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Good evening, I am Dr Ruff, thank you for contacting us this evening.
I am sorry to hear you feel your medication is not working. What dose of Sertraline are you currently taking? How long have you been on this for?
What other treatment are you using?
Okay thanks. So as a general rule, medication is of no benefit in Personality disorder, unless you are anxious or depressed.
Therefore the preferred treatment options are Psychological, more appropriately high intensity CBT. What symptoms are you trying to address?
Okay thanks. That is good. Therefore it would be worth trying an alternative SSRI. Such as Escitalopram, you can switch straight over to these once you are back to a 50mg dose. If however this is of no help, then you could consider Pregabalin as it is much better for anxiety alone.
This would need to be either via your GP or a Private Psychiatrist.
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