Diagnosis: 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 …show more content…
Denise also displays impulsivity in more than two self-damaging areas (Criterion 4). She has a history of binge drinking, shoplifting, and spending too much money. There is a history of suicide attempts, suicidal gestures, and self-mutilation (Criterion 5). Most recently she presented at the emergency room which self-inflicted cuts which required stitches and a small overdose of Ativan. Denise displays instability and reactivity of mood (Criterion 6). She is often depressed, but is occasionally filled with energy and rage. Denise has expressed chronic feelings of emptiness (Criterion 7) beginning during her teenage years, and stated that it feels like she “doesn’t exist.” Finally Denise has difficulty controlling her intense anger (Criterion 8). One employer fired her for throwing a drink at a customer after becoming so angry. For these reasons, Denise should be diagnosed with Borderline
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
People with Borderline Personality Disorder tend to view the world as simple as possible. People who view the world like this, confuse the actions of others. (Hoermann et al, 2005) Recurrent thoughts about their relationships with others, lead them to experience extreme emotional reactions, great agony which they have a hard time controlling, which would result in engaging in self-destructive behaviors. Diagnosing a patient with this disorder can be challenging which is why is it is labeled as one of the difficult ones to diagnose. (Hoermann et al, 2005)
Disco Di have shown these symptoms during her time when she ran away from her parents because they would not pay attention to her. She got into drugs use, had many promiscuous relationships with boys. Her relations with these boys were full off passion and chaotic with many violent arguments. She would seek out excitements such as getting drunk and go dancing where she would leave with strange men then have intercourse. After being admitted to a hospital, she would always expect and demanded that people would always have to pay attention to her. Also, I believe this because in the journal “Histrionic Personality Disorder” it stated “Histrionic PD is indicated when people exaggerate their emotions and go to excessive lengths to seek attention” (Crawford et al, 2007) and this is indicated when Disco Di ran away from home because she believed her parent did not pay enough attention to her. Next, the diagnostic feature of her other disorder, borderline personality disorder, is that mark of instability of mood, unstable relationships, chronic feeling of emptiness and recurrent threats of
Mental health is not the mere absence of illness but it is the sense of harmony and balance for the individual. Aspects associated with the individual include self-worth, sense of accomplishment, and a positive identity (Fontaine, 2009), where as mental illness is the disharmony someone is experiencing. This disharmony affects not only the individual but their friends and family as well as the surrounding community. This disharmony causes the person to be unable to function properly in many aspects of their life (Fontaine, 2009). Disco Di started to display signs of mental illness from the young age of 12. Her behaviours may have been triggered by a traumatic event and have been interfering with her life ever since. I agree with the diagnosis that Disco Di was given which was an Axis I diagnosis of Major Depressive Disorder (MDD) and Axis II diagnosis of Borderline Personality Disorder (BPD). This paper is going to explain why I agree with these diagnoses as well as genetic and cultural factors and treatment method for them.
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.
Although, Susanna was diagnosed with borderline personality disorder. I would like to make the case that she was misdiagnosed as while she exhibits some symptoms of the disorder, she doesn’t actually meet the diagnostic criteria for borderline personality disorder. According to the DSM-5, borderline personality disorder is “a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and present in a variety of contexts” (Diagnostic and Statistical). In order to have the diagnosis of borderline personality disorder an individual must meet five or more of the criteria as stated by DSM-5. Yet, Susanna only meets three of the diagnostic criteria for borderline
This paper looks at a person that exhibits the symptoms of Borderline Personality Disorder (BPD). In the paper, examples are given of symptoms that the person exhibits. These symptoms are then evaluated using the DSM-V criteria for BPD. The six-different psychological theoretical models are discussed, and it is shown how these models have been used to explain the symptoms of BPD. Assessment of
In order for someone to be diagnosed with Borderline Personality Disorder, they must experience at least five of the following symptoms: 1) fear of abandonment, 2) a history of intense and unstable relationships with family, friends, and loved ones, which often go back and forth between idealization (which includes love and extreme closeness) to devaluation (which includes extreme hatred or anger), 3) a disto...
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 with genetic factors, similar to that of hypertension. BPD can also develop due to environmental factors such as childhood neglect and/or trauma, insecure attachment, and exposure to marital, family, and psychiatric issues. (Gunderson, 2011)
Rose Mary Walls is mentally ill. I am not a doctor; therefore, I cannot medically diagnose her but I strongly feel she has a bipolar disorder and depression. Her overly emotional tendencies, narcissism, and also lack of maturity are all signs that point to Rose Mary having a mental disorder.
Shameless is a U.S TV show that has quickly gathered a cult-like following. The show focuses on a family, the Gallagher’s, and their fight to survive in the Southside of Chicago. The father is an alcoholic and relies on schemes to make money, forcing the children to learn to fend for themselves and rely on their friends in the neighborhood. One of these friends is a middle aged woman named Sheila Jackson, and it is very clear from the first time her character is introduced that she is definitely abnormal and has trouble functioning. Sheila suffers from Agoraphobia, fear and avoidance of situations which causes a person to feel unsafe. (Durand & Barlow, 2016) In Sheila’s case, her agoraphobia causes her to be unable to leave her home. This causes
Borderline Personality Disorder (BPD) is a mental illness characterized by patterns of ongoing instability in moods, behavior, self-image, and functioning. An individual suffering from this disorder may act impulsively and experience unstable relationships (The National Institute of Mental Health, 2016). The term Borderline Personality Disorder stems from the idea that the characteristics of this disorder fall between anxiety and psychosis (Cacioppo & Freberg, 2016). According to the National Alliance on Mental Illness (2017), “1.6% of the adult U.S. population have BPD but it may be as high as 5.9%. Nearly 75% of people diagnosed with BPD are women, but recent research suggests that men may be almost as frequently
Diana Miller, 25 was diagnosed with major depressive disorder and borderline personality disorder after being rushed to the hospital following another suicide attempt . Her symptoms and background are outlined in her vignette and will be examined in detail throughout the paper. The purpose of this essay will be to explore the possible additional diagnoses for Diana’s behaviour as well as look deeper into the feasible explanations of how and why her behaviour turned abnormal. Therefore through analyzing the diagnostic features, influence of culture, gender, and environment, in addition to outlining paradigm explanations and possible treatment methods, one can better understand Diana Miller’s diagnoses.
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.