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Chronic depression, anxiety, harms self, personality disorder. Taking alprazalam, addicted to drug. Alternative?

What can a psychiatrist give that works well to help treat my anxiety and depression (both chronic and severe). I already take venlafexine and have been scripted for alprazalam twice which really helped although she is reluctant to script me for it again as it can become addictive. What else could help? I have been in therapy and told i have a personality disorder , something like BPD although do not really fit the criteria. I am a chronic self harmer.
Asked On : Wed, 31 Oct 2012
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

There are several options available, both in the form of medication as well as psychotherapy for your depressive and anxiety symptoms. If one anti-depressant is not working for you, then there are several other options available. If you have mood instabilities, mood-stabilizing medication can also help. For your chronic self-harming behaviour and a likely diagnosis of borderline personality disorder, treatment is predominantly in the form of psychotherapy. There are several effective and proven therapies like cognitive behavioural therapy, dialectical behaviour therapy, rational emotive therapy which can help you control your emotions and reduce the self-harming behaviour. So, engaging regularly in therapy, staying motivated and putting in sincere and persistent efforts from your side are essential for successful treatment.

Wish you all the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Thu, 1 Nov 2012
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