Dr. Bob's Psychopharmacology Tips

Treatment of people with borderline personality disorder

Date: Mon, 10 Apr 1995 13:19:14 -0700 (PDT)
From: Ivan Goldberg <psydoc@psycom.net>
Subject: Treatment of people with borderline personality disorder

When no psychotic symptoms are present my approach to the treatment of people with BPD can be summarized as:

(carbamazepine and/or valproate) + (high dose SSRIs or MAOIs).

One of the first symptoms to improve is anxiety.

From: "George Nasra" <nasdoc@penn.com>
Date: Thu, 22 Jun 1995 21:48:33 -0400
Subject: Treatment of people with borderline personality disorder

Pharmacotherapy of patients with borderline personality disorder is based on the identification of target symptoms. The usual target symtpoms that have been shown to respond to medications are impulsivity (usually responds to carbamazepine), affective instability (usually treated with lithium, MAOIs or SSRIs), cognitive disruption (criterion 9 in DSM-IV, usually treated with low dose neuroleptics), and more recently SSRIs have been shown to be effective in decreasing the anger outbursts of patients with BPD (J Clin Psychopharmacol 15 (1), Feb 1995, 23-29). The best study on the pharmacotherapy of borderline personality disorder remains the 1988 paper by Cowdry & Gardner (Arch Gen Psych 45: 111-119).

Date: Wed, 24 Apr 1996 00:48:49 -0400
From: Ivan Goldberg <Psydoc@psycom.net>
Subject: Treatment of people with borderline personality disorder

I have ... had good experiences using lamotrigine to treat the mood lability of so called "borderline" patients.

Date: Mon, 13 May 1996 22:29:15 -0400
From: Ivan Goldberg <Psydoc@psycom.net>
Subject: Treatment of people with borderline personality disorder + bipolar disorder

I have used [gabapentin] in patients with borderline personality disorder + bipolar disorder, often combining it with high dose fluoxetine or venlafaxine.

Date: Mon, 03 Jun 1996 22:50:38 -0400
From: "Ivan Goldberg" <Psydoc@spacelab.net>
Subject: Treatment of people with borderline personality disorder

The use of high dose venlafaxine for the treatment of borderline personality disorder was the subject of a report at the 1995 NCDEU meting in Orlando.

Date: Sat, 20 Jul 1996 12:25:58 -0400
From: Ivan Goldberg <Psydoc@psycom.net>
Subject: Treatment of people with borderline personality disorder

Here is an interesting article on the combined psychotherapeutic and psychopharmacologic treatment of patients with borderline personality disorder.

This topic is indexed under the following subjects:

URL: http://www.dr-bob.org/tips/split/Treatment-of-people-with-b.html
Original tips copyright 1994-97 original authors.
Web page copyright 1995-97 Robert Hsiung.