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Ask the Experts


I am struggling with an eating disorder( Bulimia, currently in the restricting phase). I have also been diagnosed with Panic Disorder, Agoraphobia, Generalized Anxiety Disorder, Major Depression, Bipolar 2, Borderline Personality Disorder, and Obsessive Compulsive Disorder.

I have been in treatment for 30 years. There has been improvement with the depression, but the anxiety has been essentially treatment-resistant. The eating disorder is newer. My Dr. says that it is "iatrogenic", as it was triggered by an anti-depressant.

I have been treated by some of the "top" doctors in Manhattan,taken practically every psychotropic medication on the market, including the tricyclics, the MAOIs, SSRIs, mood stablizers, anti-anxiety medications, etc. I have even been given medications that were imported from Europe and Canada. I have also been in therapy for 30 years, since I was 17.

Is there any possibility that I can improve at this point in life- I am now 47 - or should I just accept that this is the best quality of life that can be achieved?

I am not able to work,and it is hard just to get through the day.

I would be so grateful if you can help me or point me in the right direction.

Thank you for any suggestions you may offer me. I greatly appreciate any advice you can give me.

Answered by: Jonathan W. Stewart

There is always hope, as there are always things that have not yet been tried. The problem is keeping at it until you find what will be helpful for you. And, you need to trust that there is something out there that will help. But, how should you go about finding that special "something." Perhaps a fresh look would help. It sounds as though you have seen good psychopharmacologists and the question was listed in the Cognitive-behavioral therapy category so perhaps you have also tried CBT. Nevertheless, one direction to consider would be to consult a new psychopharmacologist and a new psychotherapist to see whether they have fresh ideas not already tried or different ways of applying discarded treatments. Clearly, your psychiatric problems are not easy ones. I am glad you are not allowing your frustration to prevent you from continuing to seek better help.