What Can I Do When I Feel Vulnerable?

    What Can I Do When I Feel Vulnerable?

    QUESTION:

    Dear Dr. Heller,

    When a BPD feels vulnerable, a normal conversation is impossible because we are on”automatic”, and can’t say what we want.  Instead, we defend our sanity anyway we can.  If I try to mess with my defense mechanism (fight it), I slip into psychosis instantly.

    My question is: Can one feel psychosis and stay in the middle of it without automatically responding to it?

     

    ANSWER:

    Medication is the most important thing.  When an individual with the BPD feels vulnerable, the trapped wounded animal instinct will kick in.  Haldol 2mg / Tegretol 200mg / Risperdal 3mg as needed for dysphoria (anxiety, rage, depression and despair) is particularly useful. Counseling and brain retraining will help you to see things in a less scary state and make you feel less vulnerable over time.

Separator (Biological Unhappiness)

 

2000 October Questions

 

Ask the Doctor

 

Home