Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Case studies of Borderline personality disorder
Case studies of Borderline personality disorder
Case studies of Borderline personality disorder
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Case studies of Borderline personality disorder
Index
Diagnostic Impressions
Medical Conditions
Psychosocial Factors
Case Conceptualization
Assessment Recommendation
Treatment Recommendations
Works Cited
Diagnostic Impressions: Borderline Personality Disorder; R/O Substance Abuse Disorder and Persistent Depressive Disorder
Medical Conditions: Arm and leg lacerations, digestive tract irritation as result of toxic elements ingested, gastric suction, effects of alcohol use, effects of cocaine use, and effects of physical abuse through Ecchymosis
Psychosocial Factors: History of physical and verbal abuse, parental disapproval, academic problems, moving to a new country, cultural differences, language differences, withdrawal from peers, and negative comparison to siblings
Case Conceptualization:
Client, Maria, is a seventeen-year-old Hispanic female presenting with symptoms consistent with Borderline Personality Disorder. The client was pleased with her appearance yet she seemed as if she was on the verge of tears throughout the sessions. Maria reported that her reason for coming to the clinic was due to her hospitalization following the ingestion of Drano, however, after analyzing her case there were numerous precursors and signs that lead toward this suicide attempt.
The client and her family immigrated to America from Mexico when she was thirteen-years-old causing a language and cultural barrier between the client and her peers. She does indicate that her father often was dissatisfied with her personal life choices and told her that “she was nothing.” The clinician believes that these difficulties, in addition to the physical abuse inflicted on her by father, are factors in the client’s development of the disorder. The father influenced Maria to...
... middle of paper ...
...hat the most important function is “structuring the environment” in a way that reinforces progress and does not continue to cause the negative emotions (Bohus et al., 2010). This could include modifying her peer group to not include those who use substances, having family work with the client to emphasize progress and not failure, and re-involve in activities she withdrew from prior to treatment (Bohus et al., 2010).
Works Cited
Bell, K. (2012). Anorexia Nervosa. Department of Psychology, Capital University, Columbus, Ohio.
Bohus, M., Haaf, B., Stiglmayr, C., Pohl, U., Böhme, R., & Linehan, M. (2010). Evaluation of inpatient Dialectical-Behavioral Therapy for Borderline Personality Disorder — a prospective study. Behaviour Research and Therapy.
Butcher, J.N., Hooley, J.M., & Mineka, S. (2013). Abnormal psychology (16th ed.). Boston, MA: Pearson.
Denise Gilmartin, a 26 year old female, exhibits behaviors which meet criteria for Borderline Personality Disorder. Denise exhibits unstable intense interpersonal relationships characterized by idealization and devaluation (Criterion 2). She has a history of brief tumultuous relationships and friendships. They start of with quick intense attachments and are described by Denise as “wonderful” and “incredibly special” (idealization); however, these feelings quickly devolve into “contempt” and “loathing” (devaluation). Additionally, Denise displays an unstable sense of self (Criterion 3). Her unsteady employment history is partially explained by dramatic shifts in interests. She switched from marketing to legal work to waitressing. It is also important to note that interpersonal issues underly most of her
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Arlington, VA: American Psychiatric Publishing.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Talbott, J. A. (2013). Borderline personality disorder. The Journal of Nervous and Mental Disease, 201, 2.)
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
Some of the key components of BPD include self-harm, or suicidal thoughts and actions, dichotomous thinking, and low emotional granularity. People that present with reoccurring suicidal thoughts and actions, combined with a fear of abandonment, are commonly diagnosed with BPD. These two characteristics make BPD easily recognizable, but this diagnoses is often not used. The emotional volatility, recurrent crises, and self-injurious behaviors of those with BPD are often seen as willfully manipulative episodes, and not a sign of illness. (Gunderson, 2011) Yet, it is important to take these thoughts and actions seriously, as one never knows when someone may actually decide to end their life.
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.
...f dialectical behavior therapy for patients with borderline personality disorder on inpatient units . Psychiatric Quarterly .
In order to develop a therapeutic alliance with Elias and his mother, their Hispanic/Latino culture needs to be understood. Not only does understanding their ethnic background have value, but it is crucial to understand how the culture (machismo, submission, collectivism) plays a role in their family structure as well. Another way to cultivate therapeutic alliance is to be aware of one’s own bias about the clients and the situation. As for Elias’s case, it is easy to blame the mother for negligence for the care of Elias’s physical and mental health care. Therefore, to keep Elias welfare a priority, it is highly important to cultivate an open, non-judging and empathic environment to gain the trust of Elias’s mother (responsible party for Elias), so treatment for Elias and the family could continue and works towards the best interests of their
Borderline personality disorder, also known as BPD, is a very serious mental health disorder. The name for this disorder is misleading, says experts in the field, however proper name for the disorder has yet to be found (NIMH, 2014).
Barlow, David H., Vincent Mark. Durand, and Sherry H. Stewart. Abnormal Psychology: An Integrative Approach. Toronto: Nelson Education, 2012. 140-45. Print.
...chiatric Association. (2012). “Diagnostic and statistical manual of mental disorders” (4th Ed.). Washington, DC: Author.
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).
Barlow, D., Durand, V., & Stewart, S. (2009). Abnormal psychology an integrative apporach. (2nd ed.). United States of America: Wadsworth
Halgin, R. P., & Whitbourne, S. K. (2010). Abnormal psychology: clinical perspectives on psychological disorders (6th ed.). Boston: McGraw-Hill Higher Education.