QUESTION:

Hello Dr. Heller,

Your site has given me hope but also confused me as well. I know with certainty I have BPD. I have spent my whole life jumping to conclusions, being sensitive to rejection, desperately needing the people I'm pushing away at the same time, I'm empty, bored, moody, angry, and in SO much emotional pain. I'm also very impulsive, which has led to binges on food, alcohol, or drugs, and reckless spending.

I also have GAD, major depression, and panic disorder.

My psychiatrist scripted Valium, Paxil, and Trazodone (I forgot to mention I have considered suicide and self injure at times well). It has not really helped.

I am wondering what meds have helped people such as myself with so many mental conditions. Should I be finding someone who will find the right combination for everything?

I am desperately in need of help. I hope you can reply ASAP.

DR. HELLER'S ANSWER:

Every physician has his/her own way of treating things. It can be difficult to find a practitioner willing to try approaches from other physicians.

The combination of BuSpar, Prozac and Tegretol is usually a miracle for my patients with the GAD and BPD. Sequencing is important as well. I usually prescribe BuSpar for two weeks first, then add Prozac, and then add Tegretol a week later.

As needed medications are important as well.

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