I don't judge anyone who takes medication. In fact, I really envy people who are able to take medication and find that it actually HELPS their BPD symptoms. I took Zoloft and then Cylexa with added abilify when I wasn in a SEVERE depression that lead to two 3 hospitalizations (very close together). I don't know if the medication worked but I think that the therapy I recieved AFTER hospitalization was the key. In a sense, the medication supplemented the intensive psychological support that I received during the time of my significant psychological breakdown. After being hospitalized, I tried Topamax for six months. Like many have said, it dumbed me down and made me feel as though I was a zombie. I asked to try it because all the SSRI's and the anti psychotics made the appetite center of my brain go WILD! I have always struggled with eating problems--alternating with bulimia and binge eating disorder. I didn't want the eating trigger that SSRI's pulled or the same thing with anti psychotics. Topomax definitely decreased my eating urge but it pulled the stupid trigger. I decided to stop the Topamax. Has this stopped the impulsivity in regard to food and other ill advised self soothing methods? No. But it has gotten better. I'm looking at how I can do things differently and I'm in a group that addresses eating issues.
I wish I hadmore answers. I've made a lot of progress over the past three years with no medication. I'm still struggling with BPD traits, but I've made a lot of progress, but it's two steps forward and three back. Lucky for me that I have a very understanding and accommadating therapist!