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  • Effexor (Venlafaxine) Withdrawal and Mirtazapine Introduction: NOT what I expected!
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  • Wednesday: Trying a New Psychiatrist for First Time in 10 Years - What to expect?
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  • Have Borderline Personality And Are Lonely? Adopt An Animal

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• • Sex: Male
  • Birth Date: March 1979
  • Location: Costa Rica
  • Diagnosis: Borderline Personality Disorder
  • Associated conditions: Depression, Shyness, Low Self Esteem, Problem Gambling, Anxiety
  • Other Health Issues: Type 1 Juvenile Diabetes (Early Onset), Migraine Headaches, Raynaud's disesase
  • In-Patient Treatment: 2 involuntary hospitalizations totaling 2.5 weeks
  • Out-Patient Treatment: 2 years of weekly talk therapy, plus daily medications including Effexor, Zyprexa, Welbutrin, Klonopin

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It took me 8 months, but I finally saw the new psychiatrist last week. After the usual “get-to-know-you” questions, he concluded that I should stop taking Effexor (Venlafaxine) immediately, with no draw down. I would take Mirtazapine in its place. At first, I felt a brief period of symptom improvement, but then Effexor withdrawal set […]

Why is the average, middle class American unhappy right now? Is it because he is lazy? Is it because he wants a handout from the government? Is it because he’s too stupid to achieve financial and career success in his life?
While the above rhetorical questions might apply to a tiny group of people, the […]

Wednesday will feel just like any other day here in Costa Rica, except I will be going to the hospital used by medical tourists and visiting a new psychiatrist. The main purpose of the visit will be obtaining a holdover supply of Clonazepam. In past blogs I’ve described the rather unpleasant feelings associated with coming […]

Once in a while I do a search for “borderline personality males” using Google, just to see what comes up. BPD is mostly thought of as a condition that women develop. In fact, about 2/3’s of BPD patients in out-patient care are women. That makes borderline men a slightly rarer group, although recent research is […]