hi... thanks for writing...i have understood your concerns... u are diagnosed as a case of borderline personality disorder with narcissism and insecurity issues...so u have a major problem with your mood fluctuations..and emotional instability...for this symptoms and issues, i feel u shud be given a mood stabilizer drug...like sodium valproate, carbamazeoine, oxcarbazpine..etc.. general practitioner can not give proper psychiatric medications..u shud consult a psychiatrist apart from your therapist... if u are more of depressed then u can take escitalopram...but the combination of risperidoen and escitalopram is not approved for any indication...instead in my opinion u shud take the combination of fluoxetine 20 mg with olanzapine 5 or 10 mg...this combination of drugs will take care of your mood also...if u take this combination then u wont have to take mood stabilizer.. so..finally in my opinion...two strategies are there: 1. sodium valproate [500 mg] twice a day... increase as per the response to the drug...upto 2000 mg in a day.. 2. combination of fluoxetine and olanzapine as described above once in a day... i hope u ll find this advice helpful...best luck..