- What Do You Think Of My Present Treatment?
QUESTION:
Dear Dr. Heller,
I have been diagnosed with BPD and am currently under a psychiatrist’s care for the past 4 years. Although I’ve tried many meds, I am currently on 600 m. of Serzone and 60 of BuSpar. Occasionally, I have used trazodone at night but my Dr. has discontinued it’s use (she felt my symptoms were worsening with it). I have abused alcohol to relieve my symptoms but am now sober. What do you think of my present treatment. Therapy is cognitive.
ANSWER:
Trazodone can actually worsen seizures, and since I believe the BPD is a form of epilepsy, trazodone is not a medication I prescribe often. I’ve been very disappointed with Serzone, particularly in treating the BPD. BuSpar is fantastic for the generalized anxiety disorder, although most patients don’t require such high doses. I believe that individuals with the BPD need an SSRI – and Prozac is the best in my experience. You also need, as needed, medications for when you crash. The screening test I use for my patients can give you clues to other diagnoses that also need treatment. In the BPD section I go over medications at length, and why I recommend them.
