Robin Borderline Personality Disorder
Clinical Diagnosis
Robin presents with known diagnoses of Major Depressive Disorder, Substance Abuse, and Bulimia Nervosa; repeated suicide attempts and self-inflicted cuts and burn on multiple occasions are also present. Precipitating the suicide attempts are stressful confrontations with her husband, making her feel hopeless and unloved. Stress inducing encounters from other than her husband have led to a dissociative state, in which Robin will self-mutilate or attempt suicide without remembering doing so. Despite the ability to function adeptly at work and school, interpersonal relationship began to suffer from volatile and erratic behavior when she was in her teens. Few of those close to her understood why Robin will be happy one moment than overly emotional the next without any evident reason. Robin is presenting with Borderline Personality Disorder. Robin’s presentation of Borderline Personality Disorder meets the majority of the diagnostic criteria listed in the DSM-5. Beginning at the age of 14 Robin showed …show more content…
Due to her parent’s substance abuse she developed a generalized psychological vulnerability, learning to cope with stress though substance abuse. Robin’s specific psychological vulnerability stems from the abuse she suffered from both her mother and father. Her mother was extremely physically abusive throughout her childhood, while her father began sexually abusing her at the age of five he became physically abusive at the age of twelve. The abuse lasted until Robin was approximately fourteen.
Prognosis
Robin’s prognosis for borderline personality disorder, now that she has entered treatment has improved for two reasons. Frist being, she has already entered her thirties, her symptoms should lessen over time on their own. Secondly, of those patients who have sought treatment, 88% remain in remission ten years after initiating.
Robin presents with known diagnoses of Major Depressive Disorder, Substance Abuse, and Bulimia Nervosa; repeated suicide attempts and self-inflicted cuts and burn on multiple occasions are also present. Precipitating the suicide attempts are stressful confrontations with her husband, making her feel hopeless and unloved. Stress inducing encounters from other than her husband have led to a dissociative state, in which Robin will self-mutilate or attempt suicide without remembering doing so. Despite the ability to function adeptly at work and school, interpersonal relationship began to suffer from volatile and erratic behavior when she was in her teens. Few of those close to her understood why Robin will be happy one moment than overly emotional the next without any evident reason. Robin is presenting with Borderline Personality Disorder. Robin’s presentation of Borderline Personality Disorder meets the majority of the diagnostic criteria listed in the DSM-5. Beginning at the age of 14 Robin showed …show more content…
Due to her parent’s substance abuse she developed a generalized psychological vulnerability, learning to cope with stress though substance abuse. Robin’s specific psychological vulnerability stems from the abuse she suffered from both her mother and father. Her mother was extremely physically abusive throughout her childhood, while her father began sexually abusing her at the age of five he became physically abusive at the age of twelve. The abuse lasted until Robin was approximately fourteen.
Prognosis
Robin’s prognosis for borderline personality disorder, now that she has entered treatment has improved for two reasons. Frist being, she has already entered her thirties, her symptoms should lessen over time on their own. Secondly, of those patients who have sought treatment, 88% remain in remission ten years after initiating.