Medication for Borderline Personality Disorder

Medication can be appropriate for short-term symptom relief during times of extreme distress; anti-psychotics for brief reactive psychoses, sedation for anxiety and anger, and anti-depressants for enduring low mood. Antidepressant and anti-anxiety agents may be appropriate during particular times in the patient’s treatment. For example, if a client presents with severe suicidal ideation and intent, the clinician may want to seriously consider the prescription of an appropriate antidepressant medication to help combat the ideation.

Medication of this type should be avoided for long-term use, since most anxiety and depression is directly related to short-term, situational factors. Dosages should generally be low and the medication should never be given without adequate psychosocial intervention.

However, these guidelines are similar for people without personality disorders. Research does not support the use of medication for personality struggles directly, only specific symptoms which become escalate. The exception being the use of mood stabilisers for Borderline Personality Disorder, which has been shown effective for some people. Like any complex situation there is a great deal of individual variation, people with BPD are by no means all the same.

Our Borderline Personality Disorder Portal

The following pages are designed to provide additional information and advice on BPD treatment and our approach: