Borderline Personality Disorders: A Case Study

The person I am going to discuss in this case study paper, suffers from a psychological disorder called borderline personality disorder. Someone with borderline personality disorder often has characteristics

How much do we truly know about ourselves? Have you ever wondered how much you know about how others view you? This struck me with great interest, so I took a series of tests to see what personality I have, if I have a sleeping disorder, what level of self-esteem I have, and if I have borderline personality disorder. The test results seemed to be reading me like a book. The realities whether I want choose to accept it is the test results are amazingly accurate.

Three of the most known personality disorders are antisocial, borderline, and narcissistic disorder. Antisocial personality disorder is the best-known type of personality disorders and people with this disorder typically show no regard for moral and ethical rules of society as well as the rights of others. People with this disorder may appear likable at first, but over time will show to be manipulative and deceptive. The lack of guilt or remorse is also evident with people that have antisocial personality disorder. The second personality disorder is borderline personality disorder, which people with that disorder have a difficulty of developing a sense as to who they are. Therefore, people with borderline personality disorder often rely

Borderline Personality Disorder is characterized by impulsivity, unstable self-image, mood, and trouble with interpersonal relationships. One major characteristic is impulsivity, which is characterized by rapid responding to environmental triggers without thinking (or caring) about long term consequences (Paris, 2007). Some people may engage in self-injurious activities including attempting and completing suicide. People with borderline personality disorder have a highly unstable self-image or sense of self that is “impoverished and/or fragmented” (Butcher, Hooley, & Mineka, 2014). The central characteristic is affective instability, which is intense emotional responses to environmental triggers with delayed recovery to baseline emotional state (Butcher, Hooley, & Mineka, 2014). This disorder is different from Bipolar Disorder in terms of mood because these are rapid and drastic shifts from one emotion to another a few times a day rather than a few times a year. Some patients may experience several dysphoric states in one day including sorrow, panic, aversive tension, rage, terror, shame, and chronic feelings of emptiness and loneliness (Lieb et al, 2004). In addition, Lieb and colleagues (2004) described the levels of disturbed cognitions including overvalued ideas of being bad, experience of dissociation, delusions, and hallucinations (Lieb et al, 2004). With all these behaviors there is a tremendous amount of interpersonal

BORDERLINE PERSONALITY DISORDER (BPD) is a mental health disorder that affects how a person processes information and his or her ability to understand and cope with different social situations. (Dolecki, 2012) People who suffer from BPD don’t really understand the ways of relationships (friends, family, intimate). They see concrete ways and barely see the abstract of society. They are not very reliable or dependable and have problems keeping jobs, friends and even paying bills. “People with this disorder are usually impulsive and do not always make thoughtful decisions”. (Dolecki, 2012) Emotions can rage through the person which can confuse them to think that they possibly are Bipolar.

All symptoms are based on the criteria set forth in the DSM-5 (American Psychiatric Association, 2013).

Based on the Estelle’s present complaint and background history, she meets the criteria for Borderline Personality Disorder (BPD). She has experienced symptoms of “great instability, including major shifts in mood, an unstable self-image, and impulsivity” (APA, 2013). The combination of these characteristics makes the individuals relationship very unstable (Comer, 2016, p. 436). Symptoms, which have been presented in this case, include unpredictable, abrupt and frequent mood changes, and intense, unstable, and often volatile relationships. In addition, there are also self-injurious or self-mutilation behaviors such as cutting, frequent suicidal attempts, distorted self-image and impulsivity (Bateman, A. W., F.R.C.Psych 2012).

This 2005 study was designed to examine the efficacy of dialectical behavior therapy for borderline personality disorder. Dialectical behavior therapy takes aspects of the cognitive behavioral therapy model, including the implementation of homework assignments, pyschoeducation, the teaching of social and other skills, therapist modeling, clear goal setting, reinforcements for appropriate behaviors, ongoing assessments of the person’s behaviors and treatment progress, and an examination of the clients thinking process (Comer, 2013). It also borrows from the humanistic and psychodynamic models of therapy; the therapist concentrates on the relationship between

Borderline personality disorder is a disorder in which a person is emotionally unstable, has unpredictive behavior and is unable to trust anyone. They easily become angry, or frightened. It is an illness that doesn’t have a cure. In the article that I read, a psychologist made up a game to see how a normal person with no BPD and a person with BPD reacted to money being exchanged between an investor. The goal was to achieve a level of trust. While both patients were undergoing the study, the psychologist was trying to keep track of the brain activity and what caused them both to be able to trust the investors and what tactics they used. The researchers used neuroimaging (Fmri). Neuroimaging is when techniques are used to see how the nervous

The analysis reveals Alex as the character that demonstrates a Psychopathic disorder, particularly, the borderline personality disorder. This follows her one-night affair with Dan, a happily married businessman who has a daughter, Ellen and the wife, Beth. Throughout the film, Alex’s disorder is demonstrated by stalking Dan at every level in an endless attempt to alienate him with his family after they shared a weekend when Beth and Ellen are away. Dan thought his adulterous action would be sealed at it would only be a one-night affair, but Alex feels otherwise as seen even before the end of the weekend. When he made clear to Alex that they would never go far with the affair, Alex fiercely rejects the proposal, but Dan would not relent and hence, instigates the borderline personality

about all of patients documenting her reflections on her stay. She states that she doesn’t care and doesn’t think she is going to get better during her stay. Dr. Wick says this is her two minds thinking together “will I stay or will I go?” Dr. Wick asks Susanna.

Becky experiences many of the criteria for borderline personality disorder. The first she describes is her need for physical contact, which exemplifies the fear of abandonment expressed in many of those with BPD, and she describes this need for contact as overwhelming and constant. The feelings that this need create in her, and the feelings after not having this need met, lead her to cut herself. Self-injury is another symptom evident in those with the disorder. Becky has unstable interpersonal relationships which are further damaged by her intense emotional outbursts. Lastly, she describes herself as having no secure identity.

This film portrayed borderline personality disorder and its symptoms in an accurate, realistic, and not romanticized way. The struggles Susanna experienced was clear and shown “in a bad light, which movies often tend to overlook and turn around. There was nothing glamorous about it, and the portrayal was honest, dark, and dirty” (Andrews) The theory of borderline personality disorder is the most accurate for Susanna due to the hard time she has come to terms with herself, by showing the feeling of emptiness. The negative light brought upon this disorder is the view that people with this can not live successful lives, which with medications and proper guidance can live happy and successful lives, which Susanna’s ultimately

Clarisse is diagnosed with BPD because her symptoms begin in adolescence and persist until her early adulthood, and she displays multiple relate signs of the borderline personality disorder. First, unstable relationships, Clarisse starts

This is due to the fact that the nature of this psychological disorder affects the patient’s interpersonal skills, which is the basis of therapeutic treatment. Psychiatrists and psychologists find it near impossible to work with patients suffering from BPD because they have little ability to maintain a stable working relationship with anyone (and certainly not a therapist) and their intense mood swings and anger control issues, among other characteristics, are "...likely to lead to clinician burnout...". (3) This is an obvious frustration for any family member or friend of a BPD individual, who wants nothing more than to have their loved seek out and be successful at getting help to treat their disorder. The is also evidence that medication diagnosed for specific symptoms of the individual with BPD can help, however, the administering and monitoring of psychotropic drugs is usually done in conjunction with some form of psychotherapy, which remains the problem site of treatment. (6)(3)