Client Information : Jessie E. Smith

Borderline personality disorder was used to diagnose clients who didn’t fit into commonly diagnosed disorders. “The term ‘borderline’

Borderline personality disorder (BPD) is a serious psychiatric illness. People that are diagnosed with this disorder suffer from an intense pattern of affective instability, extreme difficulties in interpersonal relationships, problems with behavioral or impulse control, and disrupted cognitive processes. The estimated prevalence of BPD in the general adult population is about 2%, mostly affecting young women.

Borderline personality disorder (BPD) is a severe mental health disorder that cause changes in the mood and behavior of a person. According to www.mhhe.com, traits of BPD would be “self-destruction behaviors, fear of abandonment, and mood shifts.” People suffering from BPD has symptoms and problem with regulating emotions (intense mood swings), low self-worth, aggressive behavior, and a fear of abandonment (being left behind). It has been found that BPD has vague symptoms that is based on a wide collection. The cause of BPD are not well understood, but some psychoanalytic believe the symptoms come from poor care taking during childhood.

The DSM diagnostic process can be broken down into six essential steps. Step one consists of ruling out Malingering and Factitious Disorder. Step two entails ruling out a substance etiology. Step three involves ruling out an etiological medical condition. Step four consists of determining the specific primary disorder(s). Step five comprises differentiating Adjustment Disorder from the residual Other Specified and Unspecified conditions. Step six involves establishing the boundary with no mental disorder. These six steps provide a diagnostic framework for clinicians to diagnose clients accurately.

“The essential feature of borderline personality disorder is a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts” (APA, 2013; p. 663). The DSM-5 further elucidates this definition with nine criteria, five or more of which must be present for an individual to receive a diagnosis of BPD. These nine criteria can effectively be grouped into symptoms relating to affect, impulsivity, suicidality, interpersonal relationships, and cognition (Cartwright,

She has a financially supportive husband who works to support both her and her children. This source of income will be beneficial for future health needs and other services they require and will ease the financial burden for them a bit.

Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.

Borderline Personality Disorder was first listed in the DSM in 1980. It is classified as a cluster B personality disorder. Before then it was unsure if it was a disorder on its own, if it only coexisted with other disorders, or only mocked other disorders. Most people suffering from BPD have problems regulating emotions and thoughts, have impulsive and reckless behavior, and have unstable relations with others. High rates of comorbidity occur with this disorder including; depression, anxiety disorders, substance abuse, and eating disorders.

According to the Diagnostic and Statistical Manual of Mental Health Disorders(DSM-5,2013), "Borderline Personality Disorder (301.83) is a pervasive pattern of volatility of interpersonal relations, self image, and affect, and marked impulsivity, beginning by early adulthood and present in a variety of context" (p. 663). Concurrent disorders associated with Borderline Personality Disorder (BPD) are depressive and bipolar disorders and substance use disorders, eating disorders, posttraumatic stress disorder, and attention-deficit/hyperactivity disorders. BPD also commonly co-occurs with other personality disorders. These disorders have a high co-morbidity. The incidence of BPD

Justification for diagnosis: The client presents with symptoms and behaviors that are consistent with the DSM-5 diagnosis of Antisocial Personality Disorder. Based on the information provided, this client met criteria A, numbers 1, 2, 3, 6 and 7. She also met criteria B and C. Client presents with symptoms and behaviors that are consistent with a DSM-5 diagnosis of Antisocial Personality Disorder as evidenced by her history of symptoms of conduct disorder that began in early adolescence and involves a repetitive and persistent pattern of behavior in which the basic rights of others are violated. These patterns of behavior have continued into adulthood.

Antisocial personality disorder is a form of enduring mental disorder in which a individual 's cognition, ability to perceive situations, and ability to relate to other people is dysfunctional and can even be destructive. Individuals with antisocial personality disorder characteristically are seen to have no regard for the socially, or legally established rules for appropriate behaviors, with an often blatant disregard of the privileges, needs and moods of others. Those who are diagnosed with antisocial personality disorder have a habit of provoking and antagonizing others, as well as manipulating or treating peoples either very harshly or with a sense of callous indifference. They are likely to be found, and brought into treatment because they were caught violating the law, landing in recurrent trouble, however they will show no culpability or repentance. They may make up stories, act aggressively and often rashly, which leads them to have problems with drug and alcohol use. These traits are likely to make people with this chronic mental condition, antisocial

Abstract: This paper will discuss the causes and psychological impact of borderline personality disorder. It will also talk about how to treat those impacted by borderline personality disorder.

According to the DSM-5 for a diagnosis, both require a client to have the following criteria:

Assessment of the patient with borderline personality disorder is inclusive of the patient's: (1) physical; (2) emotional; (3) cognitive; (4) social; and (5) spiritual characteristics. These are assessed based on the patient's: (1) subjective reports; (2) interview records; and (3) behavioral

According to the DSM-5, Personality Disorders are characterized by “impairments in personality functioning and the presence of pathological personality traits”. Borderline Personality Disorder is one of ten personality disorders listed in the DSM-5. The DSM-5 lists several criteria that must be met in order for someone to be diagnosed with Borderline Personality Disorder. They are quoted as follows: