The Treatment of BPD with Medications: A Neuropharmacologically-Based Approach

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  • čas přidán 8. 09. 2024

Komentáře • 59

  • @edgreen8140
    @edgreen8140 Před 3 lety +7

    As a clinician i must say the speaker is so empathic and knowledgable!

  • @bonitabrandt5286
    @bonitabrandt5286 Před 2 lety +5

    Now, I'm really confused...I've heard other 'experts' say that personality disorders cannot be helped by drugs.

    • @christinaguzman8014
      @christinaguzman8014 Před 8 měsíci +1

      There isn’t a drug created for BPD like how there are SSRIs or lithium for Bipolar. However, medicines do help some of the symptoms such as depression, anxiety, substance abuse counseling. Mood stabilizers are noticed to help as well. Hope that makes sense.

  • @OscarDelSanto_OscarDS
    @OscarDelSanto_OscarDS Před 3 lety +4

    I have benefited immensely from the work of Dr Friedel

    • @kasonf2176
      @kasonf2176 Před 3 lety

      In your studies or were your benefits to do with treating your BPD? Curious because I am looking for treatment.

  • @ladythatsshalott318
    @ladythatsshalott318 Před 5 lety +10

    This is so spot on with the looking great, being charming and displaying no emotions about something massive which is happening/about to happen. I was in denial until one small upset then I went from 'fine' to physical self harm, 3 overdoses and 2 hospital admissions in the space of 2 weeks and have now lost my therapy place due to alcohol and and the type of depression where you can't get out of bed, washed or dressed and anxiety which is indescribable.
    In fact all of it is so accurate that I now feel like a cliche/stereotype.

  • @BeGioBijoux
    @BeGioBijoux Před 5 lety +25

    Medication is so efficient that Abilify made me gain 12 kg in one year. At the time, a box costed as much as 300 U$ dollars in my country.
    After I stopped, I managed to drop 6kg (mostly tears) and after that, Lamictal caused me hepatitis. I could smell every time in the toilet. Two years and I had to undergo surgery to get rid of the fat I had never had problems with before medication.
    I have yet to find medication that causes more good than bad. Sadly. I lost faith in big pharma and this kind of solution. Call it a symptom, but my impression is that they just want to take advantage of more vulnerable people in need.

    • @raghavakumar8957
      @raghavakumar8957 Před 3 lety +2

      Please can you provide the medicine for bpd

    • @Ginnablackford
      @Ginnablackford Před 3 lety +2

      Thank you for your honesty with the pharmacological reality of medications. Chemicals don't heal.

    • @BeGioBijoux
      @BeGioBijoux Před 3 lety +3

      @@raghavakumar8957 I cannot, only a certified practitioner is able to prescribe anything.
      I am currently on medication for ADHD (I have a comorbity) and I do have side effects but it is “the least evil”
      Do not try to self medicate or take advice over the Internet about medication. From what I understood there is no specific medication to help us heal it may only be palliative during crisis.
      You may get information and learn about what you were being prescribed and even watch your reaction to it but only a psychiatrist is truly able to prescribe anything. Do not try to self medicate, it will only make it worse.
      Learning about the patterns and symptoms helped me a lot. I love to watch all the symposiums and lectures on the subject, awareness helps.
      Lots of love your way from Brazil💜💜💜

    • @SeekerNami
      @SeekerNami Před 2 lety +1

      Too late now to reply but I wanted to tell my experience with meds
      I have BPD (I have a comorbidity with depression and often experience psicosis)
      Quetiapine worked somewhat but it made me apathetic , slept more than 13hrs a day (wasted maybe four years in sleeping) and as a result gained 35kg (I was 50kg, ended up with 85)
      Haldol caused an allergic reaction that ruined my hands. They started tingling and aching and the joints swelled up, I can't write or draw (I was a graphic designer and illustrator) or do any work that requires detail and I'm now showing symptoms of arthritis in my mid 30's
      Zoloft was tried as well and it caused worse psicosis and sometimes I'd sleep walk, still can remember some of what was (not) happening during those sleep walking moments.
      The only cool thing about Quetiapine were this lucid dream kind of experiences but the night terrors felt too real as well. This never stopped, most of my dreaming/night terrors are still very lucid to this day.
      I dropped meds altogether bc they ate away my youth and I couldn't work or fend for myself, they were doing nothing when there was no follow up therapy and was living in a very abusive relationship

    • @lisbethbird8268
      @lisbethbird8268 Před rokem

      The drugs don't work for everyone. I'm with you on that. But he also says medications are adjunctive, and that bpd is not conceptualized properly from a neurological perspective. I gave up on SSRIs by 1995. Numb and fat...how is this supposed to help? Doctors lying to me about it. Peter Kramer has a lot to answer for. I don't have any psyche diagnosis but I understand.

  • @caits3272
    @caits3272 Před 5 lety +6

    Sorry about your sister. Thanks for everything.

  • @marciasloan534
    @marciasloan534 Před 3 lety +5

    Range of feelings about this MD

  • @jessoftherocks
    @jessoftherocks Před 2 lety +4

    Im certain my ex wife is borderline. Ive lost my marriage, now shes drinking, self trashing, has self harmed, wouldnt get out of bed, wouldnt shower, im trying to get full custody of my son, but the courts dont consider any of these impulsive behaviors to be a problem. She had affairs the entire marriage right under my nose, pathologically lied about everything, when i finally had undeniable proof she said she hates herself, and hears my voice in her head? Her mother never holds her accountable for anything and even blamed me for her leaving, i said its because shes splitting! She is from russia cleft lip and pallet, diagnosed bi polar, ocd excoration disorder (self harm)? Fasd, rad...knew none of this when i met her...she deflecta projects blame shifting, zero accountability, i just want the person i first met and fell in love with back. After the birth of my son she got back on her meds and she got super worse, anxieties, episodes, panic attacks.

  • @lesleyheller2423
    @lesleyheller2423 Před 8 lety +12

    The best description of BPD I've ever heard. Thank you!

  • @belfastfreethinker
    @belfastfreethinker Před 11 lety +14

    Hi,
    Is it possible to acces the slides for this and the other lectures?
    Thanks

  • @janicemarticorena2482
    @janicemarticorena2482 Před 3 lety +1

    This was an excellent lecture !

  • @frasermorrison3016
    @frasermorrison3016 Před 3 lety +3

    Annoying first words are we're stupid most of us with this condition are actually above average in intelligence.

  • @an1rb
    @an1rb Před 2 lety +3

    I am curious about how effective lithium (as lithium carbonate) is as a mood stabilizer in patients with BPD.

  • @dianemorrell9638
    @dianemorrell9638 Před 11 měsíci

    Yeah..cptsd shares many traits thatresemble bpd too.

    • @noklarok
      @noklarok Před 4 měsíci +1

      almost indistinguishable in clinical setting

  • @noklarok
    @noklarok Před 4 měsíci

    the more i learn about psychiatry the more suspicious i become

  • @katherineleardi7068
    @katherineleardi7068 Před 3 lety +1

    I don't know how to reach this MD directly but I think that there may be another drug that can help people with BPD

    • @julesnav1446
      @julesnav1446 Před 3 lety

      oh do share...

    • @katherineleardi7068
      @katherineleardi7068 Před 3 lety +3

      @@julesnav1446 based on how my daughter said it actually made her feel the time that she had used it - she felt normal for the first time in her life. Currently they are doing clinical studies with this medicine for PTSD which she also has and is hoping to get in to. You can go to clinical trials for ptsd and mdma. Initial studies show that it has showed benefit. I wonder if the way that this drug acts in the brain (dopamie, norepinephrine, serotonin etc) if it could be mimicked by nootropics? Certainly the overactive fight or flight not being counter balanced by the frontal brain being deficient testifies to the brain not being able to maintain its homeostasis.

    • @voineaionut3984
      @voineaionut3984 Před 3 lety

      Maybe lsd or mushrooms ? I read a study about similarities between lsd and mindfulness wich is known to help in this disorder

    • @noklarok
      @noklarok Před 4 měsíci

      @@katherineleardi7068 they are testing a synthetic MDMA (methylone) here in UK for treating PTSD

  • @nicolereneecarpediem
    @nicolereneecarpediem Před 3 lety +1

    This is awesome info. However, I have severe ADHD and every time the speaker added "...as it were...," and "...if you will..." I totally lost track of what he was saying. It was said A LOT.

    • @lisbethbird8268
      @lisbethbird8268 Před rokem

      The bpd plus ADHD is a thing. I believe both are exacerbated with kid trauma, physical and equally, emotional. But that combination is a shared profile among so many (of us).

  • @ginajustiniano84
    @ginajustiniano84 Před 10 lety +5

    No comments,hmmm...Stigma is a sin

  • @ancabostinariu6550
    @ancabostinariu6550 Před 4 lety

    #the best i heard till today

  • @webproworldwide
    @webproworldwide Před 5 lety +7

    One can not be "born" with BPD as he suggested his sister Denise was.

    • @ittech4714
      @ittech4714 Před 3 lety +3

      "I was born into the BPD, you simply adopted it". -BPD Bane

    • @marthamryglod291
      @marthamryglod291 Před 2 lety +2

      The genes were there from birth. There's almost no perfect enough environment to prevent the onset of extreme BPD. It runs in my family and you can see the early symptoms looking back.

    • @ange7422
      @ange7422 Před rokem +1

      @@marthamryglod291 what gene? There’s to this date been no gene found.

    • @ange7422
      @ange7422 Před rokem

      @ Dennis Gerencher, I agree with you. There’s somethings suspect about him saying that.

    • @marthamryglod291
      @marthamryglod291 Před rokem

      @@ange7422 no particular gene but a larger grouping of genes. I'm no expert, just going off memory of what I've read. Epigenetics play a large role in the expression. Genes for sensitivity to environment, genes for hormonal release and coming down from hormone release. Stuff like that. Nothing in particular, but as a larger picture. Like a Monet painting. Makes sense on a wide view, messy and confusing up close.

  • @mikeroberts9501
    @mikeroberts9501 Před 4 lety +5

    This guy does not have particularly good internet patient reviews.

  • @jeanniecraig6971
    @jeanniecraig6971 Před 4 lety +8

    I managed 12 minutes of this. The speaker sounds like a pusher from big pharma. The sister stuff was invented around a grain of reality, at best, plus he knows nothing about BPD. I have BPD and this guy oozes deceit.

    • @mathewgrey5443
      @mathewgrey5443 Před 4 lety +7

      If you watched to the end his recommendation is therapy first then medication.

    • @ange7422
      @ange7422 Před rokem

      Ya I’m still watching and he’s very negative so far. I’m a little disappointed.