Q. I just began therapy with a physiologist . She's qualified to help me with my BPD but I have a few things against her. She sits behind a large desk in a small office and I have to sit in front of her desk in some rather uncomfortable chairs. I distinctly get the feeling that I am a child sitting before the principals desk, and it is intimidating to say the least. She gives me small assignments to do each week, but that I don't mind. However she seems less than compassionate or warm in any way...and I'm easily scared in therapy with that approach. I'm not sure what I want here, or what I'm looking for. My BPD has been misdiagnosed for so very long, I'm clueless what to do myself to find the right therapy that will work for me. I do go to the BPD channel often, but so much of the time nobody but myself is in there. That just feeds my feeling of aloneness. I'm starting the book, "I hate you don't leave me". I'm trying to admit to when I cut too. Sometimes I wish a therapist would help me stop cutting, or even feeling like I still need to. Even this new psychologist seems to take that fact with a grain of salt. Pity. I don't. It's hell to feel that bad, I know. I've had a bad time of it with therapists here in McAlester, I shared some of that when I wrote you some time back. I'm loosing hope. Just feel like I'm doing nothing but making the moves. Well, thanks for listening. Please send my plea once again to DR H for some kind of ...any kind of BPD center to be developed...where else can we go? I asked a question in the BPD channel tonight, "what do you do when you get so depressed you loose everything...motivation, concentration, self worth"...reply was, "just sit there and feel like hell", wasn't the answer I was hoping for. I started Prozac now 10mgs. 20mgs made me severely agitated, DR lowered dose for 3 weeks. Feel like I'm taking nothing.
A. First of all until the medications are right therapy is unlikely to be successful. In my experience, agitation on Prozac is virtually always due to the generalized anxiety disorder, which when treated first with Buspar allows the individual to successfully take the Prozac.
Dr. Linehan's DBT therapy has reduced the rate of self-mutilation by 50%.
I am hoping over time to make a center like you described. I agree that it's needed.