I have been on a combo of anti-depressant, anti-anxiety, and anti-psychotic for years. It def doesn’t solve all the problems but it generally makes me stable enough to make some real progress in therapy. From my experience, therapy is the greatest impact on my BPD, but the meds give you the stability to work on things.

I've had a super great experience taking Effexor XR. Keeps my moods stable and doesn't let me get as low when I am having a depression day. Many say it also helps with sleep, it gave me insomnia personally but most get drowsy. Only negative effect I've noticed is that I sweat a lot more but I'll gladly take sweating a bit over wanting to off myself in a fit of rage. Oh also that you can't just skip doses or stop it suddenly. It will make you severely sick and you'll have a massive episode, 10/10 do not recommend. Keep on top of taking it regularly and it won't happen tho. I'm on 150mg once a day. Been on it for I think about 2-3 years now.

I'm on Paxil and Rexulti, that combination helps calm down my mood swings so much. It makes it a lot easier to be stable. It's a tangible difference.