If prescribed risperidone as needed for high anxiety in supposed borderline patient, do you think this will be effective at all?

Risperidone can : certainly reduce anxiety, irritability & aggressive behaviors in kids & adults with Mood Disorders &/or Autistic Spectrum Disorder. It's used in fairly low doses, as well, to target those symptoms in folks with BorderlIne PD. It causes sleepiness the 1st 2 weeks, so take it at night. I start low & titrate up weekly & monitor liver & thyroid function, glucose & lipid levels; prolactin in males.

Need to monitor: Risperidone is an antipsychotic medication that may help lower anxiety indirectly by bolstering the ability to think logically vs. the irrational thinking of "either/or," catastrophic thoughts that can occur with Borderline PD. However, a common side of Risperidone is motor restlessness that can seem like increased anxiety. With close medical supervision this med may help. Best wishes.