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Clinical case study borderline personality disorder
Research paper + literature review on borderline personality disorder
Clinical case study borderline personality disorder
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In this case study, Amanda Sigel is living her life with Borderline Personality Disorder (BPD). She is the oldest of three in a middle-class family and her parents divorced at a young age and thought that maybe she was the cause. After the divorce, her mom and siblings had significant financial difficulties until her mom got remarried when Amanda was 13. Mike, her new stepbrother, sexually abused her and felt unable to tell anyone because he threatened to tell everyone she’s a “slut.” Her behavior was deteriorating and grades were declining even though she is a very intelligent young woman. In middle school, she began experimenting with street drugs and continued this going into high school. When she was in high school, she started promiscuous …show more content…
Despite therapy sessions she thought were helpful, her behavior continued. At 22, she was admitted into a psychiatric hospital for the eighth time. She had terrifying episodes of feeling like her body wasn’t real and sometimes would cut herself to inflict pain so she knew her body was real. Her psychiatrist noticed she was flirtatious, asked inappropriate questions, angry, loud, and used abusive language. Out of anger, she would say things she didn’t mean and break meaningful personal items and would regret her actions, but despite this, she couldn’t gain control of her anger and still believed she wasn’t self-destructive. After three weeks of believed improvement, the therapists were ready to discharge her until she told them that she had been secretly been giving other patients street drugs. No therapy attempts had a lasting impact on Amanda and it didn’t seem like she could ever be independent and it was likely she will be in a state hospital …show more content…
Women are more likely to be affected by this disorder and child abuse seems to be a precursor to the development of BPD. People with BPD have the inability to control their emotions and relationships are affected and unfortunately, long-term function can be greatly affected and in many cases therapy shows promising results to getting better. In Amanda’s case, this wasn’t true. Negative thinking of themselves and the world greatly influences their demeanor and their inability to function in relationships and in general life. Self-harm is common because of feelings such as guilt, shame and anger. Some people with this disorder can function relatively well, but there is also the possibility they won’t get better and need to be hospitalized for most of their lives. It can be frustrating to treat as a therapist, but with learning how to change their thought patterns and improve their social relationships, their function and quality of life can be
Ashley Davis is a 14 year-old, brown-skinned, African-American, masculine presenting female. Ashley’s mother reports that patient is defiant, especially toward her and other authority figures. Mother reports that Ashley’s behavior disrupts the family, her ability to achieve in school and has landed her in legal trouble. Mother reports that the Ashley began to exhibit sexually promiscuous behavior starting as early as 9 years old. Her reason for referral and placement on the unit was due to Ashley’s mother, finding her and her twin brother naked together in a sexualized position, all while trying to record this interaction. When the mother questioned both Ashley and her brother, it seemed as though the Ashley was the aggressor.
The downfall of Andrea was sudden, and started with the overdose of a drug that treats major depressive disorder, Trazodone on June 1. After this incident, she was put in the hospital and diagnosed with major depressive disorder by her doctors, but her husband was told that this was an isolated event and was put on a few antidepressants. Barely a month later, Andrea attempted suicide for the first time on June 20th, 1999 by putting a knife to her throat. This attempt frightened Russell Yates, and he started to notice the unusual actions and words his wife was doing and saying. He worried about Andrea’s visions and descriptions that she provided to the hospital staff when she described a knife that was “dull, thin, long like a slicer, and had a wood handle” (O’Malley 38-39). The hospital staff also reported an incident where Andrea may have spoken to Satan, or the dark idea possessing her mind, and she screamed, “What do you want?!!” (O’Malley 40). After 19 days of hospital stay in the psych ward, and an intense mixture of antidepressants called Haldol and Cogentin, Andrea was discharged to a Partial Hospitalization Program. By August 18th, 1999, Andrea’s doctor, Dr. Starbranch, wrote in her notes during a post hospital appointment that the couple wanted to have “as many babies as nature would allow” and designated the fact that this would “guarantee future psychotic depression”
She was taken to the hospital after she tried to commit suicide, she took a bottle of aspirin. Her reason for taking the full bottle of aspirin was a major headache, which was also alarming to the psychiatrist. The psychiatrist recommended that she be admitted to a mental hospital for women, where she can rest and recover. Another sign of the Borderline Personality Disorder is casual sexuality.
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:
In the past, BPD was believed to be a set of symptoms between problems associated with mood and schizophrenia. These symptoms were believed to be comprised of distortions of reality and mood problems. A closer look at this disorder has resulted in the realization that even though the symptoms of this disorder reveal emotional complexity, this disorder is more closer to other personality disorders, on the basis of the manner in which it develops and occurs in families, than to schizophrenia (Hoffman, Fruzzetti, Buteau &ump; Neiditch, 2005). 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.
In the future, awareness of borderline personality disorder and other mental illnesses is critical.We need to be rewired to say the least. Our society needs to better informed on mental illness.These clients should not be ashamed of something they cannot choose to change. As healthcare professionals, we need to become more involved and lend a helping hand to those suffering from mental illness.
- Sexual abuse, which is common in childhood histories of borderline patients, happens more often to women than men.
Depression began to set in when Amanda’s RA worsened witth age and she experienced greater lost of autonomy. The pain became more unbearable and the stress was compounded. The supports she needs can come from several sources
Borderline personality disorder (BPD) is a very common personality disorder that is often confused with Bipolar disorder. Unlike Bipolar disorder which is when a person’s mood changes from depression to manic, borderline personality disorder is when a person suffers from unstable emotions, behavior and relationships with others and themselves. Individuals who suffer from severe BPD often have manic/ psychotic encounters. This disorder is very common in young adults, especially in women of every race and ethnicity. BPD was first added to the addition of DSM-III in 1980. Borderline Personality disorder can be linked to many other disorders such as depression, eating disorders, bipolar depression, schizophrenia and/or attempted or completed suicides. According to National Institute of Mental Health: about 85 percent of people with BPD also meet the diagnostic criteria for another mental illness. Medical Professionals take interest in this disorder because it is deep rooted and irregular unlike many other disorders. 1 in every 25 individual’s live with this disorder
Borderline Personality Disorder (BPD) hinders people’s security, makes interpersonal and interpersonal relationships difficult, worsens the person suffering from the disorder’s life and those around them, effects their affect and self-image, and generally makes a person even more unstable (Davidon et al., 2007). This disorder is a personality disorder which effects the people’s emotions, personality, and daily living including relationships with other and job stability. People with BPD may experience a variation of symptoms including but not limited to: intense contradictory emotions involving sadness, anger, and anxiety, feelings of emptiness, loneliness, and isolations (Biskin & Paris, 2012). This disorder makes it hard for the person with the disorder to maintain relationships since they have tendentious believe that people are either strictly good or bad. Also, they are sensitive to other people’s actions and words and are all over the place with their emotions so those in their life never know which side to expect. (Biskin & Paris, 2012)
Morgan, R. K. (1999). Case Study of Amanda: Case Studies in Child and Adolescent Psychopathology. Saddle River: Prentice Hall.
The two disorders I have diagnosed Sara Goldfarb with and will be discussing are “severe amphetamine-induced psychotic disorder with onset during intoxication” and “minor amphetamine use disorder in a controlled environment”. The diagnosis of amphetamine use disorder is “in a controlled environment” due to the fact that Sara has been involuntarily institutionalized, and therefore has no further access to the amphetamines her ethically-challenged doctor provided (American Psychiatric Association, 2013). Sara can also be diagnosed with “amphetamine intoxication” at multiple instances throughout the film; many side-effects and diagnostic criteria stimulant intoxication, such as excessive sweating, euphoria,
The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15).
Self-destructive behaviors are also very common in individuals with Borderline personality disorder. Susanna validates this trait by her lack of motivation, conversations about suicide, and her suicide For example; Lisa, the diagnosed sociopath, displays very little empathy for those around her. This is made clear when she sees Daisy’s post suicide body and is not saddened whatsoever. Another accurate portrayal is the patient with anorexia nervosa Janet. Janet refuses to eat, is in denial about her condition, is emotionally labile, and is always exercising.
Her story is one of the more stuck out one since she has posted a video onto Youtube about her depression, anxiety, and her self harm that happened. When Amanda was in the seventh grade, she went onto an online chat room and met a man who talked Amanda into flashing her breasts. A year later, the man has appeared once again and told her that if she was not going to put a show on for him, he was going to post the pictures that he has took of her, viral. Not doing what she was told, the man has posted the images of Amanda. Once the students around the school noticed, they have began to tease her. Causing Amanda to leave the school and move to a new place. The anonymous person seemed to have known who she was, her friends, her family, and the people who were close to her. Once she has moved away and made it to her new school, the same person decided to create a Facebook page about her and used the photo of her breasts as the profile picture. Her new friends left her, causing her to be alone once again. Later, when Amanda returned home she attempted to commit suicide by drinking bleach. With her attempt at suicide a fail, she attempted again.It was October 10, 2012 when her body was found in her