a 24 yr old - kiranraja

[ArchivalUser]

A 24-year-old female is brought to the emergency room after threatening to kill herself by cutting her wrists. She
has multiple scars on her wrists, which she admits were caused by prior suicide attempts. She states she is very
angry at her boyfriend, who left her for another woman. She previously thought her boyfriend was an angel and
now she thinks he is a monster. She feels very empty inside. While smiling, she states that she is depressed.
During the interview, she drops to the ground, but continues to talk while lying on the floor. She believes nobody
understands her. What is her underlying personality disorder?


A. Antisocial

B. Borderline

C. Histrionic

D. Narcissistic

E. Schizoid

[ArchivalUser]

BBB ... attempt suicides, inter person relationship affected, splitting, depression ... borderline PD

[ArchivalUser]

agree Borderline

[ArchivalUser]

bbb

[ArchivalUser]

bbb sure

[ArchivalUser]

bb

[ArchivalUser]

The correct answer is B. Characteristics of borderline personality disorder include frantic behavior to avoid
abandonment, unstable interpersonal relationships, alternating between idealization and devaluation (splitting),
recurrent suicidal gestures or other types of self-mutilatory behavior, feelings of emptiness, and inappropriate
intense anger.

An antisocial patient (choice A) does not confirm to social norms, is deceitful, impulsive, reckless, irresponsible,
and lacks remorse for wrongdoings.

One symptom that would suggest histrionic personality disorder (choice C) in this patient is her theatrical
exaggeration of her emotions by talking while lying on the floor. A histrionic patient might present with
attention-seeking and/or seductive and provocative behavior, but the presence of splitting, recurrent suicidal
gestures and anger argue strongly for the diagnosis of borderline personality disorder.

A narcissistic patient (choice D) is grandiose and preoccupied with success, feels special and requires
admiration, feels entitled, takes advantage of others, lacks empathy, and is arrogant.

A schizoid patient (choice E) is usually not interested in relationships or pleasurable activities, is a loner, lacks
friends, is emotionally cold, and is indifferent to praise or criticism.

[ArchivalUser]

BBBBB