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Treatment resistant depression/Axis II disorders?

Posted by Anna Laura on February 18, 2002, at 2:18:06


Hi all,


Is there any evidence that Axis II personality Disorders such as Borderline and Narcisistic could play a role in maintaining depressive symptoms within the sub-group of treatment resistant patients?
I've recently bumped in to The College Board's policy of British Psychopharmacologists stating that if the patient is not responding after two drug trials he should be reffered to a psychiatrist.
I've been to a psychiatrist who told me that i could be uncounsciously resisting the treatment, and when i said it wasn't so he added i could be suffering form a personality disorder that could prevent me form healing.
I've looked in to personality disorders and they don't seem to fit me that much.
I've done psychoterapy and a lot of self-interrogation with no significant results.
Do these theories have any scientific evidence/back up or is it just another subtle way of blaming the patient for not responding?



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poster:Anna Laura thread:94483
URL: http://www.dr-bob.org/babble/20020215/msgs/94483.html