How can one effectively manage BPD, depression, and anxiety?

Question

Hello doctor,

I am a 17-year-old ex-mental patient. I stayed in the rehabilitation center multiple times due to it causing health problems. I have been off all medicines for the past three months. It went out of hand now with my paranoia. I am not sleeping at all and when I do, they are only short naps during the day when it is light outside. The dark and night terrify me. I have BPD, depression, and serious anxiety. I am still waiting for a diagnosis for me. At night time, seeing and hearing become so bad. I am physically breaking down and emotionally unstable till the sun comes up and I really need help. I have not had proper sleep for a month. If I do manage to sleep, my sleep paralysis is worse than ever. I am so scared to see and hear things. I am deathly anxious, jumpy, and constantly reduced to tears. This cannot go on and I do not know what to do. I fear telling my mother as she will over panic and take me to the rehabilitation center again. I do not feel suicidal currently, so no use for rehab at the moment. I just need to know the problem and solution. Should I seek out more serious help? Please help me.

Answer 1

Hi,

Welcome to icliniq.com.

I see that you are facing many issues at the moment. It must be very difficult for you to deal with all these at once and you are still holding on bravely. It is certainly very courageous of you. As you are seeing and hearing things and you have mentioned that you are also having paranoid thoughts. These symptoms point toward a diagnosis of paranoid schizophrenia. You have also not been taking any medicines for the past three months and it may have worsened the condition. The auditory and visual hallucinations that you are having are the results of imbalances in the neurotransmitters, which are chemicals in our brain helping us to think and function. The medications normalize their levels and help you focus on necessary tasks. Since you have been diagnosed with borderline personality disorder (BPD), depression, and anxiety disorder, it will be very helpful for you to start medications for the symptoms you have mentioned in your query. For that, you must consult either your GP or psychiatrist directly. In your condition, the role of counseling will be amplified only once you are able to do away with the paranoid thoughts and hallucinations. Cognitive behavior therapy is where you point out the thoughts that make you feel paranoid and sad, and modify those thoughts. For that, you will have to write down those thoughts and in front of each of them, you will write down whether those thoughts are true and what you may do about it. Mindfulness meditation and pranayama yoga will help you calm your thoughts and mind. You should indulge in your hobbies in your free time and try and include exercise in your routine. I strongly suggest you to consult with your GP and refer to the psychiatrist in order to get prescribed medications and therapy.

Thank you.