“What’s wrong With Me…”- A Case Report of Borderline Personality Disorder
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 12
Abstract
Patients with borderline personality disorder (BPD) stand on the border between neurosis and psychosis, and they are characterized by extraordinarily unstable affect, mood swing, behavior, object relations, and self-image. Diagnosis required longitudinal studies and it shows BPD patients are fairly stable; patients change little over time; have a high incidence of MDD episodes. Diagnostic Criteria: Unstable and intense interpersonal relationships; Mood swings; Identity disturbance(unstable self-image or sense of self); Impulsivity in area of self-damaging e.g. self-harm, spending, sex, substance abuse, reckless driving, binge eating; Recurrent suicidal behavior, gestures, or threats; Chronic feelings of emptiness; Inappropriate, intense anger or difficulty controlling anger; Micro-psychotic episodes; Transient, stress-related paranoid ideation. Present case describes a 20 year unmarried female patient living with grandparents, study in 2nd year BA who came to psychiatry department with history of feeling emptiness & untrustworthiness, all depressive symptoms, easy anger outburst, multiple broken relationship, micro-psychotic episodes, self-harm by cutting wrists, striking head over wall and multiple suicidal idea & gesture since 5year later we admitted in ward for 15 days and longitudinal & detailed history was taken. Identified her emotional conflicts and immature defences like acting out, passive aggression, emotional hypochondriasis, and projection; other image distorting defences like projective identification and splitting.
Authors and Affiliations
Kadia Tajgna, MBBS, Patel Kamlesh, MBBS, MD
Keywords
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