### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was diagnosed a few years ago with borderline personality disorder, anxiety and depression, I have taken antidepressants forever since I was in my 20s I am now 39. I have had a lot of traumatic things happen in my life, My dad committed suicide today would have been his birthday. I have been abused in every way and I am trying to get my life back. For many years Ive had no libido, no joy in my life.  Ive missed bdays anniversaries weddings etc. All because I felt depressed and didnt want to leave my house. Ive missed so may things, I have this. I have just been weaned of celexa 4omg which I took for years with the Seroquel. My meds now are wellbutron xl 150mg, I started this pill less than two weeks ago, I have increased the dose to 150mg twice a day, I also take Seroquel at night. I have read so many testimonies on these meds and I am concerned. I have been getting severe stomach aches as well as feeling a slightly spaced out. Im wondering if I should stop taking wellbutron and Seroquel and asking my dr to put me back on celexa. Do I have to take meds for life??? How does a dr really know if you have mental illness couldnt it just be due to life experiences and the need to get past them? I feel like I am stupid or labeled and its embarrassing, I just want my life back. I have no joy at all.

### output:

Hi, Firstly borderline personality disorder (BPD), makes a person vulnerable for mental illnesses. The thought processes that a person with BPD has is quite different from that of a person without the disorder, and it makes it difficult for the person to cope with day to day stresses that every human being faces in their life. Patients with BPD tend to suffer from complications involving mental health with the slightest of stress. And as you mention, what you have gone through is much more than usual. Coming to your query, why can't this be a normal reaction? Now, if a person without BPD or with no vulnerability happens to go through these experiences then the outcome would depend on his coping skills. Excellent coping skills → Brief period to recover and no illness. Poor coping skills → mental illness. The symptoms of loss of interest inability to feel joy and low mood for many years is a sign of a mental illness. But it is great that you want to come out of it. There are many ways. Medications being one of them. Adequate medications usually help control these symptoms. There are additional treatments that can benefit you which is psychotherapy that involves, building a positive outlook and personality transformation etc. This helps in building coping skills as well. Trained psychologists administer them. They are known to be useful in cases of BPD apart from medication. It takes a minimum of 2 weeks to determine whether a Chat Doctor.  I do not know the reason for switching your antidepressant but if the recent 