How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Tamara Your Own Question

Tamara
Tamara, Counselor & Psychotherapist
Category: Mental Health
Satisfied Customers: 1072
Experience:  20+ yrs Private Practice; Cert. Master Therapist; National Board Certified; APA Board Certified
25965815
Type Your Mental Health Question Here...
Tamara is online now
A new question is answered every 9 seconds

I was diagnosed with borderline personality 8 years ago, and

Customer Question

I was diagnosed with borderline personality 8 years ago, and have had an eating disorder for 10 years. My eating disorder is in remission - i haven't engaged in behaviours for almost a year - but my mood swings have been more pronounced during this time, and i have experienced episodes of what i think may be mania. During this time (it lasts less than a week) i'm energetic, i sleep less well than normal, I do things - like starting a bookclub and writing articles, and i feel what i call 'waves' of joy. Sometimes these moods seem to be triggered - eg someone headhunted me for a job last week (monday) and for four days i was on a high - then on the fifth day (friday) - after an argument with someone i couldn't stop crying and spent the day in bed. On the sixth day (Saturday), i was back to being "happy" again, and have been 'high' ever since.

I take 100mgs of lamictal and 20mg of lexapro. I'm married, have close friends, a masters degree and a good job. how can i get more stable?
Submitted: 4 years ago.
Category: Mental Health
Expert:  Tamara replied 4 years ago.
Hi there. I'm sorry you are having these difficulties. I'm sure it must be very difficult for you. However, given your mood swings, I think you need to be in therapy and consulting with a psychiatrist about your medication. BPD is going to cause you to be unstable emotionally, and it sounds like you may also be bi-polar, which is going to require medication for you to be at your best. I know you are already on medication, but it sounds like it needs some adjustment.

I would suggest you get into therapy with a psychotherapist who is familiar with BPD, and use your psychiatrist for medication management only. Psychiatrists typically are not well experienced in doing therapy, so that may be why you feel you did not make much progress.

As much as I would like to provide you a different answer, in my opinion, you need to get back with the therapy and have your medication regularly monitored. that's going to be your best option for being more stable.

Best wishes, and please let me know if I can answer any further questions. Tamara





Customer: replied 4 years ago.
I have been on zyprexa before, and found that helped, but i gained a lot of weight, and my eating disorder was triggered again. Are there any other medications i can take that won't make me gain weight?
Expert:  Tamara replied 4 years ago.
Hi again. There are many medications available that might work and not have the weight gain side effects. But that's why it's important for you to talk with a psychiatrist. Prescribing depends on your diagnosis, your past and current health status, and what has and hasn't worked for you in the past. So yes, there are probably medications that might work better and not have the weight gain side effects, but you would really need to talk with a psychiatrist to get on the appropriate one. Good luck. Tamar

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Tamara
Tamara
Psychotherapist
1070 Satisfied Customers
20+ yrs Private Practice; Cert. Master Therapist; National Board Certified; APA Board Certified