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Case study of borderline personality disorder
Borderline personality disorder case study
Case study of borderline personality disorder
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As far as Susanna’s educational, health and legal history there isn’t much information to provide. Susanna’s educational history is that she recently graduated high school and she has no current plans on going to college. She’s stated that she wants to write and that is all. Except for the broken leg when she was a baby and recent suicide attempt Susanna has no health history. This is also her first time being in a mental asylum. She also has not had any past legal problems before coming into the Claymore. According to the mental status examination Susanna’s general appearance shows that she appears to be younger than her chronological age. She’s a very defiant and immature teenager. During past sessions she is said to be hostile and unreasonable. Susanna’s body build is tall and thin. He appears to be 5’8 and 120 lbs. Her clothing fits her body …show more content…
People with this diagnosis can also experience depression. Susanna could have this disorder because she her mood swings were very spontaneous and it always depends on what kids of reaction you might get out of her. Her impulsive behaviors include engaging in risky sexual behaviors and running away from Claymore with Lisa. She has problems with the relationship with her parent, friends at school, and boyfriends. Her suicide attempted was sign of her having no self-worth and being depressed. Borderline personality disorder can overlap with a Bipolar I disorder because the mood liability and impulsivity are common between the two disorders. One would only diagnose Bipolar I if the symptoms represent a distinct episode and the noticeable increase over the baseline. A lot of Susanna symptoms are recent and haven’t been occurring for a long period of time. For this reason I believe that borderline Personality Disorder in an appropriate diagnosis for
We know that she tried to kill herself by taking a bottle of aspirin with vodka even though she denies it so many times claiming that she took it because she had a severe headache, but everyone including Susanna knew it wasn’t true, she just didn’t want to admit it. The second unhealthy behavior was Susanna’s attempts to remain in meaningless relationships to avoid feeling abandoned. In the middle of the movie, she had a flashback of the affair she had with one of the teachers and with a guy that she met at a party after her high school graduation. In both cases, she was having meaningless sex and staying in the relationships so that she felt loved and wanted, and not rejected. The third unhealthy behavior was her mood swings. She experienced a shift in moods and felt like she had no sense of herself at all, she felt herself getting worse. Toward the end of the movie, Susanna was convinced she wasn’t going to get better and she even got defensive over what Dr. Wick (Vanessa Redgrave) and Nurse Valerie (Whoopi Goldberg) were telling her about her diagnosis. Luckily Nurse Valerie insist she is not crazy but
When considering the 5 D’s of abnormality, he possesses characteristics of them all. For dysfunction, he experiences social dysfunction by being unable to create and maintain relationships. He also experiences emotional dysfunction by having a fear of being alone, bouts of crying, and feelings of low self-worth. Physiological symptoms such as insomnia,
Alameda has had a hard life as a young girl growing up, both of her parents were alcoholics. Alameda was a 16 year old minor who had a baby and dropped out of school, and then was unable to care for the infant. A case manager by the name of Barbara LaRosa was assigned to Alameda case. Barbara took on Alameda as her client and made a visit to her parents’ home, while making the visit she found Alameda dad incompetent, and could not get any information from him to help with his daughter well-being.
...oermann et al, 2005). This has a tendency to lead to an insecure sense of one’s self. (Hoermann et al, 2005) A person with this disorder has a difficult time being reliable. This can be from constant career change, relationships and goals. These essential changes occur without any warning. (Hoermann et al, 2005)
An estimated 1.6%-5.9% of the adult population in the United States has BPD, with nearly 75% of the people who are diagnosed being women. Symptoms of Borderline Personality Disorder include Frantic efforts to avoid being abandoned by friends and family, Unstable personal relationships that alternate between idealizations, Distorted and unstable self-image, Impulsive behaviors that can have dangerous outcomes, Suicidal and self-harming behavior, Periods of intense depressed mood, irritability or anxiety lasting a couple hours/days, Chronic feelings of boredom or emptiness, Inappropriate, intense or uncontrollable anger - often followed by shame and guilt, and Dissociative feelings. The three main factors that could cause this mental illness are Genetics, Environmental factors, and Brain function. This illness can only be diagnosed by a mental health professional after a series of interviews with the patient and family/friends of the patient. The patient must also have at least five of the nine symptoms of this illness in order to be diagnosed. The most common treatment for this illness is some form of psychotherapy. Some other treatment options are to prescribe medications and if needed a short-term
In “Girl Interrupted” Susanna Kaysen, the main character, goes through many episodes that give a picture of the disorder she’s suffering from. The first such incident occurs when the psychiatrist talks to Susanna about her failed suicide attempt. During the conversation, she is seen as confused and irritated by his presence. While the psychiatrist questions her, her mind seems to be somewhere else because she is having flashbacks of her past, maybe a sign of ADD (Attention Deficit Disorder). Susanna seems uncertain about things, she claims that she does not know what she feels.
particular group of people whose symptoms are indicative of personality disorders, and are between neuroses and psychoses (Manning, 2011, p. 12). Personality disorders are extremely pervasive because they effect a person’s “mood, actions, and relationships” (Manning,
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.
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.
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:
As detailed earlier, Susanna felt chronic emptiness and boredom because she felt she was living a life based on the incapacities of things she couldn’t or didn’t want to do instead of one where her parents and teachers would acknowledge and accept what she did do well. As well, Susanna does not meet the fourth diagnostic criterion for borderline personality disorder. As although she fits the self-damaging impulsivity of having sex with various partners due to her overly promiscuous behavior. She doesn’t have another potentially self-damaging area to meet the minimum of at least two self-damaging areas thus she does not meet this
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).
According to Varcarolis’s Foundations of Psychiatric Mental Health Nursing, “Borderline personality disorder is characterized by severe impairments in functioning. The Major feature of this disorder are patterns of marked instability in emotional control or regulation, impulsivity, identity or self-image distortions, unstable mood, and unstable interpersonal relationships.”(Halter, 2014). Susanna demonstrates many of these features. She has few friends, is easily angered, and demonstrates impulsive behavior and poor coping mechanisms. One main coping mechanism that is mentioned many times in the film is Susanna’s promiscuity. This is demonstrated by an affair with a married professor, a sexual encounter with her boyfriend on the unit while in the hospital, and the seduction of a male orderly on the milieu. 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
Some symptoms of BPD can include fear of abandonment (1), unstable relationships (2), self-harm (3), and destructive behavior (4). In one scene in the middle of the movie, Rowe gets sent to a different ward for drugging a nurse. (1) Kaysen causes a huge scene and demands to know where Rowe is. Kaysen is so distraught because she claims that Rowe is “All she has left.” Kaysen seems to have a lot of people come and go throughout her life. (2) In one part Kaysen states “I just don’t want to end up like my mother.” This could mean that Kaysen and her mother don’t share the greatest bond. As seen throughout the movie, there is a bandage on the wrist of Kaysen (3) suggesting that she might have cut her wrists when she had a “headache.” Kaysen having destructive behaviors, as mentioned before is an indicator of BPD. (4) In the early movie, it shows how promiscuous she could be. She had a one-time affair with a married college professor who wanted more than she did. She also had an on and off relationship with a boy named Toby who was later drafted in the military, but decided to run away and take Kaysen with him. But, she declined because she didn’t want to leave
It generally takes around 7 years for these disorders to be diagnosed and because the time span is so long, it’s harder to find. Multiple personality disorder, and in this case for the sack of my paper, Dissociative Identity Disorder, should not be confused with Bipolar Disorder. Although they may fall underneath the same umbrella of study, they are wildly different in