(bpd)borderline personality disorder;i've done dbt counselingn a psychiatrist which has not improved my paranoia/anxiety problems. What next?

DBT. Need to discuss with your psychiatrist possible alternative medications, depending on what you were prescribed & on the symptoms. Some benefits might be obtained from a psychotropic with a mood stabilizer. Your md is the best one to review them, since I am not sure what medications were tried for you.
Paranoia & anxiety. Paranoia & anxiety can ebb and flow in bpd, especially depending on what's happening in relationships. Medications can help when this escalates. But this needs to be grounded in an ongoing psychotherapy relationship that extends beyond specific training as in dbt (which does help also). Individual therapy allows you to review & deal with relationship patterns as they show up in daily life.

Related Questions

I was diagnosed with borderline personality disorder by a psychiatrist, my doctor doesn't agree and says I had labile mood problems. Do I nothave bpd?

need more info. "labile mood" is always part of borderline personality disorder, but it can have other causes too. It is odd that your doctor would contradict a good psychiatric evaluation. Perhaps s/he doesn't trust the psychiatrist or perhaps s/he is offering opinions outside his/her area of expertise. Get a 2nd opinion from a clinical psychologist or psychiatrist you can both trust. Read more...

How can someone with borderline personality disorder (bpd) improve their social relationships?

Therapy can help. People with bpd can significantly improve their relationships by learning new ways of coping with challenging emotions and personal events, and learning cognitive-behavioral therapy or dialectical behavioral therapy skills that will decrease emotional dysregulation. Social relationships are improved by this increased stability and self-control, especially in interactions with others. Read more...
Therapy. Many different forms of therapy have been shown to help people with borderline personality disorder. All are long term. Read more...
Borderline. Most effective are cognitive behavior therapy (cbt) & dialectical behavior therapy (dbt). Read more...
DBT helps. Dialectical Behavior Therapy (DBT) has substantial empirical support for effectively treating Borderline PD, and a key focus of the therapy is on interpersonal relationships. Here's a website that provides information about DBT: http://psychcentral.com/lib/an-overview-of-dialectical-behavior-therapy/ and here's another with lots of self-help tools: http://www.dbtselfhelp.com/. Best wishes. Read more...

Borderline personality disorder thanks for reading and any help you can provide. I have a family member who I'm fairly certain is bpd. I believe she's had similar problems stemming from childhood. How can we express to this person how her actions make p

Part . Part of the challenge with having borderline personality is an inability of the patient to manage their emotional world. Often they will be controlling in order to give them some sense of their internal chaos. I would recommend the book, "stop walking on eggshells" by randy kreger to help give you some perspective and tools to deal with your BP family member. Read more...
Great . Great question and incredibly difficult situation. I believe that there is a lot of good information available on the web from reliable sites (such as mayo clinic) on this topic. The description of the family member's behavior certainly is one that could raise the issue of the diagnosis but only a mental health professional trained particularly to deal with such presentations can reach that conclusion. There is greater interest and understanding about bpd in recent years and especially the contribution of both nature and nurture. Treatment options are increasing as are appropriate medications to help with the more severe symptoms. You will find a lot of that discussed on good web sites. I would also particularly recommend looking at dr. Marsha lenahan's dialectic behavior therapy model for helpful hints on understanding and approaching the family member. Being able to accept their behavior on the one hand and also being able to point out that such reactions may not be the most optimal way of dealing with intense emotions and could lead to job and relationship losses as well as alienating relatives who would like to be of help. There is a way of learning better techniques for expressing these feelings that would help create allies and gain support that otherwise leads to adversarial relationships and the very feelings of being all alone that are dreaded. Patience will be tried, calm persistence is needed. Read more...

Are hallucinations and paranoia symptoms of borderline personality disorder?

Well... Significant paranoia is found in paranoid personality disorder. Hallucinations may occur in a person with schizotypal personality disorder. When a person with a borderline personality disorder becomes really stressed they may start getting a little paranoid. Although hallucinations could occur when decompensated it is not usually a hallmark for this type of personality disorder. Read more...

My psychiatrist says I have borderline personality disorder. He did a poor job of describing it so I still am not sure what it means. Help!

Unstable personality. Borderline personality disorder is typically diagnosed in late teens or early adulthood. It is characterized by a longstanding pattern of intense but unstable black-and-white relationships with others, along with poor self image; reckless and dangerous impulsivity such as drug abuse and risky sexual behaviors, and persistent problems with mood, including self-distructive behaviors. Read more...
Unstable? Feel empty often? Impulsive? Intense anger? Marked mood swings? Suicidal thoughts / behaviors? Self mutilation? Frantic efforts to avoid losing people in your life? Intense & unstable relationships? Difficulty figuring out who you are? Feel like others are out to get you or just lose time when stressed? Diagnostic & statistical manual of psychiatry lists diagnostic criteria. Talk more with doc. Read more...

Can I talk to my psychiatrist about borderline personality disorder?

Borderline PD. Psychiatrists are the physicians best trained to treat people with borderline pd, and yours can answer questions about this. Is your concern about yourself? If so, the conversation would be essential to your treatment. If it's about someone else who's part of your daily life, the question may still be germane to your treatment. Read more...

Could my psychiatrist be making more money by not diagnosing me with borderline personality disorder?

Ask. Maybe you should have a discussion with your dr. About his agenda and yours, relative to your treatment plan. If you are concerned that he or she is more interested in making money, compared to treating you and your problems, that seems like a set up for failure. And patients can often have more than one condition. Read more...
Borderline. Sounds like a trust issue. Be honest & open about discussing it with him/her. You lose nothing & gain assurance. Read more...
Doubtful. You should talk to your doctor about these concerns. However, in psychiatry no one gets paid more for one diagnosis over another. A visit is a visit, no matter what the diagnosis. Read more...
Bpd. Diagnosis is based on comprehensive evaluation based on history and symptoms you present with. Read more...

Is my psychiatrist making a mistake by not diagnosing me with borderline personality disorder?

Can't say. Accurate assessment guides treatment, so if you have bpd it would be good for you & your psychiatrist to know. On the other hand, other personality problems that *look* like bpd can be helped with similar treatment. So in some cases it may not matter whether you have an "official" diagnosis. Some docs hesitate to diagnose bpd, as the label causes stigma. But bpd is treatable & often improves. Read more...
Borderline. Not sure why you would say that, unless u have been diagnosed with it before. Please clarify with your psychiatrist. Read more...

Went to see psychiatrist and she said that I might borderline personality disorder. What is it or what does it mean?

Long-term struggles. Bpd stands for "borderline personality disorder" and it is a long standing set of traits that can cause significant interpersonal suffering in the person who has bpd and often the people around them. People with bpd very often have histories of trauma and deeply fear being abandoned on the one hand and getting to close to someone on the other. People with bpd can be helped with psychotherapy. Read more...
Fear being abandoned. Borderline patients fear being abandoned and take drastic steps to avoid abandonment. They view others as all bad or all good and suicide is a very real risk factor. Read more...
Dr. Linehan's Story. Dr marsha linehan, respected psychologist credited w/developing approach 4 treating borderline personality disorder -dubbed "dialectical behavior therapy"- herself had been diagnosed w/ bdp. Read her story via @nytimes: http://nyti.Ms/yxtgz8 > dbt skills help foster development of strong sense of self... Help teach people 2 self-soothe & communicate feelings- including difficult/intense emotions. Read more...
Borderline. Intense fear of abandonment, being manipulative, impulsivity, a tendency to think of people and things in all good or all bad terms, self mutilating behaviors, drug and alcohol abuse, sexual impulsivity, a profoundly disturb sense of self, and extreme emotional volatility. Dialectical Behavior Therapy is quite effective. Read more...