BPD

2. A 25-year-old male, the eldest among his three siblings, belongs to a
middle socio-economic class.
His parents and a close relative reported the patient as having been
reserved and shy since childhood, rarely initiating a conversation or any
activity and being hesitant to talk to others. Behavioral changes were
noticed by members of the family as he entered adolescence but were
taken in a lighter vein and ignored. His irritable nature and anti-social
behavior worsened over the years, and finally, had a violent bust out on
a minor financial issue of the family with a neighbor.

3. There was no history of any complicated trauma, alcohol and drug
dependence, or physical or psychiatric illness of the mother during
pregnancy.

4. • His formal schooling commenced at the age of four, and completed
secondary education at the age of nineteen. School phobias or any
kind of learning difficulty was not reported. The patient quit his
studies in accordance with his parents’ advice. He preferred
indoor/solo games, like cars and video games, rarely indulged in
group activities, and did not have a very healthy relationship with the
younger siblings. His activities were mostly sedentary. He at times
regretted not being sent to a more established and well-reputed
school than the one he had attended

5. • The mental status examination revealed that, his eye contact was not
continuous, and he moved his eyes suspiciously and furtively. He tried
a little hard to change the body postures and lethargic movements of
the limbs (particularly) were also noticed. Quantity of speech was
reduced, and the patient became hesitant on expression of some of
his views and beliefs. During conversation, there were blank intervals
and tangentiality in his train of thoughts, with changes in pitch.

6. • Generalizations based on inappropriate or limited information were
also present. He was not able to understand and use the concepts
easily. His attention and concentration were intact to an extent.
Reaction time was normal, and no compulsive acts or habits were
present. Orientation to time, place, and person was intact.

7. • The patient presented with complaints of restlessness and irritability
at the time of admission, and an incident of a violent attack on his
mother just before the arrival at the health care centre. The dominant
symptoms at the time of admission and during his stay in the health
care centre were suspicious behaviour, such as the sound of blasts, a
relative inflicting him with some mantras, sounds of people talking
about him, and poisoning of the air.

8. • The parents reflected on his non-compliant behavior regarding the
medication and reported that it makes the administration of
medication difficult for the parents. Deterioration of psycho-social
functioning was observed and reported by the parents.

9. Write the following answers:
1. Background information
2. Premorbid personality
3. Clinical Personality