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Article that mentions BPD and Anna Nicole Smith….
Doctor: Anna Nicole Smith medication ‘overkill’
By LINDA DEUTSCH (AP) – 3 days ago
LOS ANGELES — A hospital psychiatrist testified Friday that medication given to Anna Nicole Smith by a doctor now on trial was “overkill” for the kind of pain she was describing.
Dr. Nathalie Maullin said she believed Smith had “a borderline personality disorder” and was addicted to prescription medications.
Maullin said she was on staff at Cedars-Sinai Medical Center in April 2006 when Smith was brought in pregnant and in withdrawal from anti-anxiety drug Xanax and the pain killer Methadone. The celebrity model told her she had gone “cold turkey,” discontinuing her medications all at once because she was concerned for the welfare of her expected baby.
By doing that, Maullin said, she had actually endangered the baby and herself. The doctor said she quickly resumed her medication with Methadone and began weaning her off Xanax, both of which had been prescribed by Dr. Sandeep Kapoor, a defendant in the drug conspiracy case.
“My thoughts were these were very hard core medications to be giving for the kind of pain she was demonstrating,” said Maullin. “She was on medication that seemed like overkill for the type of pain she was in.”
She said it was difficult to get a medical history from Smith because she was “putting on a show” and was deferring questions to her lawyer-boyfriend, Howard K. Stern, who was with her at all times.
Kapoor, Stern and Dr. Khristine Eroshevich have pleaded not guilty to conspiring to provide excessive opiates and sedatives to Smith. They are also charged with prescribing drugs to an addict, but are not charged with causing her 2007 overdose death.
Maullin said Stern told her Smith had been suffering from back pain for five years. She said the former Playboy model also complained of pain in her upper back and arm.
Another doctor who testified earlier this week said Smith suffered from chronic pain syndrome all over her body.
Maullin said she conferred with Kapoor by phone, gave him her plan for weaning Smith off Xanax and any drugs known as benzodiazopines which can be addictive. She said he agreed and told her he would leave the prescribing of Methadone to her.
“Did you see any pain that needed treatment with opiates?” asked the prosecutor.
“No,” Maullin said.
The problem was that Smith showed no enthusiasm for the plan, the doctor said.
“It was like pulling teeth to get some response from her,” she said. “She was compliant but not really interested. She was not wholehearted.”
Five days after Smith checked in to the hospital, Maullin said she received a page at midnight from a nurse that said Smith’s eyes had rolled back in her head.
That sounded like a drug reaction and a one-time dose of Benadryl was prescribed, Maullin said. However, the next day, she received another call saying Smith was having hallucinations.
“The nurse said that she was flossing her teeth with no floss and was out of it,” Maullin said. “This was a radical change.”
Under questioning by Deputy District Attorney David Barkhurst, Maullin said she did not consider this an emergency and she tended to other patients before going to see Smith five hours later.
“In psychiatry, we are used to seeing patients do strange things,” she said.
Upon her arrival, Stern told Maullin that Smith “was generally acting goofy.” Smith was angry and made no eye contact but seemed lucid, Maullin said.
The psychiatrist said she suggested that Smith go into an inpatient facility that deals with addicts. But Smith wasn’t interested and told Stern she wanted to leave the hospital.
Maullin said she informed Kapoor and he said he would go to her house.
“I thought that was unusual,” she said. “Physicians generally see patients in the office or the hospital. There was no reason she could not leave her home to come to see him. Just in terms of proper boundaries with patients, you see them in your office.
“She needed to participate in her care,” Maullin said. “It’s not a home delivery service.”
The only reason I posted this here is because Britney Spears actually started my foray into discussing Borderline Personality Disorder a nd celebrities. I only do it because I would like for some celeb to come out of the closet (or “off the couch”) and just admit that they have the disorder. To me it would go a long way to removing the stigma. The only one who has come close is Megan Fox. She mentioned borderline when referring to herself, but she has not been diagnosed – well, not that we know of. Anyway, old Mel Gibson seems to have some sort of disorder and some people have mentioned borderline. Now we have 2 potential BPD celebs talking with one another. I have to say though, Britney Spears certainly got the right (and skillful) people around her. We have not heard much about her “bad behavior” in years. Good for her!
Mel Gibson seems to have found the most unlikely counsellor in his attempt to regain his reputation and it is no other than the troubled pop-star Britney Spears, media reports said.
Gibson’s reputation has been badly damaged following the release of several tape recordings which purportedly feature him hurling abuse and vile threats at ex-girlfriend Oksana Grigorieva during phone calls.
The Toxic singer, 28, has been telling her friends that Mel Gibson, 54, has been pouring his heart out to her — confiding that he fears for his sanity and is convinced he’s destroyed his once-hot career.
The In Touch magazine quoted a friend of Britney as saying that they speak on the phone all the time, usually late at night.
Her friends also say that Britney is just returning the favour because apparently Gibson went out of his way to help her when she went through her own breakdown.
Britney’s friend said that Britney wants people to give him a second chance — just like he gave her one when everyone else turned away.
 Lindsay Lohan Breaks Down in Court Well, it’s been some time since I have written anything about celebrities with possible borderline personality disorder. Personally, I wish some celeb would just come out and admit that they have the disorder and help others by showing that there’s effective evidence-based treatments for BPD. I guess the stigma is too great and they feel that it would hurt their careers. Of course, for some, their behavior is what is hurting their careers. Today, I am turning again to Lindsay Lohan (click here to see all posts about LiLo). Lately I have been receiving a ton of alerts with news stories that contain LiLo’s name and reference BPD. These are usually in the user comments. I can’t find a single legit magazine or news article that has speculated on BPD and LiLo. Recently, her behavior has accelerated, even as she is facing jail. Here are some recent articles that could indicate that (in combo) LiLo has BPD (remember, this is just speculation at this point):
Lindsay Lohan goes Doctor Shopping
http://entertainment.oneindia.in/hollywood/top-stories/scoop/2010/lilodoes-doctor-shopping-for-prescriptionmeds.html
Washington, July 12 (ANI): Lindsay Lohan apparently obtains her dangerous combination of prescription drugs through “doctor shopping” across the country.
According to a source, Lohan goes to six different doctors for prescriptions.
“When one doctor says no to refilling a prescription, she will go to the next. It’s a whole process to get what she needed, ” TMZ quoted the source as saying.
Lindsay who has prescriptions for- Zoloft (antidepressant), Trazodone (antidepressant), Adderall (stimulant to control ADHD), Nexium (acid reflux) and the extremely powerful painkiller Dilaudid, have doctors both in Los Angeles and New York.
In fact, one of her past rehab facilities still prescribes her meds.
The source even added that, Lohan “would get a large supply every time” she visited a doctor.
Lindsay Lohan and Suicidal Ideation
http://www.hollywoodlife.com/2010/07/14/lindsay-lohan-suicide-watch-kill-herself-jail-90-days/
Lindsay Lohan would rather kill herself than be locked away in jail. The 24-year-old actress is reportedly so upset over the 90 day jail sentence looming over her since July 6, that she’s threatening to take her own life.
“She just kept repeating, ‘I can’t go to jail,’ and, ‘I’ll kill myself first,’” a source tells Star magazine. “She’s mentally unstable and getting worse.”
After Lindsay’s discovered she’d be serving time at the Century Regional Detention Facility in Lynwood, Calif., Star reports she went home and broke everything in sight.
“She ran around breaking mirrors, cutting herself and rambling like a lunatic. She tore her house apart before she finally just broke down,” reveals a source. “Lindsay’s on a 24/7 suicide watch, it’s so bad. She isn’t doing well with this.”
Not only is Lindsay going around saying she wants to kill herself but she’s taking a lethal dose of prescription drugs.
“She has been doctor shopping across the country,” she says. “She is utterly unable to control her use of any mind-altering substance.”
Lindsay Lohan and Self-Injury
http://www.radaronline.com/exclusives/2009/11/exclusive-self-harm-sign-%E2%80%9Cseverely-disturbed-behavior%E2%80%9D
In shocking phone conversations exclusively obtained by RadarOnline.com Lindsay Lohan’s mom, Dina, is heard expressing her concern over her daughter’s self mutilation. And with good reason, as experts in the field tell RadarOnline.com that self harm is often just one factor of greater, underlying emotional issues.
Renown psychotherapist, and author of Cutting: Understanding and Overcoming Self-Mutilation, Dr. Steven Levenkron tells RadarOnline.com that Lindsay’s behavior is a sign of disturbed psychiatric behavior and that it will take time and energy to help her heal. “Whether (a given patient’s) condition is termed being ‘out of touch with reality,’ ‘psychotic,’ or ‘in a diagnosed state,’ the scene constitutes severely disturbed psychiatric behavior,” Levenkron says. “ This is the element that must be present in order to meet the criteria for self-injury. ‘Severely disturbed behavior’ does not mean hopeless, but it does mean that it will take a long time, lots of focused attention, and an intense emotional bond between helper and sufferer in order to repair the damage.”
And Dr. Wendy Lader, PHD, President and Clinical Director of the S.A.F.E ALTERNATIVES program, a nationally recognized treatment approach, professional network and resource base, and an international speaker on self-injury elaborates, telling RadarOnline.com, “The main reason for self injury is to deal with emotional regulation. For whatever reason it helps them to calm down.
“People who self harm have the inability to communicate the depth of their feelings.
Continue reading Lindsay Lohan and possible BPD (more detail this time) →
An article “clarifying” the latest Courtney Love custody decision…
Courtney Love in wake of losing custody of Frances Bean: ‘terrible influences, pure evil’
By Vicki Hyman/The Star-Ledger
December 15, 2009, 10:29AM
 Courtney and Frances Bean Courtney Love has left a string of only occasionally coherent messages on her Facebook page in the wake of a Los Angeles court decision to give temporary custody of Frances Bean Cobain to the girl’s paternal grandmother: “cruelty to children and people too young to understand that under that rock isnt gold its only,.,,,,, utah on steroids” and “terrible influences, pure evil. and a poor baby caught inside a trap”.
That clears things up.
Love’s lawyer tells People that Frances Bean, Love’s daughter with dead rock icon Kurt Cobain, wanted to live with her grandmother, and the judge’s decision should not be taken as confirmation that Love has had a drug relapse.
“Courtney’s been clean for years and is perfectly fine,” Keith A. Fink says. “Frances is 17 and a strong-willed child, and this is a decision she made on her own. No matter what, Courtney loves her daughter more than anything in the world.”
Frances Bean has reportedly always been close with her grandmother, who had custody during a particularly messy period (and that’s saying something) of Love’s life in 2003 and 2004.
 Megan Fox and BPD A little while ago, I wrote a piece on Megan Fox and her statements in an interview that she was considering the possibility that she had a “borderline” personality. I got several reactions that she probably didn’t know what she was talking about or that she was merely emulating/reflecting her “heroine” – Marilyn Monroe. (Fox has a tattoo of Marilyn Monroe on the right forearm).
I read the interview with Fox in “Rolling Stone” this month and found that, if she was being honest in the interview, there is a distinct possibility that she does have BPD. Here are some of the salient points…
In “When Hope is Not Enough,” I point to three features of BPD that I think are common to all people with the disorder. They are: emotional dysregulation, shame and impulsivity. So, let’s start there:
Emotional Dysregulation
Fox: “…But it doesn’t mean I don’t struggle. I am very vulnerable. But I can be aggressive, hurtful, domineering and selfish, too. I’m emotionally unpredictable and all over the place. I’m a control freak. My temper is ridiculously bad. I’ve destroyed my house.”
As a child she had, “panic attacks that manifested themselves as violent, rageful temper tantrums. Like I didn’t know how to control myself or what to do.”
 When Hope is Not EnoughGet the Non-BPD book that has helped hundreds! If you have the disorder, give it to you loved ones! It will help. Shame
Fox: “I’m really insecure about everything. Like what those reporters said about the movie, all I could think was, ‘They’re mocking me… I have a sick feeling of being mocked all the time. I have a lot of self-loathing.”
Impulsivity
Fox: “I go batshit. I’ve had to say to Brian (her boyfriend), ‘You have to go and stop talking to me, because I’m going to kill you. I’m going to stab you with something. Please leave.’ I’d never own a gun for that reason. I wouldn’t shoot to kill. But I’d shoot him in the leg, for sure.”
More evidence…
As a child, she started seeing a therapist because of her real “emotional problems,” but it didn’t seem to help.
She is sensitive about the environment. She can’t sleep with someone touching her. She requires a “cocoon” of pillows to make her feel safe. She can’t sleep in the quiet and dark. She doesn’t like to look in the mirror. She admits to drawing blood during sex, but doesn’t elaborate. She admits to self-injury, but doesn’t elaborate. She hints at an eating disorder, but doesn’t elaborate. She is a “bi-sexual.”
And more. If half of the things in the interview are honest and true, I think Megan Fox may have leaped over my other “celebs with possible BPD (but not for sure)” list.
 Megan Fox has BPD? Sure, she’s the hottest thing right now… Yet Megan Fox admits in a recent interview that there’s something wrong with her mentally…
‘I could end up like that because I constantly struggle with the idea that I think I’m a borderline personality – or that I have bouts of mild schizophrenia. I definitely have some kind of mental problem and I haven’t pinpointed what it is,” she aired to the mag.
Could she be the first celebrity to “come out of the closet” and admitting to having BPD? It would be nice for the BPD community if she did. Most of the celebs say they have “bipolar disorder” (or depression) if they have mental problems. I can’t think of a single one that has said they have borderline personality disorder.
It’s been a while since I wrote a post about a celebrity with possible BPD. To see past posts about celebrities with BPD (possible but not for sure) click here. I saw a picture a few days ago of Courtney Love. Geez, someone give the girl a pound cake and make sure she eats it. While Courtney herself says it’s the financial stress, it sure looks a lot like an eating disorder. Here is an article about it…
Yikes! Skinny Courtney Love looks anorexic; weight loss sparks concern over frail framed star
DAILY NEWS STAFF
Updated Wednesday, June 24th 2009, 1:22 PM
What happened to Courtney Love?
The former Hole singer, visiting a midtown NYC bank Monday, shocked onlookers with a scary-skinny frame that suggests the star’s yo-yo dieting may be out of hand once again.
Love, clad in tight grey pants and a sleeveless tunic, was a shadow of the curvaceous star who once walked the red carpet for movies like “The People vs. Larry Flynt.”
She began dieting in 2006 to lose the weight she put on after kicking her drug addiction, losing 52 pounds on a regimen of protein shakes, fish and vegetables, according to London’s Daily Mail.
Love joked onstage about an “eating disorder” during a 2007 performance — but later insisted she was only kidding.
The 44-year-old widow of Nirvana singer Kurt Cobain is currently being sued by American Express over alleged unpaid credit.
OK, so Courtney rings in on the following BPDish symptoms:
 Courtney Love's a Skeleton
- Eating Disorder
- Self-Injury
- Substance Abuse
- Conflicted Relationships
- Inappropriate Anger
- Paranoia
- Shame
OK readers, now is the time to revisit Lindsay (I think I was spelling her first name wrong for a while there) Lohan and possible BPD. She has all of the classic signs of the disorder. I was struck by this quote:
“Sam and Lindsay are speaking,” the source tells PEOPLE. “But Sam has begged Lindsay to get help.”
“Lindsay, despite appearances, is insecure and has relied on Samantha and their relationship to build her up,” explains the pal. “Lindsay barely sleeps, which explains a lot of her behavior. She’s exhausted. She can’t even sit down for a minute without pacing around the room. It’s really sad.”
Sam is begging Lindsay to get help? For what? Well, perhaps we know. Looking at Lindsay’s case, I can’t help but see Borderline Personality Disorder (BPD). She is erractic, emotional and sexually confused. She has all the classic signs of an untreated person with BPD. I hope she gets help – and I hope that, if she is diagnosed with BPD, she would come out publically and say so – to reduce the stigma of the disorder.
 Lindsay Lohan and BPD?
Alrighty then! I did an analysis of the keyword searches that reached the ATSTP blog. Unfortunately, the readers are searching on celebrity-related BPD searches more and more. People trying to figure out which celebrity has BPD (or self-harms) represented a whopping 68% of my total searches in the past 30 days of those search strings that occurred 5 times or more. It is too cumbersome for me to do analysis of more than those (there were 3800+ of those and 5800+ of all search strings). Of the celebrity-related searches, I created a little graph (below). As you can see, Angelina Jolie wins the “borderline bonanza” with 18%+ of the searches, followed by Britney Spears and Kurt Cobain. Others* include Pete Doherty, Hitler, Courtney Love and Heather Mills. The runners-up were Amy Winehouse and Princess Diana. General means there was no name mentioned, just “celebrity BPD” or something like that.
 Celebrity Searches on ATSTP |
When Hope is Not EnoughGet the Non-BPD book that has helped hundreds! If you have the disorder, give it to you loved ones! It will help.
 I recently stumbled over this quote about Angelina Jolie. I have written about Angelina twice concerning BPD: here and here. This quote is from a mental health professional that understood that Angelina was actually diagnosed with BPD in the 90s. I don’t know who actually posted this message, because the profile seems to be gone, but it backs up some things I said about Ms. Jolie:
It is my understanding, and I am a psychologist, that Angelina Jolie checked into (volunatarily not a forced commitment) to the Neuropsychiatric Institute in the late 1990′s due to self-reported suicidal and homicidal ideation, no intention or plan for carrying out was reported. She was diagnosed with presumptive Borderline Personality Disorder which in the Diagnostic and Statistical Manual of Mental Illness (DSM-IV) for is an Axis II Personality Disorder. Axis I diagnoses are mostly mood disorders and can be transient (i.e. major depressive disorder, adjustment disorder, etc). Axis II disorders are thought to be characterological disorders, more ingrained and ego-syntonic and therefore, more difficult to “change.” Since that time, I believe AJ has managed this much better and less self-destructively. There are a few people with BPD who do get better and stop doing crazy and self-destructive things. I think that motherhood was a big adaptive “glue” for her and she has pulled herself together since adopting Maddox. She seems to have found a “bigger purpose” and is not acting out with drugs, etc. Of course many of these patients are vulnerable to stress and loss. Grief or any loss tends to run a more complicated course with persons who have Borderline Personality Disorder. I have never met, evaluated, or treated Jolie, but one of my expertises is BPD. I go to tons of conferences on this and several presenters as well as I recall that she said in a legitimate news source that she was hospitalized by her choice at a particularly chaotic time in her life. That was almost ten yeas ago and I think with age and motherhood along with finding a purpose she found new and more adaptive ways to deal with old demons (and we all have those). That is probably all I will say as a professional because I am on this forum just to goof off but did what to add this given the previous posts.
When Hope is Not EnoughGet the Non-BPD book that has helped hundreds! If you have the disorder, give it to you loved ones! It will help.
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