QUESTION:

My son feels he cannot tell between a dream and reality. He says he gets "FUZZY" and can't really describe his problem to me. He has Bipolar and taking Trilipetal, could his symptom also be BPD? My brother is schizophrenic and I have BPD (former self-injury).

DR. HELLER'S ANSWER:

Yes, he could be describing dissociation from the BPD. Dissociation occasionally happens with bipolar, but usually when the individual has both bipolar and BPD. He could be experiencing chronic BPD dysphoria (anxiety, rage, depression and despair) with dissociation. If this is the case after taking Prozac (fluoxetine) for a week, these symptoms will go away 3 hours after taking Tegretol (carbamazepine) (or 24 hours if both Risperdal and Tegretol are needed).

Panic can cause dissociation.

Trileptal is great for bipolar, but rarely helps with the BPD.

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