. Heller: I am a 42 year old attorney and Ph.D. At the moment, I am severely depressed and perhaps obsessed with my recently departed girlfriend (age 31), who is obviously “borderline”.

A. If true, who obviously “has the BPD” not “is obviously borderline.”

Q. I only realized this after we split, but it could hardly be clearer now. She is a stunningly beautiful woman, a former professional “escort”; she self mutilates, starves and binges, compulsively lying

A. compulsively lying is NOT a BPD trait.

Q…usually about me, for no apparent purpose, and was subject to incredible mood swings (love/rage) that were frightening to behold, much less be a part of.

When I met “N”, we were both active alcoholics. Following an episode during which a minor misunderstanding suddenly escalated into her attempting to frame me on a fabricated rape charge (for which I forgave her).

We both stopped drinking alcohol and have been sober for over a year. In sobriety, N began seeing a psychiatrist, who prescribed Zoloft; we fought less often and less intensely, our sex life was incredible, and I began to dare to hope that we could make a future together. I was and remain deeply in love with N, and have always been well aware that pursuing her would involve great risks of heartbreak, etc. Never have I given more of myself to make a relationship work.

About six weeks ago, a completely minor misunderstanding (my not hearing N say ‘hello’ when I came home from work) escalated into another huge confrontation. N left, without telling me where, for how long, or why, and stayed with her oldest and best female friend, B. While she was gone, I moved into an alternate residence our of anger, frustration and exhaustion. We saw each other several times after that, and spoke often on the phone.

N asked for and I gave to her $500 for an abortion. We made an agreement to work separately on our own “issues”, and then talk seriously about getting back together. Again, hope prevailed. Then, suddenly, B’s phone was disconnected. Three weeks later, I received a phone call from B, saying that N had “run off with” B’s boyfriend (a “bum”) several weeks ago. B also told me that N had faked the pregnancy, stolen my entire collection of rare jazz records, a suit, books, and had plotted to kidnap my beloved dog.

A. Those are signs of problems other than the BPD.

Q. I have the boyfriend’s address, and have written several letters that have been neither returned nor answered. Meanwhile, at N’s request when she left, I have stored most of her valuable personal possessions, family photographs, old letters, clothing, etc.

N is an intelligent, resourceful woman; she knows that I am really the only man who has genuinely cared for her as a person (as opposed to a sex object). My dilemma is this: I am uncertain as to whether I ought to give up on N (given all the progress she and I made together), and also uncertain as to whether I could forget her, even if I tried. My friends (including at least one M.D.) tell me that because I am a “rock” in her life, she will surely be back in touch with me at some point in the not too distant future.

A. Most likely.

Q. This makes it even more difficult for me to try to forget N. It seems important to me somehow that I have at least one honest conversation with her, even if we cannot be together, but I cannot contact her. In short, I am very confused and depressed over this person, and I would appreciate any advice/insight you may have. Thank you very much.

A. You need to read “Are You The One For Me” by Barbara DeAngelis. Love relationships are based on trust – which she has broken. “Fool me once, shame on you. Fool me twice, shame on me.” She clearly doesn’t want you and is willing to hurt you severely.

You describe a “character disorder” – which unfortunately is not easily treatable at this time. The BPD can be treated. The moodiness, emptiness, boredom, chronic anger, dysphoria – they are all treated. There’s far more going on.

I believe those suffering from the BPD can go on to have very happy and successful lives. I do not generally encourage others to get out of their relationships with borderlines, provided the individual with the BPD wants to get better and is working hard on it. Your girlfriend isn’t.

I realize breaking up is hard to do, but it’s an option you need to look at very carefully.

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Zyprexa and Seizure Implications BPD and Celexa BPD and Frequent Lightheadedness (NOBPD) Brother with Bipolar (NOBPD) Zoloft and Pronounced Edema (NOBPD) Compulsive Lying BPD in Adolescents (NOBPD) False Allegations BPD Diagnosis BPD and Drug Abuse BPD and “False Memories” BPD and Cutting BPD and Self Destructive Behaviors BPD and Adolescents BPD and Electro Convulsive Therapy (NOBPD) Paxil and Children Spouse With BPD BPD and Suicide Is BPD Hereditary? BPD and Relationship BPD and Self Mutilation Tegretol and Oral Contraceptives Is BPD and Borderline Bipolar Disorder the Same Thing? 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Difference Between BPD and Bipolar Disorder BPD and Nutrition BPD and Effexor and Lithium BPD and Childhood Trauma BPD Diagnosis BPD and Dissociative Symptoms Treating BPD (NOBPD) TMJ, GAD, and Nardil (NOBPD) Psychotic Depression BPD Medications and Liver Damage (NOBPD) Compulsive Stealing (NOBPD) Medication Allergies (NOBPD) Treating Head Trauma Treating BPD: Inpatient vs. Outpatient Treatment Telling an Adolescent They Have BPD BPD Behavior Increase (NOBPD) Temporal Lobe Seizures and Pseudoseizures BPD and Sexual Addiction BPD and Herbal Medications BPD and Head Trauma BPD and Self Medicating BPD and Fibromyalgia BPD in Young Children BPD and Types of Seizures BPD and Heritage Delusions BPD and Self-Destructive Behavior Traits Disorder Can Authority Figures Damage the Patient’s Recovery? Tumor Removal and BPD Highly Functional Sufferer of BPD BPD Diagnosis BPD and Near Death Experience (NOBPD) Attention Deficit Hyperactivity Disorder, Obsessive Compulsive Disorder, Bipolar Disorder, Psychotic behavior, and Possibly Schizophrenia (NOBPD) Risperdal and Effexor Are There Any Over the Counter Medications That Should Be Avoided With BPD Medications? Head Injury and Rage BPD Medication Allergy BPD Medications Is Obesity a Form of Self- Mutilation? BPD Medications BPD Diagnosis BPD Medications and Incontinence Narcissistic Personality Disorder BPD and Cognitive Generalized Anxiety Disorder Can Medications Aggravate BPD? 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BPD and Generalized Anxiety Disorder Intermittent Explosive Disorder BPD and Early Diagnosis BPD and Intimacy BPD and Multiple Diagnoses BPD and Bipolar Teenager with BPD BPD and Transference BPD and Pregnancy Recovery From BPD BPD and Spacey Feeling BPD and Disassociate Identity Disorder BPD and Attention Deficit Disorder BPD and Compulsive Lying BPD Treatment BPD and Generalized Anxiety Disorder Bipolar Disorder in Young Children BPD Treatment Providers Teenager with BPD BPD and Correct Diagnosis Borderline Personality Disorder Medications Hypothyroidism and Mental Illness BPD and Auditory Hallucinations BPD and Stress BPD and Abandonment Borderline Personality Disorder Medications Borderline Personality Disorder Diagnosis Ex May Have Borderline Personality Disorder Medications Helping Daughter With Borderline Personality Disorder Early Diagnosis Borderline Personality Disorder and Attention Getting

 

 

2008 Ask the Doctor Questions and Answers * 2008 Ask the Doctor Questions and Answers – 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

2008 ASK THE DOCTOR QUESTIONS AND ANSWERS 2008 Ask the Doctor Questions and Answers Ask The Doctor Dr. Leland Heller Biological Unhappiness 2008 Ask the Doctor Questions and Answers 2008 Ask the Doctor Questions and Answers 2008 ASK THE DOCTOR QUESTIONS AND ANSWERS 2008 Ask the Doctor Questions and Answers

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home 2008 Ask the Doctor Questions and Answers MENU: 2008 Ask the Doctor Questions and Answers 2008 Ask the Doctor Questions and AnswersScreening Test 2008 Ask the Doctor Questions and Answers“Ask the Doctor” 2008 Ask the Doctor Questions and Answers(BPD)Borderline Personality Disorder 2008 Ask the Doctor Questions and AnswersAnnual Updates 2008 Ask the Doctor Questions and AnswersBiological Unhappiness Disorders & Official Criteria 2008 Ask the Doctor Questions and AnswersDr. Heller’s C.V. & Picture 2008 Ask the Doctor Questions and AnswersHow Dr. Heller Got Involved 2008 Ask the Doctor Questions and AnswersIf You Want to See Dr. Heller as a Patient 2008 Ask the Doctor Questions and AnswersTestimonials 2008 Ask the Doctor Questions and AnswersTable of Contents for the Book ‘Biological Unhappiness’ 2008 Ask the Doctor Questions and AnswersHow to Order 2008 Ask the Doctor Questions and Answers“Life at the Border” 2008 Ask the Doctor Questions and AnswersWhy Read ‘Biological Unhappiness’? 2008 Ask the Doctor Questions and AnswersGoals 2008 Ask the Doctor Questions and AnswersAD(H)D and Relationships 2008 Ask the Doctor Questions and AnswersBPD, Bipolar or ADHD? 2008 Ask the Doctor Questions and AnswersSuicide 2008 Ask the Doctor Questions and AnswersWhat if BuSpar makes me anxious or ill? 2008 Ask the Doctor Questions and AnswersA Suicide Attempt Per Minute in the US 2008 Ask the Doctor Questions and AnswersGrandparents raising Grandchildren 2008 Ask the Doctor Questions and AnswersInformation About Children 2008 Ask the Doctor Questions and AnswersWhat Signs are there that Someone May ‘SNAP’? 2008 Ask the Doctor Questions and AnswersTV & Cartoon Characters with Depression & Other Disorders 2008 Ask the Doctor Questions and AnswersDr. Heller’s Office Website 2008 Ask the Doctor Questions and AnswersDr. Heller’s Lectures 2008 Ask the Doctor Questions and AnswersMentally Healthy People 2008 Ask the Doctor Questions and AnswersRetraining the Brain 2008 Ask the Doctor Questions and AnswersToday is a Gift 2008 Ask the Doctor Questions and AnswersReviews 2008 Ask the Doctor Questions and AnswersLinks 2008 Ask the Doctor Questions and AnswersWebrings 2008 Ask the Doctor Questions and AnswersSite Index 2008 Ask the Doctor Questions and AnswersHome 2008 Ask the Doctor Questions and Answers 2008 Ask the Doctor Questions and Answers   Video DVDs now available!   2008 Ask the Doctor Questions and Answers 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. 2008 Ask the Doctor Questions and Answers “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. 2008 Ask the Doctor Questions and Answers    2008 Ask the Doctor Questions and Answers 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)

Can Pregnancy Cause the 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

CAN PREGNANCY CA– USE THE BPD? Can Pregnancy Cause the BPD? Ask The Doctor Dr. Leland Heller Biological Unhappiness Can Pregnancy Cause the BPD? Can Pregnancy Cause the BPD? CAN PREGNANCY CA– USE THE BPD? Can Pregnancy Cause the BPD? Question: Can pregnancy hormones play a factor in obtaining BPD during and after pregnancy?  Even when an individual does not have any signs of a mental illness? Dr. Heller’s Answer: If the BPD was not present prior to the pregnancy it’s extraordinarily unlikely that it would suddenly show up during pregnancy or just after.  The hormonal swings of pregnancy, and the intensity of post partum depression can make the BPD worse. One possible explanation is getting pregnant shortly after falling in love.  Falling in love causes endorphins to be produced, which can temporarily make BPD symptoms go away or lessen.  This effect generally only lasts 3-12 months, and then the individual goes back to their normal state. Can Pregnancy Cause the BPD? 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Ask the Doctor Home Can Pregnancy Cause the BPD? MENU: Can Pregnancy Cause the BPD? Can Pregnancy Cause the BPD?Screening Test Can Pregnancy Cause the BPD?“Ask the Doctor” Can Pregnancy Cause the BPD?(BPD)Borderline Personality Disorder Can Pregnancy Cause the BPD?Annual Updates Can Pregnancy Cause the BPD?Biological Unhappiness Disorders & Official Criteria Can Pregnancy Cause the BPD?Dr. Heller’s C.V. & Picture Can Pregnancy Cause the BPD?How Dr. Heller Got Involved Can Pregnancy Cause the BPD?If You Want to See Dr. Heller as a Patient Can Pregnancy Cause the BPD?Testimonials Can Pregnancy Cause the BPD?Table of Contents for the Book ‘Biological Unhappiness’ Can Pregnancy Cause the BPD?How to Order Can Pregnancy Cause the BPD?“Life at the Border” Can Pregnancy Cause the BPD?Why Read ‘Biological Unhappiness’? Can Pregnancy Cause the BPD?Goals Can Pregnancy Cause the BPD?AD(H)D and Relationships Can Pregnancy Cause the BPD?BPD, Bipolar or ADHD? Can Pregnancy Cause the BPD?Suicide Can Pregnancy Cause the BPD?What if BuSpar makes me anxious or ill? Can Pregnancy Cause the BPD?A Suicide Attempt Per Minute in the US Can Pregnancy Cause the BPD?Grandparents raising Grandchildren Can Pregnancy Cause the BPD?Information About Children Can Pregnancy Cause the BPD?What Signs are there that Someone May ‘SNAP’? Can Pregnancy Cause the BPD?TV & Cartoon Characters with Depression & Other Disorders Can Pregnancy Cause the BPD?Dr. Heller’s Office Website Can Pregnancy Cause the BPD?Dr. Heller’s Lectures Can Pregnancy Cause the BPD?Mentally Healthy People Can Pregnancy Cause the BPD?Retraining the Brain Can Pregnancy Cause the BPD?Today is a Gift Can Pregnancy Cause the BPD?Reviews Can Pregnancy Cause the BPD?Links Can Pregnancy Cause the BPD?Webrings Can Pregnancy Cause the BPD?Site Index Can Pregnancy Cause the BPD?Home Can Pregnancy Cause the BPD? Can Pregnancy Cause the BPD?   Video DVDs now available!   Can Pregnancy Cause the BPD? 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. Can Pregnancy Cause the BPD? “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. Can Pregnancy Cause the BPD?    Can Pregnancy Cause the BPD? 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)