Borderline Archives - Chris Aiken, MD

N-acetylcysteine

BP Depression, Age-related or non-specific decline, Bipolar, Treatments, Alcohol, OCD, Nicotine, Cannabis, Trichotillomania, Borderline, Negative symptoms, Cognition, Inflammatory Depression, Substance Use Disorders, Schizophrenia / Nancy Brandon

[NAC] For low-grade bipolar depression [3], protects kidneys on lithium, trichotillomania [1], cannabis and substance use disorders.

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Probiotics

Major Depression, Generalized Anxiety, Female, Autism, Bipolar, Depression, BP Depression, Age-related or non-specific decline, Treatments, Anxiety, Deepen Sleep, Treatment Resistant Depression, Anxious Depression, Peripartum Depression, Borderline, Negative symptoms, Sleep, ADHD, Long COVID, Cognition, Inflammatory Depression, Schizophrenia, Sexual Dysfunction / Nancy Brandon

For bipolar/unipolar depression [2], ADHD [3], anxiety [2], cognition [2], autism [2], weight loss [1], dyslipidemia, long COVID [1].

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Omega 3 (Fish oil)

Anorexia, Major Depression, Lithium SE, Bipolar, Depression, Age-related or non-specific decline, Treatments, Weight Gain, Autism, BP Depression, DMDD, Non-specific Anxiety, Migraines, Borderline, Peripartum Depression, ADHD, Inflammatory Depression, Acne, Psoriasis, Side Effects / Nancy Brandon

[Fish oil] For bipolar/unipolar depression [2], ADHD, [3], borderline pd [2], irritability, autism, [2], prevention of psychosis [1], dyslipidemia.

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Clonidine

Agitation in Dementia, Hypnotics, Treatments, Autism, Opioid, Nightmares, Mania, Nicotine, PTSD, Tics, Migraines, Non-specific Anxiety, Mixed, Borderline, Negative symptoms, ADHD, Substance Use Disorders, Schizophrenia, Side Effects, Sweating / Nancy Brandon

[Kapvay] Approved for ADHD, but also helps mania, nicotine/opioid, anxiety, irritability, self-harm, autism, negative symptoms schizophrenia, tics

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Lamotrigine

First line BP depression, BP Depression, Treatments, Treatment Resistant Depression, OCD, Borderline / Nancy Brandon

[Lamictal] Best tolerated mood stabilizer, treats and prevents bp-depression; does not treat mania so avoid as monotherapy in bipolar I.

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Topiramate

Bulimia, Treatments, Weight Gain, Alcohol, Treatment Resistant Schizophrenia, Anxiety, Binge Eating, Augmentation, OCD, PTSD, Migraines, Borderline, Methamphetamine, Negative symptoms, Cocaine, Eating Disorders, Substance Use Disorders, Schizophrenia / Nancy Brandon

[Topamax] PTSD [2], alcohol [2], bulimia [1], borderline/aggression [3], weight [2], OCD [3], meth [1], cocaine [2], gambling [2], schizophrenia aug [1] migraines

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Escitalopram

Major Depression, Generalized Anxiety, First line depression, Panic, Depression, Treatments, Social Anxiety, OCD, Borderline, Hot flashes / Nancy Brandon

[Lexapro] First-line SSRI (no drug interactions, good efficacy in depression/anxiety).

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Fluoxetine

First line depression, Major Depression, Generalized Anxiety, Depression, Bulimia, Panic, Treatments, Binge Eating, Anxiety, Social Anxiety, OCD, PTSD, Borderline, Premenstrual Dysphoria, Eating Disorders / Nancy Brandon

[Prozac] Best SSRI for children, weight loss, low WD risk, and bulimia.

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