What pharmacologic therapy, if any, do you recommend for treatment of borderline personality disorder?

Given the mood instability in patients with bipolar disorder, I thought it would be a rational option to a trial of a mood stabilizer. I explained my thinking and each agreed. So far, with a very small number of patients, the results have been excellent.

I start with a small dose, and slowly and gra...

Lamictal seems to help a fair bit. It seems to decrease anxiety a little and lessen mood swings, plus it helps depression to a degree. As mentioned above, sometimes there can be co-occurring bipolar II and borderline pathology.

In these cases, I have found Lamictal to be very helpful and it does no...

When I have doubt, borderline personality disorder, or bipolar spectrum, I recommend a trial of Lamictal. I've seen several patients whose lives became more stable. As I got to know them over the months, it became clear that BPD was the primary difficulty.

AED (Depakote, Trileptal, etc.) with low-dose antipsychotic if needed.