Histrionic Personality Disorder Case Study

When instructed to write a 3-5 page paper over a psychological disorder I wondered to myself what disorder could I do to interest me enough to take so much time to look into. What one disorder would I have to force myself to research and write about that would not be completely painful? This is when I decided to write my paper over the Borderline Personality Disorder, the disorder Mrs. Kline refers to as the crazy girlfriend disorder which fits the disorder a lot better. This disorder grabbed my attention because I’m interested in what causes one to become so obsessive in such a short time span. In this research paper I will inform you about what can cause this disorder, what symptoms and actions are made by the ones affected by this disorder, and the treatment that reduces the symptoms.

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

Susanna Kayson is a character in the film Girl, interrupted that has borderline personality disorder (BPD) (Wick, Konrad, & Mangold, 1999). As Susanna Kayson meets 5 of the 9 Diagnostic and Statistical Manual 5 criteria, Susanna can be diagnosed with BPD. According to criteria 1, Susanna often restrains from stating her true feelings about a situation or a person to maintain relationships. Lisa, a resident of the psychiatric ward, would tease or humiliate Daisy, eventually leading her to commit suicide. Susanna knew that Lisa’s actions were inappropriate but she did not stand up for Daisy. This is an example of criteria 1 (Barlow, Durand, Stewart, & Lalumiere, 2015). One day when Susanna’s boyfriend Toby came to visit, they are caught in the middle of a sexual act and decide to escape to the grounds. Toby said he wanted to be with her, and she stated that she had no inclination to be with him. This is an example of criteria 2. Susanna tries to commit suicide by consuming a bottle of aspirin with a bottle of vodka, and later also stated that she understands what it feels like to not want to be alive. This is an example of criteria 5. When the wife of a man who Susanna had an affair with confronts her, she begins to laugh. This is an example of criteria 6. Lastly, Susanna’s inability to understand her disorder causes her to have bouts of intense anger, which satisfies criteria 8 (Barlow et al., 2015).

Borderline Personality Disorder (BPD) can be described in simple terms as a condition in which sufferers experience long periods of emotional instability and troubled feelings about themselves and other people. These troubled feelings allow individuals to take impulsive measures and have trouble in their relationships (Bouchard, Sabourin, Lussier & Villeneuve, 2009). BPD basically comprises of unusual intensities of instability in mood and irrational thinking also referred to as splitting. Splitting in BPD involves a switch between negative perception of others and idealization (Sperry, 2003). This usually occurs along with irregular mood swings and can negatively impact on the existing relationships such as family,

Personality disorders are included as mental disorders on Axis II of the diagnostic manual of the American Psychiatric Association and in the mental and behavioral disorders section of the ICD manual of the World Health Organization Personality disorders are conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others. Changes in how a person feels and distorted beliefs about other people can lead to odd behavior, which can be distressing and may upset others There are three recognized personality disorder clusters, cluster A odd and eccentric, Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder dramatic and emotional, Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder and anxious and fearful Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder Personality Disorders: Management

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

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

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

The diagnostic process for personality disorders currently covers a broad scope of various tests and symptoms, causing a source of frustration for psychiatrists (Aldhous). The symptoms and side effects of several personality disorders can tend to blur together, making diagnosis challenging (Aldhous). Most psychiatric patients are diagnosed with several personality disorders at once, with twenty percent of people with personality disorders simply diagnosed with a “personality disorder not otherwise specified” (Aldhous). Using the Diagnostic and Statistical Manual of Mental Health Disorders, commonly referred to as the DSM, psychiatrists attempt with great difficulty to categorize their patients into a specific disorder, only to diagnose

Dombeck, M., Hoermann, S., Zupanick, E.C. (2011). Personality Disorders: Problems with current diagnostic system. MentalHelp. Retrieved on 14th March, 2013, from http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=569

With BPD there are often extremes in beliefs and views, such as all good or all bad. People with BPD are can be uncertain about whom they truly are as a person. With no self sense, interests and values may conflict as well as change rapidly. Their views of others may also change quickly. One day a certain person may be admired. The next day that same person may be despised or hated. Suddenly shifting feelings often foster relationships that are unstable and intense. There are numerous other identifiable traits someone with BPD may display. Some of these symptoms may include fear abandonment, feelings of emptiness and boredom, frequent displays of inappropriate anger, destructive impulsiveness, intolerance of being alone, as well as repeated self crises (i.e. self injury).

In the Diagnostic and Statistical Manuel of Mental Disorders Fifth Edition, Borderline personality disorder is described as having a pervasive pattern of instability of interpersonal relationships, self-image, affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts. In order to be diagnosed with borderline personality disorder, the individual must demonstrate five or more of the nine behaviors experienced within the disorder. The nine criterion behaviors within the disorder include: (1) frantic efforts to avoid abandonment, (2) a pattern of unstable and intense relationships characterized by alternating between extremes of idealization and devaluation, (3) identity disturbance: markedly and persistently unstable self-image or sense of self, (4) impulsivity in at least two areas that are potentially self damaging such as sexuality, spending, substance abuse, binge eating or reckless driving, (5) recurrent suicidal behavior, gestures, threats, or self mutilating behavior, (6) affective

The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5, American Psychiatric Association, 2013) defines personality disorders as a pattern of internal experience and behavior that greatly differs from what is normally expected in the person’s culture. They are also considered omnipresent and inflexible that is stable and causes both distress and impairment. Antisocial personality disorder is a severe disorder of personality. It is a disorder that helps compromise the dramatic, emotional, or erratic disorders, also known as the Cluster B disorders. The Cluster B disorders are also composed of borderline personality disorder, narcissistic personality disorder, and histrionic personality disorder. The

There is no indication she has had a manic or hypomanic episode. Her depression may be complicated by grief due to her father’s death one year ago. Her symptoms seem to get worse after his passing.

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