Case Study: Borderline Personality Disorder | Psychology Student

 

personality disorder case studies

To help address this knowledge gap, it is important to describe clinical cases of NPD (and other PDs) in older adults. Rich, descriptive case presentations of NPD in later life should help mental health researchers and practitioners better recognize and diagnose this disorder. Case studies of NPD require the consideration of several storchihea.tk by: 6. Aug 21,  · Diagnosis: Borderline Personality Disorder Background Outline the major symptoms of this disorder. The DSM – V describes Borderline Personality Disorder (BPD) as a disorder that manifests in early adulthood as a pattern of instability in “relationships, self-image, and affects, and impulsivity” (p. ). Criteria for BPD includes, the individual portrays aggressive effort to avoid real. Mar 23,  · Although dissociative identity disorder (DID), the most severe of the dissociative disorders, has retained its own diagnostic entity since its introduction in the DSM-III, cases of DID are rarely seen in South and East Asia, likely due to the higher prevalence of Author: Ilbin Kim, Daeho Kim, Hyun-Jin Jung.


Dissociative Identity Disorders in Korea: Two Recent Cases


Although she claims she is not suicidal, self-mutilation rituals have become a typical and expected behavior of Becky and the wounds created have potential to become life threatening.

American Psychiatric Association. Diagnostic and personality disorder case studies manual of mental disorders 5th ed. Dick, Ph. The genetics of alcohol and other drug dependence. Alcohol Research and Health, 3 2 Johnson, A. Accurately diagnosing and treating borderline personality disorder: a psychotherapeutic case.

McGraw Hill Higher Education. Faces of abnormal psychology interactive [Multimedia]. Nolen-Hoeksema, personality disorder case studies, Susan. Abnormal psychology, 6th edition. Zickler, P. Childhood sex abuse increases risk for drug dependence in adult women.

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Criteria for BPD includes, the individual portrays aggressive effort to avoid real or imagined abandonment, convey an identity disturbance, reveal suicidal ideation or self-mutilating behaviors, and maintain feelings of emptiness American Psychiatric Association, Becky is a year-old college student who lives with her father, who was diagnosed with muscular dystrophy when she was three, in a one-bedroom apartment and sleeps in the dining room.

She lives with her father while trying to attain financial and emotional stability so she can support herself better. Becky is the oldest of five children born over six years. Raised in a Mormon Church, she now repudiates, she left the church at 15 years old and began attending a Baptist church with her friends searching for a sense of belonging.

She also deals with a personal internal conflict which manifests through self-mutilation. Becky experiences severe panic attacks if she becomes the center of attention or separated from a person. Upon uniting, she exhibits verbal rage, personality disorder case studies. Her first experience of cutting came about when she was left home alone for the weekend in the home she shared with a roommate.

The episode was triggered by a television program that made her cry due to sadness. She attempted to distract herself and accidently sliced her arm which brought pain and further distraction.

She now uses the technique as a way to punish herself for irrational behavior. Although Becky claims she is intelligent and possesses the good work ethic and empathy for others, her perception of self is negative as she views herself as unworthy of love and fake to society.

Becky has found peace with her therapist and views him as a positive and understanding support in her life. She is proud to say she has had a male friend for five years, the longest ever, leading me to believe her friend is her therapist as she did not expose any further information about the friend or time in therapy.

Becky maintains a negative view of the world claiming the human race is stupid, mean, horrible and cruel. Although Becky claims to experience panic when she is in the limelight, she volunteered to do the interview to help her overcome her troubles, which seems contradictory. She claims she wants to finish college and be free of medication and therapy and use her personal experience to help children like her McGraw Hill Higher Education, Personality disorder case studies Becky has not personality disorder case studies a parental loss, per se, she is coping with a father who is terminally ill and has been since she was only three years old.

She does not expose how ill her father is or personality disorder case studies he suffers from limitations, but she has been living with the possibility of losing him.

Additionally, the violent altercations between her and her family members also support this feature of the DSM. Becky shared that she did not receive the love and attention she needed in childhood. She claims that she cried for attention and affection and even went to extreme measures to gain it, but she never received it which implies feelings of neglect.

Additionally, Becky claimed in the interview that mental health problems run in her family, which creates a predisposition to mental illness Nolen-Hoeksema, Another thing that stood out in the interview was Becky claiming that her mother would take all of her frustrations out on her and use her as her confidant even for inappropriate conversation.

In high school. Becky fell in love with a guy who made her feel as if here was potential in a relationship between them.

However, he married her best friend. Observations Throughout the course of the interview, Becky often looks away, making little eye contact, and many facial expressions, personality disorder case studies. She also takes long pauses between thoughts. Becky talks with her hands and smiles often. When speaking of sleeping arrangements, she snickers as if embarrassed at having to admit her arrangement.

At the beginning of the interactive, the narrator stated his crew thought she was not genuine, but he disagreed. The pauses imply that she had to think about a response, at some points, she paused for an extended period which seemed as if she was fabricating a scenario or thought.

However, other times she was clear and concise right to the point, personality disorder case studies, leading one to believe she was speaking truth. She rarely made eye contact specifically during the pauses; rather her eyes wandered, and she talked to the side.

Assuming the interviewer was in front of her, this implies dishonesty or simply shame of the events she recalled. It was noted her thoughts remained mostly consistent and attentive to the question at hand.

Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed. Becky recalled a trip to the grocery store in which she and her friend personality disorder case studies separated.

The separation created a severe panic attack that caused her to lash out yelling at her friend. Her behavior is consistent with avoiding abandonment criteria listed in the DSM. Additionally, Becky disclosed she practices cutting to punish herself for irrational behaviors and rubs the scars as a reminder of the pain she endured from her behavior. She views herself as worthless and fake to the general public and fears people will not like her if they learn who she is. Her negative self-perception is evident when speaking interpersonal relationships.

Describe any symptoms or behaviors that are inconsistent with the diagnosis. Becky claims that she did not get mean towards her friends, rather would turn cold and phase them out of her life or just never talk to them again when she began to fear that the individual would learn her unmasked identity. The behavior is inconsistent with the DSM claiming devaluation and idealization as the cause of the dissociation of relationships American Psychiatric Association, For Becky, personality disorder case studies, I believe it was the fear of the potential outcome of abandonment.

Provide any information that you have about the development of this disorder. Personality disorder case studies Becky did not disclose anyone in her family has the same illness, she did state that her family has a history of mental illness. Diagnosis Did you observe any evidence of general medical conditions that might contribute to the development of this disorder?

Becky did not disclose any medical conditions that may contribute to the development of her disorder. However, it seems as if her disorder personality disorder case studies attributed to biological and environmental factors, personality disorder case studies. Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder? Becky claims her manipulative mother is the root of her problem established through therapy.

Her mother discussed in detail the sexual abuse her sisters endured from their father when Becky was a young child of 5 years. In the interview, Becky often reverted to the personality disorder case studies surrounding some sexual abuse which caused for questioning if she fabricated her experience from conversations shared with her mother or if she was genuine in her personal experience.

Becky exhibits progressive self-mutilation. She began on her arms, abdomen, and currently on her thighs as she has so much scarring from her actions. What cross-cultural issues, if any, affect the differential diagnosis? According to the DSM, individuals exhibiting identity problems including existential dilemmas, emotional instability, and anxiety-provoked decisions, among others may mislead a diagnosis of BPD, especially when substance abuse is involved American Psychiatric Association, The three symptoms are personality disorder case studies in Becky.

However, there is no evidence of substance abuse outside of her prescription medications. Therapeutic Intervention In your opinion, what are the appropriate short-term goals of this intervention? Self-mutilation seems to be overtaking Becky at this point. It is imperative that she learn skills to cope with stressful events that cause anxiety and panic.

Self-mutilation can become deadly and should be the top priority. Becky also needs to learn that she is worthy of positive relationships and should be treated as if she has a place in the world, personality disorder case studies. Additionally, Becky has only spoken of her therapist as a positive support. She needs to develop a support system personality disorder case studies reinstate her familial ties as they are not spoken about outside of childhood, personality disorder case studies.

It seems as if she only has her father, but embracing her family in its entirety may prove beneficial in her circumstance. In your opinion, what are the appropriate long-term goals of this intervention? Becky appears to have unresolved issues with her mother. It is important for Becky to acknowledge and work through these issues to achieve peace with her past and move on to live in the present.

Becky has a very negative worldview that needs to be turned around.

 

Mary (borderline personality disorder) – Society of Clinical Psychology

 

personality disorder case studies

 

Aug 21,  · Diagnosis: Borderline Personality Disorder Background Outline the major symptoms of this disorder. The DSM – V describes Borderline Personality Disorder (BPD) as a disorder that manifests in early adulthood as a pattern of instability in “relationships, self-image, and affects, and impulsivity” (p. ). Criteria for BPD includes, the individual portrays aggressive effort to avoid real. To help address this knowledge gap, it is important to describe clinical cases of NPD (and other PDs) in older adults. Rich, descriptive case presentations of NPD in later life should help mental health researchers and practitioners better recognize and diagnose this disorder. Case studies of NPD require the consideration of several storchihea.tk by: 6. Nov 19,  · Jordan's case is only one of many examples of borderline personality disorder, which varies widely among the people who have it. For example: Some people with BPD have supportive families, like Jordan's, while others grow up in traumatizing environments (a life experience that's linked to the development of BPD symptoms).