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Dr. Keane
Dr. Keane, Therapist
Category: Mental Health
Satisfied Customers: 1379
Experience:  Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
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I have suffered from depression and anxiety for 20 yrs now

Customer Question

I have suffered from depression and anxiety for 20 yrs now with very little success from counciling or paxil (havent had paxil in 8 yrs) and i want to know if i have bpd it sounds like I may can you give me some questions to answer so that i have a clue
Submitted: 7 years ago.
Category: Mental Health
Expert:  Carol Kryder LMFT replied 7 years ago.

Do you mean BPD as in Bipolar disorder or BPD as in Borderline Personality Disorder?

If bipolar, you will have had at least one episode of manic behavior, involving issues around impulse control, eating, spending, sexual behavior, agitation, racing thoughts, insomnia lasting days at a time, angry outbursts, pressured speech in such as way as it interfered with your daily life. If this sounds familiar you need a mood stabilizer. I recommend Lamictal, since it is generally well tolerated and there is no weight gain.

If borderline personality disorder, you will have a history of volatile relationships, mood swings, depression, irritability,substance abuse, self harm and suicide attempts. You keep looking outside yourself for fulfillment and completion and get angry when people disappoint you, as they invariably will. If this sounds familiar you need a DBT group as well as an anti-depressant.

I hope this has been helpful. I wish you the best of luck.