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Bipolar, borderlinepersonality. Mood swings, irritability, paranoia. On psychotropics, lithium therapy, respirdol, zeyprexa. Suggestions?

my daughter suffer from bepolar one and borderlinepersonaliy, for 26 years she has take all the psychotropic drugs in the book, it has destroy her health, after a suicide attempt caused by one the drugs, I toock here off of all the drugs within 14 months. How ever the symptoms of her illness has continue, she refused to take any more drugs that will finish the her delicate and fragile body, she has all the thyroid diseases, osteoporosis, glaucoma and stomach problems and more, all caused for the long therapy of lithium, respirdol, zeyprexa and dozens of other drugs. her mood swings, irritability and severe paranoia are unbearable, she can not sleep more than 4-6 hours., I love her but I have run out of options, I give her vitamins and special foods that I have research for over one year, but it is not enough. Can you help me please, I am desperate, I refuse to end what is left of her life with drugs. I thank you from the bottom of my heart. Chastee
Asked On : Tue, 16 Apr 2013
Answers:  4 Views:  96
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Psychiatrist 's  Response
thanks for using healthcare magic.
I have gone through your available history.
Treatment of Bipolar Mood disorder in a case of Borderline Personality is indeed a challenging, time consuming and it requires a lot of patience for the that.
You must resume taking treatment from the qualified Psychiatrist. she might be benefited by Combination of mood stabilizer having anti impulsive properties like oxcarbamazapine or Divalprorex and anti psychotics. she should also need psychotherapy and counselling that how can she observe and control her mood swings.
In extreme cases, sessions of electro convulsive therapy or deep brain stimulation might be helpful.
Answered: Thu, 18 Apr 2013
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand your distress and concern regarding your daughter's psychiatric problems. Having a diagnosis of Bipolar 1 disorder and Borderline Personality disorder is quite difficult and is very challenging to treat.

However, stopping all medication is not the solution to her problems. You should understand and accept that your daughter has a difficult mental illness for which she needs treatment. Especially, a disorder like Bipolar 1, if left untreated, has a high chance of relapse and causing major disruptions and dysfunction in life. Complicating this would be her borderline personality disoder which can result in mood swings, emotionally unstable behaviour and paranoia.

So, in my opinion, a combination of medication and psychotherapy is essential in your daughter's case, and long term treatment is unavoidable. So, please discuss further treatment plans with her psychiatrist.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Tue, 16 Apr 2013
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Psychiatrist Dr. Ashish Mittal's  Response

welcome to Healthcare Magic.

I can understand your concern regarding your daughter illness. Bipolar 1 disorder with personality disorder with paranoid symptoms diagnosis indicate severe form of mental illness. This condition should be treated after adequate assessment by combined traetment with medicines (like mood stabilisers and antipsychotics) and psychotherapy. Many time patient do not improve fully with treatment but it do not mean complete failure of treatment.

Self harm attempt may occur in this illness due to personality issues also. As patient do not have insight regarding illness specially in presence of paranoia, in such cases depot injections or medicines in food are helpful.

If symptoms are severe, it is better to get her admitted in hospital for short duration for assessment and planning for long term treatment.

Wish you all the best.


Dr Ashish Kumar Mittal

Answered: Tue, 16 Apr 2013
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Psychiatrist Dr. Sundar Gnanavel's  Response
Thanks for your query. Treating borderline personality disorder along with bipolar disorder is indeed a big challenge for psychiatrists. The ideal treatment would consist of:
1. Mood stabilisers like lithium, valproate
2. Psychotherapy techniques like DBT/ Dialectic behavioural therapy
I would suggest that you discuss the above options with your treating psychiatrists. I would also take this opportunity to warn you against stopping drugs by yourself without the instructions of a psychiatrist. Wish you good health.
Dr Sundar
Answered: Mon, 29 Apr 2013
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