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Hello and thank you for using JustAnswer. If you are currently having thoughts of self-harm than please go to the nearest emergency room where you can be either admitted to the hospital or seen by a psychiatrist for a medication adjustment. Obviously the medications are not working as effectively as they should so you need an adjustment in your medications. BPD is one of the most difficult disorders to treat and takes months to years for it be fully managed so you, your therapist, and your psychiatrist are all going to have to work as a team to get the right regimen for you.