Brand names: Lexapro Escitalopram has an average rating of 8.7 out of 10 from a total of 23 reviews for the off-label treatment of Borderline Personality Disorder. 87% of reviewers reported a positive experience, while 4% reported a negative experience.
Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are the most commonly prescribed antidepressants for individuals with BPD who are experiencing symptoms of depression.
Escitalopram is used to treat depression and generalized anxiety disorder (GAD). It is an antidepressant that belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines work by increasing the activity of the chemical serotonin in the brain.
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
A person with BPD may experience intense episodes of anger, depression, and anxiety that may last from only a few hours to days.”
Precautions When Taking Medication for BPD
Some concerns to think about include: Benzodiazepines may worsen symptoms for some individuals. Research suggests that benzodiazepines may worsen the symptoms of impulsivity and suicidality in people with BPD, so their use is discouraged.
Tricyclic Antidepressants for BPD
This category of antidepressants includes amitriptyline (including Amitril, Elavil, and Endep) and nortriptyline (Aventyl and Pamelor). These drugs may worsen Borderline Personality Disorder symptoms in some patients.
Consider cutting out all processed food and sugar for a few weeks and observe your energy level and your emotions. Avoid misusing alcohol or caffeine, as these also can intensify mood instability. BPD sometimes includes symptoms of self-harm or substance abuse.
Psychiatrists often prescribe an SSRI to patients suffering from an anxiety disorder. This medication blocks specific nerve cells from reabsorbing serotonin. The extra serotonin alleviates anxiety and improves mood. This medication includes fluoxetine, citalopram, paroxetine and escitalopram.
Lexapro is prescribed for the treatment of anxiety disorder, depressive disorders, and other mood disorders, sometimes in combination with other medications. Therefore, you generally need a mental health diagnosis before a doctor prescribes Lexapro for you.
Doctors believe that it helps stabilize mood and causes happiness and a sense of well-being. Doctors prescribe Lexapro to treat major depressive disorder (MDD) and generalized anxiety disorder (GAD).
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.
Although no drugs have been approved by the Food and Drug Administration specifically for the treatment of borderline personality disorder, certain medications may help with symptoms or co-occurring problems such as depression, impulsiveness, aggression or anxiety.
Problem with brain chemicals
It's thought that many people with BPD have something wrong with the neurotransmitters in their brain, particularly serotonin. Neurotransmitters are "messenger chemicals" used by your brain to transmit signals between brain cells.
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.
Individuals with symptoms of BPD are particularly sensitive to perceived criticism. This increases the likelihood that they will feel attacked when a therapist attempts to offer suggestions or insights. This often leads to lashing out.
BPD in particular is one of the lesser-known mental illnesses, but all the same it is one of the hardest to reckon with. (Some people dislike the term so much they prefer to refer to emotionally unstable personality disorder.)
When a person has BPD, they often experience periods of intense feelings of anger, anxiety, or depression that can last for a few hours or a few days. The mood swings experienced by people with BPD can lead to issues with impulsive behavior and can contribute to relationship problems.
How are personality disorders treated? Personality disorders are some of the most difficult disorders to treat in psychiatry. This is mainly because people with personality disorders don't think their behavior is problematic, so they don't often seek treatment.
For many folks with BPD, a “meltdown” will manifest as rage. For some, it might look like swinging from one intense emotion to another. For others, it might mean an instant drop into suicidal ideation. Whatever your experience is, you're not alone.
Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age.