Diagnostic Impressions: Borderline Personality Disorder; R/O Substance Abuse Disorder and Persistent Depressive Disorder
Medical Conditions: Arm and leg lacerations, digestive tract irritation as result of toxic elements ingested, gastric suction, effects of alcohol use, effects of cocaine use, and effects of physical abuse through Ecchymosis
Psychosocial Factors: History of physical and verbal abuse, parental disapproval, academic problems, moving to a new country, cultural differences, language differences, withdrawal from peers, and negative comparison to siblings
Client, Maria, is a seventeen-year-old Hispanic female presenting with symptoms consistent with Borderline Personality Disorder. The client was pleased with her appearance yet she seemed as if she was on the verge of tears throughout the sessions. Maria reported that her reason for coming to the clinic was due to her hospitalization following the ingestion of Drano, however, after analyzing her case there were numerous precursors and signs that lead toward this suicide attempt.
The client and her family immigrated to America from Mexico when she was thirteen-years-old causing a language and cultural barrier between the client and her peers. She does indicate that her father often was dissatisfied with her personal life choices and told her that “she was nothing.” The clinician believes that these difficulties, in addition to the physical abuse inflicted on her by father, are factors in the client’s development of the disorder. The father influenced Maria to have a negative self image, instability in relationships, and feelings as if she was truly nothing. These characteristics were counteracted by other people in Maria’s life, such as the local modeling agent, Rob. Rob lifted up Maria and made her realize her gifts when he complemented her beauty and contracted her to be a model. The coexistence of these relationships caused instability in her image of herself and instability of relationships; marked characteristics of Borderline Personality Disorder.
The contributing factors that led to her probably diagnosis can be explained through developmental theories for Borderline Personality Disorder. According to this theory, childhood adversity and maltreatment increases the likelihood of developing the disorder if in the presence of a negative environment and along with the biological factors (Butcher, Hooley, & Mineka, 2013). The client’s past possessed these causal factors in the abuse and emotional neglect from her father and have caused her to remove herself from her family creating a separation. She was a victim of physical and emotional abuse from her father, neglect from both of her parents, and was involved in a questionable sexual experience with a man 10 years...