QUESTION:
Dear Dr. Heller,
When a BPD feels vulnerable, a normal conversation is impossible because we are on"automatic", and can't say what we want. Instead, we defend our sanity anyway we can. If I try to mess with my defense mechanism (fight it), I slip into psychosis instantly.
My question is: Can one feel psychosis and stay in the middle of it without automatically responding to it?
ANSWER:
Medication is the most important thing. When an individual with the BPD feels
vulnerable, the trapped wounded animal instinct will kick in. Haldol 2mg / Tegretol 200mg
/ Risperdal 3mg as needed for dysphoria (anxiety, rage, depression and despair) is
particularly useful.
Counseling and brain retraining will help you to see things in a less scary state and make
you feel less vulnerable over time.
