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Suggest treatment for borderline personality disorder - Online Doctor Chats

Date : 25-Apr-2014
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User:Hi, I am a 22 year old female. I am fairly certain I have Borderline Personality Disorder, as all the symptons describe my behaviour to a tee. I was wondering if there was any way to be 'diagnosed' with this disorder?
I scored 44 in a BPD test, when 33+ is severe - this really worries me. I have the following symptoms: Impulsive behaviour (binge drinking, shopping addiction, XXXXXXX driving), self-injury (cutting), wild mood swings, anxiety, depression, inappropriate anger & antagonistic behaviour (always), difficulty controlling emotion (always either extremely happy, or crying, or yelling angry - never 'normal'), feeling hopeless & neglected, feelings of self-hate, unstable self-image, and the list goes on and on. I have recently been hitting out physically to my friends, workmates and family and I'm starting to think it's time to take action and do something about this before I really hurt somebody. I am so tired of always being angry for no reason and trying to make excuses for my behaviour.
Do I go to my family GP about this, or is it best to see a mental health specialist?
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:Hi XXXX, I went through your information. Brave thing admitting this stuff to yourself
User:I know - it's taken a few years, but it's starting to get overwhelming just living with it...easier to just admit it now!
Doctor:Smart, very smart. You need a plan of action here. First thing first you need a checkup from your family GP
Doctor:There is a possibility that you might be put on a course of mood stabilizers and no one is going to want to prescribe that unless you've had a basic checkup and made sure you are healthy in every other way
User:Ok. I wasn't sure whether he would be able to help, but I guess it's a start
Doctor:At the same time. I would look for a therapist in the area. You might have to go through a few of them in the area till you find someone you are comfy with
User:I have a family history of mental health and he has been very helpful to my sister, so I probably should start with my GP
User:I have googled therapists but New Zealand isn't that good on mental health!
Doctor:Great! Thats a start, if you trust your GP, things always turn out better.
Doctor:Ohh, hmmm, i see. Well then maybe you could ask your GP to recommend a good one. A psychiatrist is also a good person to go too. But I want to make sure that you are not just going to him or her and getting pills.
Doctor:Personality disorders are best handled by verbal and group therapy.
User:I am definitely not a 'pill person' - I won't be chucking back pills if I don't think they would be helping! I just so badly want to get this sorted before all my friends and family disappear
Doctor:And I don't want them to plunk you on pills for the rest of your life.
Doctor:The very fact that you admit this to me and to yourself makes me think that you will be just fine. :-)
User:Ok, making progress today! I will book an apt with my GP.
User:Appreciate your help tonight though - thanks a million
Doctor:Always happy to help!
Doctor:What else can I help you with today?
User:That was the main thing on my mind, well the only thing actually. I'm happy to leave off here and am confident to go see my doctor now. Good night to you :)
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