What therapies can help with delusional disorders and BPD?

Question

Hello doctor,

I have been diagnosed with borderline personality disorder and delusional disorder. I am on 500 mg of Quetiapine at night and 20 mg of Paroxetine in the morning. However, I have concerns about the diagnosis. Some aspects of my condition might not be accurately captured with just BPD. I have been trying to organize my life by writing things down and checking them off, but my thoughts get blocked, and my brain feels frozen. I struggle to maintain order in my thoughts, and everything feels scattered. Recently, the crisis team called to check on my health, but I was not satisfied with their response. I feel nobody takes my concerns seriously. Also, I suspect there might be some external influence on the system or people trying to sabotage my treatment. My previous interactions with my psychiatrist were also not very helpful. There is much more to share, but explaining everything is challenging. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Thank you for seeking help from a psychiatrist. Your delusional disorder may have worsened due to stress or other triggering factors. You may be experiencing persecutory and referential delusions. I suggest discussing with your doctor the option of adding another antipsychotic medication, such as the tablet Olanzapine 5mg, to your current treatment plan. This medication can be beneficial in managing your symptoms. Consult your doctor and take the medicine accordingly.

I hope this helps.

Please revert in case of other queries.

Thank you.