Borderline Personality Disorder Case Study

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On average, there are 117 suicides per day in the USA (https://afsp.org). The rate of suicide among people with borderline personality is 10 times greater than in general population (Chesney, Goodwin, & Fazel, 2014). Borderline personality disorder is one of the most common and the most complex personality disorder diagnosed in clinical settings. Borderline Personality Disorder is found in up to 5% percent of the general population, most of whom are young women. The prevalence in in outpatient mental health clinics is about 10%, and may be as high as 20% in among psychiatric inpatients (American Psychiatric Association, 2013). This disorder is characterized by problems with affectivity, cognition, impulse control, interpersonal functioning, …show more content…

It is designed to treat patients at any level or severity of pathology, and focuses on helping clients develop healthy strategies for managing emotions, decrease self-destructive behaviors, develop skills to support balanced functioning. and improve interpersonal relationships. DBT has also been effective with individuals who struggle with depression, PTSD, anxiety, and substance use disorders. The treatment components include weekly individual therapy (with the elements of psychodynamic approach), weekly group skills training, telephone consultations, and therapist consultation. All participants must commit to twelve months of treatment. A dedicated treatment team will be assign to providing dialectical behavior therapy. Each clinician will have 10 individual clients. In the initial stage of treatment, the goal is to stabilize the client by targeting behaviors such as self-cutting, suicidal attempts, manipulation, impulsivity, and anger. In the remaining stages, the clients learn the concepts of acceptance and change, validation, problem solving, and stress tolerance. Clients are taught to practice mindfulness, learn skills of effective communication, and expression of feelings. The techniques used in DBT are rooted in a dialectical philosophy, that recommends finding the balance between acceptance and …show more content…

Because the self-harm behaviors are common feature among many patients with substance use disorders, depressive disorders, or borderline personality disorder, the evaluation of the suicide risk will be given the priority, and the psychiatrists should determine if the client needs inpatient treatment, and if pharmacotherapy needs to be implemented. The clinical nurse will assist the psychiatrist and collaborate with the team to provide comprehensive treatment for every patient. Licensed Professional Counselors will work with patients upon principles of Cognitive-Behavioral Therapy, Adlerian, Solution-Focused Therapy, Dialectical Behavioral Therapy, and Brief Psychodynamic Therapy. They will work with children, adolescents, and adults, providing treatment for PTSD, grief, depression, anxiety, trauma, eating and substance use disorders, BPD, family problems, marital conflict, and parenting issues. Additionally, the program will provide Eye Movement Desensitization Reprocessing (EMDR) applications for alleviating PTSD, anxiety, and phobias. The Program Director will provide oversight of services provided to the patients, as well as individual and group clinical supervision to

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