Introduction:
Diana Miller is a deeply troubled young woman who has on numerous occasions been hospitalized in psychiatric institutions for severe abnormal behaviour. Following a serious suicide attempt and seventh hospitalization, Diana was given a diagnosis of major depressive disorder and a borderline personality disorder (BPD). The purpose of this essay is to elucidate the diagnostic accuracy of Diana’s disorders via the analysis of diagnostic features, sociocultural factors, and treatment interventions.
Diagnostic Features: The diagnosis of Major depressive disorder and Borderline personality disorder (BPD) are entirely accurate, as Diana’s behaviour epitomizes the characteristics and diagnostic features of both disorders. As outlined in the DSM-5, Diana exemplifies symptoms warranting a diagnosis of major depressive disorder, as she displays the presence of five or more specified symptoms while having no prior history of mania. Diana exhibits the diagnostically required symptoms of frequent depressed mood, diminished interest in normal activities, and recurring suicidal thoughts/attempts, resulting in considerable distress and impairment. (APA, 2013, p. 160-161). In addition to fitting the diagnostic criteria, Diana demonstrates marked deficits in areas of functioning. Most strikingly Diana typifies emotional symptoms common in unipolar depression including prolonged and severe unhappiness, crying spells, and a general sense of hopelessness. Diana also displays
However, due to her reports, it could be hypothesized that she may have been a victim of sexual abuse or physical abuse at one point in her early life. Borderline Personality disorder has found to be a contributor to child abuse (Spatz 2009). Having parental familial substance abuse and other factors were also predictors for Borderline Personality Disorder. (Spatz 2009) This research is suggested that there was some type of abuse at one point in the client’s early life. From these studies results indicated that more abuses and neglected children met the criteria for
The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.
Diana suffered from a traumatic childhood due the sudden death of her younger sister as well as an unsteady home life, as her father re-entered her life after leaving the home for 10 years. I believe that it was due to these stressful life events that Disco Di developed a diathesis for depression, suicidal thoughts, and personality disorders. She developed a diathesis that can be looked upon as a “cry for help” and she experienced emotions that can be defined as hopelessness, grief, a feeling of no escape as well as self-defeat. (Williams and Pollock 2011) “Genetic effects, childhood abuse, and epigenetic mechanisms may be involved in the etiologic of the diathesis to suicidal behaviour. (Mann and Haghgighi, 2010)” The stresses carried with both psychological and environmental factors lead to her inevitable diagnosis of both MDP and
Borderline Personality Disorder (BPD) is a condition characterized by the inability to regulate emotions. This results in impulsivity, poor self-image, poor personal relationships, and mood swings. She’s come undone by Wally Lamb unravels Dolores Price’s BPD as she goes through several stressors in her life which ultimately end with her condition. The purpose of this paper is to underscore the various stressors and her resulting behavior, and why they have led me to believe she has BPD. The diagnosis is based on an evaluation of her symptoms and references the DSM-5 to confirm the diagnosis. This is followed by a literary review of Borderline Personality Disorder including its symptoms, causes, and treatments. Two defense mechanisms utilized
Borderline personality disorder is defined in its most simplest sense as being a mental health disorder that generates significant emotional instability. [1] In sufferers it generates a wide range of symptoms typically characterised into three groups; Problems regulating emotions and thoughts; impulsive behaviour without thinking of the consequences of actions; and lastly unstable relationships. Evaluating the most effective treatment(s) for BPD remains a target for mental health services as the disorder is associated with self harm and suicide attempts, with suicide attempts recorded in 69-80% of patients. [2]
What does life with borderline personality disorder look like? A prime example would be Misery by Stephen King, the classic psychological thriller. Annie Wilkes, one of the main characters in the film, exhibits multiple signs and symptoms of having a psychological illness, making her subject to diagnosis. Through Annie’s behavior and emotional instability, it is evident that she has borderline personality disorder. This paper will provide a proper treatment plan and prognosis for her illness.
In order to be diagnosed with Borderline Personality Disorder (BPD), a patient must show “impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits”, all of which are listed in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual for Mental Disorders (2013). According to the DSM V, a patient must have an identity disorder which includes having “unstable self-image, often associated with excessive self-criticism” (American Psychiatric Association, 2013). A patient must also demonstrate impairments in empathy, which involves a “compromised ability to recognize the feelings and needs of others associated with interpersonal hypersensitivity” (American Psychiatric Association, 2013). This criterion does not mean
The DSM is a classified system used by psychiatrist and other clinical professions in order to diagnose clients and patients who show signs of some type of disorder. The two advantages of using this model or classification system ranges from the validity of an assessment used by clinicians and other health care professionals. Build around the concepts and purposes for the DSM model is that it supports a number of standard assessments of diagnosing different treatment providers. Furthermore, (Comer, J. 2016) suggest that the DSM-5 requires clinicians to provide both categorical and dimensional information which is part of being consistent in diagnosing. From a categorical perspective this refers to the name of a particular category of a disorder which is indicated on behalf of the client’s symptoms. From the dimensional perspective it is a rating of how the client symptoms and the severity of the dysfunction through various dimensions.
The objective of this study is to describe the assessment and care of a client with borderline personality disorder. This work will additionally demonstrate the complexity of the problems and needs of this client and how this impacts on their illness and service providers. Additionally this work will describe the client's particular mental health problems, discuss possible causative factors and describe how the person was assessed and what interventions were used to help them. Evaluate the effectiveness of these assessments and interventions with reference to published literature, policy and legislation.
Borderline Personality Disorder (BPD) affects about 4% of the general population, and at least 20% of the clinical psychiatric population. (Kernberg and Michels, 2009) In the clinical psychiatric population, about 75% of those with the disorder are women. BPD is also significantly heritable, with 42-68% of the variance associated
Furthermore, borderline personality disorder is clinically defined as ones instability which is evident in their relationships, emotions, behavior and image of themselves. Persons with such disorder may have feelings of abandonment. Often in efforts to manipulate people back into relationships, they take part in self-manipulating behavior or suicidal attempts. Suicide is sometimes attempted impulsively by persons in periods of extreme depression. In addition people often experience strong emotions and strong desires for intimacy.
Ms. Seeker’s diagnosis is Borderline Personality Disorder. The diagnosis is based on seven (7) of the required at least five of the diagnostic criteria A follows. One (1) is frantic efforts to avoid real or imagined abandonment, this is evident in Ms. Seeker’s response to her mother’s announcement of another child due, that she fears will replace her, this results in Ms. Seeker drinking heavily and not being able to sleep at night. Three (3) identity disturbance markedly and persistently unstable self-image or sense of self, this is evident in her reports of feeling like she was removed from her body and later when she told the hospital staff that she was just an empty shell that is transparent to everyone. Four (4) impulsivity in at least two areas that are potentially self-damaging, this is seen in her heavy drinking and sleeping around in a variety of one night
Dal, a young woman suffering from borderline personality disorder, is experiencing a lot of emotional and interpersonal distress. She has just been “abandoned” by her recent lover, and is swinging wildly between affects. She presents to therapy with a range of BPD symptoms and is having intrusive thoughts about killing herself. These thoughts have resulted in minor acts of self-harm and self-mutilation. She has also began hearing contemptuous voices, but she explains that “they are just reactions to the stress of being the target of
Symptoms of Borderline Personality Disorder (BPD) include a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and is marked impulsivity. BPD begins in early adulthood and is present in a variety of contexts. Alice Klieg displays 6 of