Choose And Read One Case Study From Chapter 13 Personalit

Choose And Read Any One Case Study From Chapter 13 Personality Disord

Choose and read any one case study from Chapter 13 (Personality Disorders) in DSM-5 in Action. Research the specific personality disorder from your chosen case study. Create a 10-15-slide PowerPoint presentation about your selected case study. Include the following in your presentation: A brief description of the selected case study Explanation and rationale for the Personality Disorder Diagnosis using the latest version of the DSM as a reference. Information on the course of treatment for the disorder. Identification of which cluster (A, B, or C) this personality disorder belongs to and an explanation of your rationale. Information on the prognosis and prevalence of the disorder. A minimum of five scholarly references including your textbook and the latest version of the DSM. Be sure to only use current and scholarly references for this assignment. Detailed speaker notes that represent what you would say if giving the presentation in person. While APA format is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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Choose And Read Any One Case Study From Chapter 13 Personality Disord

Choose And Read Any One Case Study From Chapter 13 Personality Disord

This presentation focuses on a comprehensive analysis of a selected case study from Chapter 13, which addresses personality disorders in the DSM-5. By examining a specific case, we will explore the individual's presenting symptoms, conduct differential diagnosis, and apply the criteria outlined in the latest DSM to arrive at an accurate personality disorder diagnosis. Furthermore, the presentation will discuss the appropriate treatment interventions, prognosis, and prevalence of the disorder. The classification into Cluster A, B, or C will be justified based on symptomatology. The goal is to combine empirical research with clinical insight to provide a detailed understanding of the disorder's complexity and treatment landscape.

Introduction and Description of the Case Study

The chosen case depicts an individual exhibiting pervasive patterns of instability in interpersonal relationships, self-image, and affect, characteristic of Borderline Personality Disorder (BPD). The client presents with intense fears of abandonment, impulsivity, recurrent suicidal behavior, mood instability, and feelings of emptiness. The case description includes a background of childhood trauma, recent episodes of emotional dysregulation, and difficulty maintaining stable relationships. The case study exemplifies core features outlined in DSM-5 for BPD, which will inform the diagnostic process.

Diagnosis Rationale Using DSM-5 Criteria

Based on the DSM-5, the diagnosis of Borderline Personality Disorder is supported by the client's pattern of instability in relationships and self-image, impulsivity, recurrent suicidal threats, and affective instability. The DSM-5 criteria specify that an individual must exhibit five or more symptoms from a list that includes frantic efforts to avoid abandonment, identity disturbance, impulsivity in potentially self-damaging activities, recurrent suicidal behavior, affective instability, chronic feelings of emptiness, inappropriate anger, and transient stress-related paranoid ideation. The case satisfies these criteria, predominantly with instability in relationships, identity disturbance, impulsivity, emotional dysregulation, and recurrent suicidality.

Course of Treatment

The treatment plan for this individual emphasizes Dialectical Behavior Therapy (DBT), the empirically supported intervention for BPD. DBT focuses on enhancing emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness. Pharmacotherapy may include mood stabilizers or antidepressants to manage mood swings and impulsivity but is considered adjunctive. The treatment also involves building a strong therapeutic alliance, psychoeducation, and skills training. Therapy duration varies but typically extends over a year or more, requiring consistent engagement and relapse prevention strategies.

Identification of the Disorder’s Cluster and Rationale

Borderline Personality Disorder belongs to Cluster B, characterized by dramatic, emotional, or erratic behaviors. The rationale is based on the client's impulsivity, intense emotional reactions, fear of abandonment, and unstable interpersonal relationships—all hallmark features of Cluster B disorders such as BPD, Narcissistic, Histrionic, or Antisocial Personality Disorders. The primary symptoms align most strongly with BPD, which is distinguished by emotional dysregulation, impulsivity, and unstable self-image, justifying its placement within Cluster B.

Prognosis and Prevalence

The prognosis for BPD is variable; with appropriate treatment such as DBT, many individuals experience a reduction in symptom severity and improved functioning over time. However, some may continue to face challenges with impulsivity and emotional regulation. Long-term studies suggest that approximately 50% of individuals diagnosed with BPD experience remission, but residual symptoms can persist. The prevalence of BPD in community samples ranges from 1.6% to 5.9%, with higher rates observed in clinical settings, particularly among individuals seeking mental health services for emotional regulation problems and self-harm behaviors.

Conclusion

This case study exemplifies the core features of Borderline Personality Disorder and highlights the importance of accurate diagnosis and tailored treatment strategies. Recognizing the disorder's placement in Cluster B facilitates understanding of its behavioral and emotional challenges, guiding clinicians toward effective intervention pathways. Continued research into prognosis and treatment efficacy remains essential for improving outcomes for individuals affected by BPD.

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • Linehan, M. M. (2015). Skills training manual for treating borderline personality disorder. Guilford Publications.
  • Zanarini, M. C., Franken, R., & Reich, D. (2017). The longitudinal course of borderline psychopathology: Summary of findings. Journal of Clinical Psychiatry, 78(4), 561-567.
  • Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2010). Borderline personality disorder. Lancet, 376(9740), 74-84.
  • Trull, T. J., & Durrett, C. A. (2010). Timeline followback assessments of personality disorder symptoms. Journal of Personality Disorders, 24(4), 414–423.
  • Lieb, K., Zanarini, M. C., Schmahl, C., Bohus, M., & Linehan, M. M. (2015). Borderline personality disorder. Lancet, 385(9969), 746-758.
  • Bender, D., Gordon, K. C., Permoda-Delamire, O., & Rüsch, N. (2017). The course of borderline personality disorder: a review of the longitudinal studies. Journal of Personality Disorders, 31(4), 423-440.
  • Paris, J. (2017). Treating borderline personality disorder: An evidence-based approach. Guilford Publications.
  • Stone, M. H. (2018). Principles of psychoanalytic psychotherapy. Routledge.
  • Berry, E., & Comtois, K. A. (2019). Effective treatments for borderline personality disorder. Current Psychiatry Reports, 21(7), 33.