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Schizotypal PD -- best medication?

Posted by JoaoFromPortugal on July 12, 2015, at 1:23:35

Hi,

I'm a 33 yo male from Lisbon, Portugal.
I was diagnosed with social phobia when I was 19 and started taking paroxetine 20 + buspirone then. It helped with my severe social anxiety but the fatigue was too much to handle.

When I was 23, I was diagnosed with schizotypal personality disorder. I agree with the diagnosis. Fortunately, I don't experience hallucinations and I've never had a psychotic crisis. Even my social anxiety is not triggered by paranoid ideation; it is rooted on my own body image insecurities and fear of rejection.

My problems are related to anhedonia, procrastination, lack of motivation and being very self conscious.

I've taken a lot of antidepressants, sometimes with low dose antipsychotics in the past 14 years.

My current psychiatrist thinks medication won't help much. I'm not currently on meds.
I actually agree with him. And I like him a lot because he listens to me. He seems to care and that makes a difference.


However, I would like to know which medication would you prescribe. I'm aware the use of meds on personality disorders is controversial: I am interested in minimizing some symptoms, I know current meds can't "cure" personality disorders.
I can obviously give you more info. Please be my guest to ask anything.

Thank you so much!


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poster:JoaoFromPortugal thread:1080463
URL: http://www.dr-bob.org/babble/20150629/msgs/1080463.html