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TABLE 3 - SUMMARY OF TREATMENT
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Prozac 20 mg daily (clomipramine) Anafranil and other SSRI's may prove to be just as effective
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Haldol 0.5 mg q 4-6h prn (thioridazine, 10 mg and thiothixene 1 mg can be equally effective)
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check for hypothyroidism, treat if suspicious
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check for vitamin B12 deficiency
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psychological counseling
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stress reduction
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help with spiritual issues
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develop self-esteem
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retrain the brain with books, tapes and affirmations
REFERENCES
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Kreisman, Jerold J., MD, Straus, Hal: I Hate You, Don't Leave Me. Price Stern Sloan, Inc., Los Angeles, CA 1989
Norden, MJ "Fluoxetine in BPD." Prog Neuropsychopharmacol Biol Psychiatry 1989;13(6): 885-93
Soloff, P: "Progress in Pharmacotherapy of Borderline Disorders - A Double Blind Study of Amitriptyline, Haloperidol and Placebo." Arch Gen Psychiatry Vol 43 July 86
Cowdry, R; Gardner, D: "Pharmacotherapy of Borderline Personality Disorder." Arch Gen Psychiatry, Vol 45, Feb 1988
Links, P; Steiner, M: "Characteristics of Borderline Personality Disorder: A Canadian Study." Can J Psychiatry Vol 33, June 1988
Nowlis, DP: "Borderline Personality Disorder in Primary Care." J Fam Pract 1990 Mar;30(3):329-335
Runyon, N; Allen, C; Ilnick, S: "The Borderline Patient on the Med-Surg Unit." American Journal of Nursing, Dec 1988
Cowdry, R: "Psychopharmacology of Borderline Personality Disorder - A Review." J Clin Psychiatry 48:8 (suppl) August 1987
Lucas, P: Gardner, D; Wolkowitz, O; Cowdry, R: "Dysphoria Associated with Methylphenidate Infusion in Borderline Personality Disorder." Am J Psychiatry 144:12 December 1987
Wallace, J; Martin, S: "Can Psychological Assessment Address Borderline Phenomena?" Can J Psychiatry Vol 33 June 1988
Edell, W: "Role of Structure in Disordered Thinking in Borderline and Schizophrenic Disorder." Journal of Personality Assessment, 1987 51(1), 23-41
Weiler, M; Altman, E: "Associated Diagnoses (Comorbidity) in Patient With Borderline Personality Disorder." Psychiatr J Univ Ott 1990 Mar;15(1):22-7
McGlashan, Thomas H., MD The Borderline: Current Empirical Research American Psychiatric Press, Washington, D.C. 1985
Johnson, C; Tobin, D; Enright, A: "Prevalence and Clinical Characteristics of Borderline Patients in an Eating-Disordered Population." J Clin Psychiatry 1989 Jan;50(1):9-15
Pfohl, B: Medical Basis of Psychiatry W.B. Saunders Company, Philadelphia, PA 1986 Ch. 28
Gardner, D; Lucas, P; Cowdry, R: "Soft Sign Neurological Abnormalities in Borderline Personality Disorder and Normal Control Subjects." Journal of Nervous and Mental Disease Vol 175 No3 1987
Steiner, M; Links, P; Korzekwa, M: "Biological Markers in Borderline Personality Disorders: An Overview." Can J Psychiatry Vol 33 June 1988
McNamara, E; Reynolds, C III, Soloff P: "EEG Sleep Evaluation of Depression in Borderline Patients." Am J Psychiatry 141:2 February 1984
Kellner, C; Post, R; Putnam, F; Cowdry, R; Gardner, D: "Intravenous Procaine as a Probe of Limbic System Activity in Psychiatric Patients and Normal Controls." Biological Psychiatry 1987;22:1107-1126
Kutcher, S; Blackwood, D: "Auditory P300 in Borderline Personality Disorder and Schizophrenia." Arch Gen Psychiatry Vol 44 July 1987
Cornelius, J; Brenner, R; Soloff, P: "EEG Abnormalities in BPD: Specific or nonspecific." Biol Psychiatry 1986;21:974-977
Cowdry, R; Pickar, D; Davies, R: "Symptoms and EEG Findings in the Borderline Syndrome." Int's J Psychiatry in Medicine Vol 15(3) 1985-86
Southwick, SM; Yehuda, R, Giller, EL Jr; Perry, BD: "Altered Platelet Alpha 2-/Adrenerigic Receptor Binding Sites in the Borderline Personality Disorder." Am J Psychiatry 1990 Aug;147(8):1014-7
Yehuda, R; Southwick, SM; Edell, WS; Giller, EL Jr: "Low Platelet Monoamine Oxidase Activity in the Borderline Personality Disorder." Psychiatry Res 1989 Dec;30(3):265-73
Lahmeyer, HW; Val, E; Gaviria, FM; Prasad, RB; Pandey, GN: EEG Sleep, Lithium Transport, Dexamethasone Suppression, and Monoamine Oxidase Activity in the Borderline Personality Disorder." Psychiatry Res 1988 Jul;25(1):19-30
Lucas, P; Gardner, D; Cowdry R; Pickar, D: "Cerebral Structure in Borderline Personality Disorder." Psychiatry Res 1989 Feb;27(2):111-5
Pine, F: "On the Development of the "Borderline-Child-To-Be." Amer J. Orthopsychiat 56(3) July 1986
Ogata, SN; Silk, KR; Goodrich, S; Lohr, NE; Westen, D; Hill, EM: "Childhood Sexual and Physical Abuse in Adult Patients With Borderline Personality Disorder." Am J Psychiatry 1990 Aug;147(8):1008-13
Herman, JL; Perry, JC; van der Kolk, BA: "Childhood Trauma in Borderline Personality Disorder." Am J Psychiatry 1990 Aug;147(8):1008-13
Swartz, M; Blazer, D; George, L: "Identification of Borderline Personality Disorder With the NIMH Diagnostic Interview Schedule." Am J Psychiatry 146:2 February 1989
Resnick, R; Goldberg, S; Schulz, C: "Borderline Personality Disorder: Replication of MMPI Profiles." Journal of Clinical Psychology. Vol 44 No 3 May 1988
Sternbach, H; Fleming, J; Extein, I; Pottash, ALC; Gold, M: "Short Communication The Dexamethasone Suppression and Thyrotropin-Releasing Hormone Tests in Depressed Borderline Patients." Psychoneuroendocrinology, Vol 8, No 4 pp459-463, 1983
Garbutt, J; George, A: "Paradoxical Effects of Amitriptyline on Borderline Patients." Am J Psychiatry 143:12 December 1986
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