Hi! So I'm officially diagnosed, tried DBT but didn't follow through , currently in therapy twice a week (logotherapy) with okay-ish results.

I've been advised that since my BPD is fairly extreme (2 suicide attempts, self-harm, impulsive behaviour that's been costly and devastating for both home and work life), that I need to go under some type of medication. I do NOT present signs of schizophrenia/schizotypal behaviour however.

I have an appointment coming up, but being no strangers to meds already, I wanted to ask you what, if anything, **worked for YOU.**

My understanding is that there are several types of drugs, sometime used in isolation and sometimes in tandem with others, roughly falling into the following categories:

**Mood Stabilizers:** Antiepileptics, topiramate (Topamax), lamotrigine (Lamictal), divalproate (Depakote), Lithium (to a certain extent as it's not a mood stabilizer per say), etc

**SSRIs:** citalopram (Cipramil), dapoxetine (Priligy), escitalopram (Cipralex), fluoxetine (Prozac or Oxactin), fluvoxamine (Faverin), paroxetine (Seroxat), sertraline (Lustral), vortioxetine (Brintellix), etc

**MAOIs:** Isocarboxazid (Marplan), Phenelzine (Nardil), Selegiline (Emsam), Tranylcypromine (Parnate)

**Tricyclic Antidepressants** amitriptyline (Elavil, Amitril, Endep) , nortriptyline (Pamelor, Aventyl) , etc (note: these are rumored to make things worst for BPD patients)

**Antianxiety Agents and Sedatives:** benzodiazepines of all kinds: diazipam (Valium), alprazolam (Xanax), temazepam (Restoril), flurazepam (Dalmane), and triazolam (Halcion). Note: these are addictive and prone to abuse in a population already prone to abuse so are rarely prescribed for BPD patients.

**Antipsychotics (FGAs 'first generation' Neuroleptics):** thiothixene (Navane), haloperidol (Haldol), trifluoperazine (Stelazine), flupenthixol (Depixol), etc.

**Atypical Antipsychotics (SGAs - 'second generation'):** olanzapine (Zyprexa), aripiprazole (Abilify), risperidone (Risperdal), quetiapine (Seroquel), lurasidone (Latuda) , clozapine (Clozaril), etc.

**Opiates antagonists:** Naloxone, Naltrexone, Nalmefene, etc (note: these are experimental in some countries)

**Others:** rTMS, ketamine injections, psilocybin micro-dosage, etc.

**Non-medication but electronically/mechanically assisted therapy:** EMDR, etc.

Any recommendation would be extremely appreciated as I'm at the end of my proverbial tether. Thank you so much!