Dr. Heller,

I would like to know more about ‘fractured enjoyment’.  Can one suffer from BPD as well as fractured enjoyment?  Besides that, can these two be cured without the use of medicine?  Am I over-paranoid if I suspect that I have BPD?  I would appreciate it if you can answer my queries, especially the one on ‘fractured enjoyment’.

Thank you very much


What I refer to as “fractured enjoyment” used to be called the depressed personality disorder.  It is profoundly genetic and responds quickly to Prozac. You absolutely can have both the BPD and the fractured enjoyment diagnosis, and they both respond well to safe medication.  It’s extremely unusual for an individual to do well without medication when those diagnoses are present.


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