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About tryp

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    Bawk Bawk Therapy Cranes!

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    sleep, sanity, cats, trashy television, psychopharmacology

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  1. I have decreased my lamotrigine, but never come all the way off - the decrease was no big deal. I will say that Effexor (alongside Paxil) is one of the worst of all psych meds for coming off, no matter how slowly you do it. So just because you went through hell with Effexor, doesn't mean that all meds will be like that.
  2. That sounds really intense - shame related to trauma is really, really hard to deal with. And also, we know that arousal in response to those types of memories happens just as a result of bodies being bodies. I hope you are able to find something comforting/nurturing to do to take care of yourself, because you deserve to be cared for.
  3. Yes - olanzapine is quite sedating, and it can last into the day. It may wear off as your body gets used to the medication. If it's really bothersome, talk to your doctor.
  4. Prognosis-wise, BPD is actually somewhat "better" than bipolar, because BPD can be cured, and there is no cure for bipolar disorder. I am not sure what you (and ladyboss) are reading about amitriptyline. It does not cause tardive dyskinesia - antipsychotics do that, and amitriptyline is an antidepressant. It is not a dopamine antagonist by mechanism. It is a good antidepressant especially for people who also have pain. It is not first line because it has more side effects than SSRIs, but inducing paranoia is not generally one of them. The treatment guidelines for BPD are that there is no medication that "treats" BPD or controls the disorder. There is some mixed evidence that some medications (anticonvulsants, antipsychotics, antidepressants) may ease specific symptoms like impulsivity or irritability or lability, but the primary treatment is always psychotherapy. Medications are also used to treat comorbid conditions (comorbidity is high in BPD, particularly with depression, anxiety disorders, and PTSD). I had a Borderline diagnosis in the past. I did DBT and it helped a lot. Antidepressants have always been bad news for me (also got misdiagnosed as bipolar disorder because of that) but lamotrigine has helped stabilize my mood somewhat with not too many side effects. Antipsychotics have also been really useful for me as PRNs and I used to be on a standing dose of Seroquel, which did help with my dysregulation, it just had a lot of side effects.
  5. It never fully went away for me, but it did get better to the point where I could function as a full time student (I was on 600 mg for years). Getting out of bed in the morning was always like dragging myself out of a tar pit, but I got to where I was okay during the day.
  6. Nobody here is going to be able to tell you that - what you need in terms of medication is something that has to be worked out with your doctor. It depends on your history, your symptoms, and what else you've tried. If you're worried, talk to your doctor.
  7. That was also my experience with benzos.
  8. I personally feel that the amount of trauma that men have caused me, and my resulting PTSD, was a huge contributor to why I am gay. I strongly wonder if, minus the abuse, I'd be straight. And I wonder, if I fixed my PTSD, if I'd develop an interest in men. Given how totally ineffective my efforts to fix my PTSD have been, I'll probably never know.
  9. Good work! Sounds like opposite action to me
  10. I think in my examples I probably blended in some of the other DBT skills like building mastery and pleasurable activities, but I do think that given that trauma makes you feel worthless and undeserving of using those types of skills, opposite action can involve them.
  11. I think the general principle that I use is that for me, most trauma related emotions result in my wanting to avoid/dissociate/hide/collapse. So almost anything that gets me up, moving my body, building mastery and/or mindfully engaging, I consider opposite action. I think some of it comes from knowing your own response patterns to trauma-based reactivations.
  12. Fear - mindfully approach/do the thing you are afraid of, don't avoid, take one small step towards accomplishing/mastering the thing. Sadness - get active (leave the house, exercise, jump up and down). Listen to music with the opposite tone (rock music, happy music). Watch a comedy or a cartoon. Shame - change your body language (stand tall, meet people's eyes, don't curl up and hide), tell yourself that you did nothing wrong, remember positive messages about yourself, do nice things for yourself/nurture yourself, speak up and share the things you feel ashamed of with a safe person, continue doing the thing that prompts the shame over and over. I think that changing your body is a really powerful way of using opposite action. When I feel negative emotions, getting myself out of bed, showering, getting dressed, and sitting up straight (not slumping or curling up) is powerful opposite action for me. So is actively engaging/accomplishing things to gain a sense of mastery rather than just hiding.
  13. It sounds like things have been really hard lately - glad you're doing a little better. Just a gentle reminder that we discourage graphic posts about specific methods of self-harm. Take care!