A female presents with the history of slashed wrists and attempted suicide, now present with similar history. The diagnosis is:
Ans. is 'a' (Border line personality disorder) The symptomatic profile of the pt. is in accordance with Borderline personality disorder.Characteristics of Borderline personality disorder is -Unstable mood & behaviourSuicide attemptsBoredomFeeling of emptiness & lonelinessImpulsivenessThe diagnosis can be confused with Histrionic personality disorder - Characteristic of Histrionic personality disorderDramatic, extrovert & emotionalExhibit sexually provocative behaviourThey are unable to maintain intimate relationships (although they often overstate the closeness of their friendship) Fundamentally insecure and their theatrics are generally efforts to obtain love support and reassurance, *can be better explained with an example"A 27 year old, charming, scantily clad women complains of suicidal feelings. She explains that she is annoyed by a co-worker who has become centre of attraction at the office. She has a history of multiple suicide attempts after which she claims to have received sympathy from a multitude of close friends" * While a Histrionic personality disorder attempts suicide to gain sympathy and attraction, a border line personality disorder pt. impulsively attempts suicide without any secondary motive to gain sympathy.Example of Borderline personality disorder"During a routine physical exam, a young female patient tells her physician that she has fallen in love with him; when he recommends that she see another physician, She threatens to commit suicide."Well, I think that I have now made the difference b/w these two personality disorders clear, but now I am confused about the answer. The question gives incomplete information to make a demote diagnosis.Still Fm in favour of Borderline disorder.
Borderline personality disorder
OCD
Conversion Reaction
Histrionic personality
Personality Disorders