shaneris5 replied: "It seems to me as though a change in medication is required: What side effects may occur? Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Zyprexa. More common side effects may include: Agitation, change in personality, constipation, ****dizziness****, dry mouth, increased appetite, indigestion, low blood pressure upon standing, sleepiness, tremor, weakness, weight gain Side effects of Effexor may include: Abnormal ejaculation/orgasm, anxiety, blurred vision, constipation, ****dizziness****, dry mouth, impotence, insomnia, ****nausea,**** See Post Traumatic Stress Disorder, at in sections 33 - 34, and examine the website, and use the locators in sections 33 - 34, and section 1, and phone book, and/or various associations for psychiatrists and psychologists, to find the nearest one using EMDR (Eye Movement Desensitization and Reprocessing therapy). If unable to afford it, or to locate one nearby, contact the county/local mental health agency: any therapy on offer may prove helpful, particularly if combined with appropriate medication. (The following is a variant of EMDR therapy, which has been used successfully for those people suffering from Post Traumatic Stress Disorder, insomnia, and anxiety: it is easily learned, quick to use, yet can be very effective. It is easy to be dismissive of it, because it may seem a little strange, but is well worth trying, for at least a few weeks, to see how it effective it is in your case). First, sit comfortably, and take a deep breath. Then, without moving your head, move your eyes from the left, to the right, and back again, taking around a second to do so (say: "a thousand and one": this takes approximately a second). Repeat this procedure (without the words, although you can count, subvocally if you like) 20 times. Then close your eyes and relax. Become aware of any tension or discomfort you feel. Then open your eyes, and take another deep breath, and repeat step one, closing your eyes, and relaxing afterwards, in the same manner. Then, repeat the procedure one last time. Some people may find that this is all they need do: others find that they need 2 sessions in quick succession, but professional treatment is the best option, if you can access it. With practice, you may find that you can employ this technique with your eyes closed, thereby enabling a much wider of opportunity to use in public, without attracting unwanted attention. Professional EMDR is always much preferable, and Opester, (who gives it a glowing recommendation) a therapist with more than 20 years experience, and a former contributor, here, stated that it was one of only 2 disorders which can be completely cured. BPD is addressed in section 15, and DBT is the recommended therapy, and I suggest changing therapy types: the EMDR is likely to be quicker. BPD usually takes a quite considerable time, and Marsha Linehan developed the DBT especially for it. Your current CBT & meds is far from the best option, in my view. Your life: your decision: I have no vested interest in this, as has your psychiatrist."