A Case Report of Borderline Personality Disorder

Authors

  • Mei San Leong Faculty of Human Development, Universiti Pendidikan Sultan Idris, 35900 Tanjong Malim, Perak, Malaysia
  • Nadzirah Ahmad Basri Department of Psychiatry, Faculty of Medicine, International Islamic University Malaysia, 25200, Kuantan, Pahang, Malaysia
  • Nor Firdous Mohamed Faculty of Human Development, Universiti Pendidikan Sultan Idris, 35900 Tanjong Malim, Perak, Malaysia

DOI:

https://doi.org/10.37134/esss.vol5.1.8.2024%20

Keywords:

personality disorder, personality assessment, borderline personality disorder, major depressive disorder, comorbid

Abstract

This case report is about a 37-year-10-month female, AK, who presented with history of self-injurious behaviours, multiple overdose incidents, feelings of emptiness and anger, a lack of interest in all activities, and sleep disturbance. AK was initially referred for cognitive behavioural therapy by a psychiatrist. She reported symptoms consistent with borderline personality disorder. AK has not undergone a standardised psychological assessment previously. Due to the heterogeneity of borderline personality disorder and the potential of comorbidity, a thorough psychological assessment is needed for intervention planning. Psychological assessments (i.e. Beck’s Depression Inventory, Columbia-Suicide Severity Rating Scale, Borderline Symptom List 23, and Minnesota Multiphasic Personality Inventory-2) and mental state examination were conducted to better understand her psycho-social, personality, and daily functioning. Following the assessments, a provisional diagnosis of borderline personality disorder comorbid with major depressive disorder was given. Several recommendations were made to help AK improve her overall well-being based on her current problems. Challenges faced in deciding the final diagnosis were discussed. This case report illustrates the importance of applying evidence-based assessments and synthesizing assessment findings in diagnosing personality disorders.

Downloads

Download data is not yet available.

References

American Psychiatric Association (APA). (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Angelakis, S., & Nixon, R. D. V. (2015). The comorbidity of PTSD and MDD: Implications for clinical practice and future research. Behaviour Change, 32(1), 1–25. https://doi.org/10.1017/bec.2014.26

Beck, A. T., Steer, R. A., & Carbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Psychology Review, 8(1), 77-100. https://doi.org/10.1016/0272-7358(88)90050-5

Bohus, M., Kleindienst, N., Limberger, M. F., Stieglitz, R.-D., Domsalla, M., Chapman, A. L., Steil, R., Philipsen, A., & Wolf, M. (2009). The short version of the Borderline Symptom List (BSL-23): Development and initial data on psychometric properties. Psychopathology, 42(1), 32–39. https://doi.org/10.1159/000173701

Bohus, M., Stoffers-Winterling, J., Sharp, C., Krause-Utz, A., Schmahl, C., & Lieb, K. (2021). Borderline personality disorder. Lancet, 398, 1528–1540. https://doi.org/10.1016/S0140-6736(21)00476-1

Butcher, J. N. (2001). Minnesota Multiphasic Personality Inventory-2: Manual for administration, scoring, and interpretation. University of Minnesota Press.

Campbell, K., Clarke, K. A., Massey, D., & Lakeman, R. (2020). Borderline personality disorder: To diagnose or not to diagnose? That is the question. International Journal of Mental Health Nursing, 29(5), 972–981. https://doi.org/10.1111/inm.12737

Ceresa, A., Esposito, C. M., & Buoli, M. (2021). How does borderline personality disorder affect management and treatment response of patients with major depressive disorder? A comprehensive review. Journal of Affective Disorders, 281, 581–589. https://doi.org/10.1016/j.jad.2020.11.111

Chapman, J., Jamil, R. T., Fleisher, C., & Torrico, T. J. (2024). Borderline personality disorder. StatPearls Publishing.

Emil Öğünç, N., Eren, N., Sahin, D., Temiz, E., & Saydam, M. B. (2018). MMPI profile characteristics of borderline personality disorder. Journal of Psychiatric Nursing, 9(3), 161-169. https://doi.org/10.14744/phd.2018.59002

Ford, J. D., & Courtois, C. A. (2021). Complex PTSD and borderline personality disorder. Borderline Personality Disorder and Emotion Dysregulation,8(1), 16. https://doi.org/10.1186/s40479-021-00155-9

Hunsley, J., Hanson, R. K., & Parker, K. C. H. (1988). A summary of the reliability and stability of MMPI scales. Journal of Clinical Psychology, 44(1), 44 – 46. https://doi.org/10.1002/1097-4679(198801)44:1<44::AID-JCLP2270440109>3.0.CO;2-A

Kleindienst, N., Steil, R., Priebe, K., Müller-Engelmann, M., Biermann, M., Fydrich, T., Schmahl, C., & Bohus, M. (2021). Treating adults with a dual diagnosis of borderline personality disorder and posttraumatic stress disorder related to childhood abuse: Results from a randomized clinical trial. Journal of Consulting and Clinical Psychology, 89(11), 925–936. https://doi.org/10.1037/ccp0000687.supp

Konvalin, F., Grosse-Wentrup, F., Nenov-Matt, T., Fischer, K., Barton, B. B., Goerigk, S., Brakemeier, E. L., Musil, R., Jobst, A., Padberg, F., & Reinhard, M. A. (2021). Borderline personality features in patients with persistent depressive disorder and their effect on CBASP outcome. Frontiers in Psychiatry, 12, 608271. https://doi.org/10.3389/fpsyt.2021.608271

Kulacaoglu, F., & Kose, S. (2018). Borderline personality disorder (BPD): In the midst of vulnerability, chaos, and awe. Brain Sciences, 8(11), 201. https://doi.org/10.3390/brainsci8110201

Möhler, E. (2022). Personality disorders and development. Brain Sciences, 12(8), 983. https://doi.org/10.3390/brainsci12080983

Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., & Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American Journal of Psychiatry, 168(12), 1266–1277. https://doi.org/10.1176/appi.ajp.2011.10111704

Rao, S., & Broadbear, J. (2019). Borderline personality disorder and depressive disorder. Australasian Psychiatry, 27(6), 573-577. https://doi.org/10.1177/1039856219878643

Downloads

Published

2024-09-30

How to Cite

Leong, M. S., Ahmad Basri, N., & Mohamed, N. F. (2024). A Case Report of Borderline Personality Disorder. Evaluation Studies in Social Sciences, 5(1), 106–115. https://doi.org/10.37134/esss.vol5.1.8.2024