Studies show that certain SSRIs and SNRIs can help manage depression, anxiety, anger, and impulsivity in people with BPD. Types of SSRI and SNRI antidepressants include: Fluoxetine (Prozac) Sertraline (Zoloft)
In the treatment of borderline personality disorder (BPD), selective serotonin reuptake inhibitors (SSRIs) are greatly preferred to the other classes of antidepressants. Benzodiazepines are contraindicated in this population because they reduce inhibitions and are therefore likely to increase impulsivity.
In fact, many antidepressants can cause mood swings as a side effect, which can amplify the flurry of emotions that you are already feeling due to BPD, highlighting the necessity of proper diagnosis and receiving the appropriate antidepressant medication.
It is approved for the treatment of major depressive disorder (MDD), posttraumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD), panic disorder, and social anxiety disorder. It is also approved to treat obsessive-compulsive disorder (OCD) in adults, children and adolescents aged 6-17 years.
Zoloft is effective in treating depression, but it can have some side effects. If you have bipolar disorder and you're taking an antidepressant, such as Zoloft, without a mood stabilizer, you may be at risk for shifting into a manic or hypomanic episode.
The authors of a 2020 review state that antidepressants are the most commonly prescribed medications for BPD. A doctor may prescribe : selective serotonin reuptake inhibitors (SSRIs) tricyclic antidepressants.
A number of research studies have demonstrated that certain types of antidepressants are effective in treating specific symptoms of BPD. For example, SSRIs can reduce emotional instability, impulsivity, self-harm behaviors, and anger. MAOIs have also been shown to effectively treat emotional instability.
Antidepressants can help people with borderline personality disorder experience relief from symptoms such as emotional reactivity, depression, and anxiety. Taking an antidepressant may come with certain side effects, allergic reaction, or unusual bleeding.
Because antidepressants have not demonstrated significant high-level evidence of therapeutic benefit, these medications currently lack strong recommendations in treating BPD. Serotonin regulates amygdala hyperreactivity in BPD, thought to be a central neurobiological correlate of affective instability.
Indeed, several reports have demonstrated the efficacy of selective serotonin re-uptake drugs in treating the depressive and impulsive symptoms of patients with BPD.
SSRIs are commonly prescribed to treat conditions like depression and anxiety, but they've also been used to treat symptoms of anger or irritability. SSRIs that have been shown to help with anger include citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), among others.
Less Common Side Effects From Zoloft
Hallucinations. Impulsiveness. Memory loss. Symptoms associated with psychosis, major depression, or mania.
The psychotic symptoms emerged within 3 days-7 weeks of starting sertraline and resolved on its discontinuation. We wish to alert clinicians to the possibility that sertraline may provoke or exacerbate positive psychotic symptoms, particularly in patients on neuroleptics, with a previous history of psychosis.
Borderline personality disorder is mainly treated using psychotherapy, but medication may be added. Your doctor also may recommend hospitalization if your safety is at risk. Treatment can help you learn skills to manage and cope with your condition.
The American Psychiatric Association Practice Guideline for the Treatment of Patients With Borderline Personality Disorder suggests that extended hospitalization be considered for patients with BPD under specific circumstances; for example, those with persistent and severe suicidality or comorbid substance abuse or ...
Objective: Selective serotonin reuptake inhibitors (SSRIs) are recommended for treatment of affect lability, impulsivity, and aggression in patients with borderline personality disorder.
Listen to music that you find uplifting or soothing. Write a comforting letter to the part of yourself that is feeling sad or alone. Let yourself cry or sleep. Cuddle a pet or a soft toy.
Self-Care activities include: regular exercise, good sleep habits, a nutritious diet, taking medications as prescribed, and healthy stress management. Good self-care can help to reduce common symptoms of BPD such as mood changes, impulsive behavior, and irritability.
The Social Security Administration placed borderline personality disorder as one of the mental health disorders on its disabilities list. However, you'll have to meet specific criteria for an official disability finding. For example, you must prove that you have the symptoms of the condition.
It is well known that harms caused by SSRIs can be long-lasting [18] and there are indications that they can even be permanent, e.g. for sexual disturbances [39, 40]. Withdrawal symptoms are also drug harms, and they can also persist for a long time [18].
Medications that doctors currently use to treat depression do not improve brain fog symptoms and can actually make them worse.
Common side effects during the first week or two of taking Zoloft include nausea, headache, fatigue, and constipation. These side effects should go away once your body gets used to the medication. If you continue to have side effects after a few weeks or experience any serious side effects, call your doctor or 911.