Posted by violette on February 1, 2011, at 16:10:26
In reply to Re: session, posted by Annabelle Smith on January 26, 2011, at 19:48:31
Sometimes people have unconscious reasons for refusing meds, other times it is what it is. Can you dig deeper, think of any other possibilities that might be under your radar?
If you have Borderline, then medications are used to treat the co-occuring axis I symptoms anyway and would be the same for anyone who is not borderline.
Prozac and Effexor seem to be the best choices for these symptoms, at least initially. There's something about an overactive nervous system that seems to respond better to these 2. Don't have any research as it's been a while since i've checked, so its mostly my opinion though you might find this to be true in papers out there.
I don't know anything about DBT other than what I've read and heard, but I do know that medications can help or hinder any type of therapy.
If medications work, DBT could be viewed as unnecessary due to waiting lists, maybe people who might need it more, maybe people with severe cases. DBT could be potentially helpful for many (as people who have done DBT often say this regardless as to whether they are borderline). People learn life long skills from this therapy, Plus people who are borderline can be high functioning at times or for years, then regress only in times of severe stress or with relationship losses or other emotional triggers. Either way,I don't agree with the statement below. Hope you make your best judgment.
"Medication is a useful adjunct to many clients in DBT. In these cases clients need to have a prescribing physician familiar with DBT. We do not provide medication at the Center. If medication alone has successfully treated the problematic symptoms, though, there is no need for DBT. If not, it is important to understand that in undertaking DBT, DBT becomes the primary treatment. If medication side-effects interfere with effective participation in DBT, it is usually a good idea to postpone enrolling in DBT or to discuss with the prescribing physicians the pros and cons of continuing the medications at their current dose."
poster:violette
thread:977638
URL: http://www.dr-bob.org/babble/psycho/20101228/msgs/978488.html