·      2:2 sub  : Diagnostic Case Reports There, you will see twelve different disorders listed. For this module, view the following disorders: · Borderline Personality Disorder · Substance Use After clicking a disorder, click the Diagnostic Overview tab in the left column. This will cover the major diagnostic features of the disorder. After that, click the  DSM-5  Features tab. You can then go though the Case History, Interview, and Treatment sections on the website. Finally, in the Assessment section, you can complete an optional multiple-choice quiz. You have to write a case report for each case study. You should use the format provided on the web page. There is a sample report that you can also view by clicking the link in the upper-right corner. The format for the sample report is as follows: Your Name Instructor's Name Class/Section Number Background · Outline the major symptoms of this disorder. · Briefly outline the client's background (age, race, occupations, etc.). · Describe any factors in the client's background that might predispose him or her to this disorder. Observations · Describe any symptoms that you have observed that support the diagnosis. You can include direct quotes or behaviors that you may have observed. · Describe any symptoms or behaviors that are inconsistent with the diagnosis. · Provide any information that you have about the development of this disorder. Diagnosis · Did you observe any evidence of general medical conditions that might contribute to the development of this disorder? · Did you observe any evidence of psychosocial and environmental problems that might contribute to this disorder? · As per your observations, what is the client's overall level of safety regarding the potential harm to self or others (suicidality or homicidality)? · What cross-cultural issues, if any, affect the differential diagnosis? Therapeutic Intervention · In your opinion, what are the appropriate short-term goals of this intervention? · In your opinion, what are the appropriate long-term goals of this intervention? · Which therapeutic strategy seems the most appropriate in this case? Why? · Which therapeutic modality seems the most appropriate in this case? Why? Described the major symptoms of each disorder, outlined each person's background, and described any factors in the person's background that might predispose him or her to their disorder. 20 Described any symptoms that were observed that support each diagnosis and any symptoms or behaviors that are inconsistent with each diagnosis and provided relevant information from the case history about the development of each disorder 20 Described any evidence of psychosocial or medical issues that might have contributed to each disorder, identified any safety concerns regarding suicidality or homicidality, and discussed any cross-cultural issues affecting the differential diagnosis. 20 Discussed appropriate short-term and long-term goals of each i ...

1. · 2:2 sub
: Diagnostic Case Reports
There, you will see twelve different disorders listed. For this
module, view the following disorders:
· Borderline Personality Disorder
· Substance Use
After clicking a disorder, click the Diagnostic Overview tab in
the left column. This will cover the major diagnostic features of
the disorder. After that, click the
DSM-5
Features tab. You can then go though the Case History,
Interview, and Treatment sections on the website. Finally, in the
Assessment section, you can complete an optional multiple-
choice quiz. You have to write a case report for each case study.
You should use the format provided on the web page. There is a
sample report that you can also view by clicking the link in the
upper-right corner.
The format for the sample report is as follows:
Your Name
Instructor's Name
Class/Section Number
Background
· Outline the major symptoms of this disorder.
· Briefly outline the client's background (age, race, occupations,

2. etc.).
· Describe any factors in the client's background that might
predispose him or her to this disorder.
Observations
· Describe any symptoms that you have observed that support
the diagnosis. You can include direct quotes or behaviors that
you may have observed.
· Describe any symptoms or behaviors that are inconsistent with
the diagnosis.
· Provide any information that you have about the development
of this disorder.
Diagnosis
· Did you observe any evidence of general medical conditions
that might contribute to the development of this disorder?
· Did you observe any evidence of psychosocial and
environmental problems that might contribute to this disorder?
· As per your observations, what is the client's overall level of
safety regarding the potential harm to self or others (suicidality
or homicidality)?
· What cross-cultural issues, if any, affect the differential
diagnosis?
Therapeutic Intervention
· In your opinion, what are the appropriate short-term goals of
this intervention?

3. · In your opinion, what are the appropriate long-term goals of
this intervention?
· Which therapeutic strategy seems the most appropriate in this
case? Why?
· Which therapeutic modality seems the most appropriate in this
case? Why?
Described the major symptoms of each disorder, outlined each
person's background, and described any factors in the person's
background that might predispose him or her to their disorder.
20
Described any symptoms that were observed that support each
diagnosis and any symptoms or behaviors that are inconsistent
with each diagnosis and provided relevant information from the
case history about the development of each disorder
20
Described any evidence of psychosocial or medical issues that
might have contributed to each disorder, identified any safety
concerns regarding suicidality or homicidality, and discussed
any cross-cultural issues affecting the differential diagnosis.
20
Discussed appropriate short-term and long-term goals of each
intervention, discussed the most appropriate therapeutic strategy
and therapeutic modality for each case, and presented
appropriate reasoning for your selection.
20

4. Total:
100
Summary of task Diagnosis overview borderline personality
disorder consists of a set of emotional and behavioral traits
including impulse of anger and self -destructiveness that create
distress from the the individual and for the people around them.
Personality disorders are Rico Carty differently than other
disorders discussed in this series. I am therefore before
discussing Porelin specifically we will explore the concept of
person out this order is in general.Our Personality consists of
characters patterns of thinking feeling believing and believe
behaving. Interns a person is said to have a personality disorder
when their doubts and behaviors create long-term difficulties
for themselves or for those around them. Teachers orders are
usually expressed by early adulthood and seem to produce any
and personal styles that is rigid and inflexible.Personality
disorders can be divided into three clusters. The first cluster
include personalities that are odd or eccentric. The individual
might express on usual speed habits and inappropriate or flat
emotions . This cluster includes paranoid personality disorder ,
schizoid personality disorder , and schizophrenia personality
disorder. The second cluster includes personality that are
highly anxious or Fearful . These individuals have very little
confidence and they may either be dependent on others or avoid
interaction with other people all together. This cluster and close
avoidant personality is ordered to pay his personality disorder
and obsessive-compulsive personality disorder.The third
clustering clothes personalities that are highly dramatic and
erratic. These individuals might be especially manipulative
aggressive or impulse . This cluster include antisocial
personality disorder narcissistic personality disorder and
borderline personality disorder which is the focus of this
module.Borderline personality disorder usually consist of a

5. wide collection of sometimes vaguely defined symptoms. For
example people with borderline personality disorder experiences
bouts of extreme anger, depression and anxiety. In turns they
sometimes cope with these emotions by engaging in impulsive
behavior , such as reckless driving indiscriminate sex or self
mutilating behavior.They also may have vacillation self
images. For example one day they might see themselves as
politically liberal but the next day build them selves as
controversial. Even their sexual identity might be thrown into
question by the almost Ceaseless process of shifting. One week
they Maye regard themselves as homosexual the next as
heterosexual. The frequent vacillation can contribute to
increasing self doubt and decrease self confidence. As you
might imagine these behaviors patterns lead to a stable
relationships. People with borderline personality disorder will
often clean two new France while others misinterpreting an
innocuous action as a sign of potential abandonment . In turn ,
they can suddenly switch from idolizing a friend to despising
them. This is known ass splitting.The cause of borderline
personality disorder are not well understood. Psychological
research shows that the impulsive behavior seems in seeing if
people with personality disorders are correlated with the low
serotonin level. How to research suggest that physiological
deficits reduce the person ability to regulate their
emotions. Interns this leads to a multitude of interpersonal
complication to make it even more difficult for these
individuals to develop adaptive and interpersonal
skillsPsychoanalytic research's believe that the symptoms of
borderline personality disorder results from poor care giving
during childhood . Specifically , they believe that the
individuals parents encourage the child to be overly dependent
on them and thereby inhibited the Chile’s individuation .
Therefore as an adult the individual is overly sensitive to the
judgment of others. Furthermore when they perceive themselves
as billing to achieve their goals they participate self -
Mutilation as a mean of self punishment. Borderline is a

6. controversial diagnosis. Some researchers point out that it is
this disproportionately diagnosed in women and hence they
assert it in a form of discrimination. Others argue that the
diagnosis is significantly over diagnosed and that now the
diagnosis is assigned to people who are simply unpleasant or
aggressive.
Diagnosis features for borderline personality disorderDSM5 list
numerous traits of people with borderline this order these traits
can be divided into five categories1Emotional traits 2behavior
traits 3Traits involving identity 4Traits involved
relationship5Trait under conditions of stress
Case history Becky has been diagnosed with borderline
personality disorder. My conversation with Patty was one of the
most compelling every billing interview I have ever conducted.
At the time of the interview Becky was 24 years old and she
was in rolled in one of my university classes. When she heard
about this project she approached me and volunteered to
participate. She explained that she wanted to overcome that this
order and she thought they practicing in these interviews and
being forthright with her problems would help her move
towards recovery.As you will see Becky is a bright and
ambitious women. At the same time she is deeply trouble. As
an adolescent she remember getting into a vicious fight with her
family and friends. She spiraled in and out of relationships first
analyzing a person and then scorning them. She was raised in a
mourner church well she wants found great meaning in faith she
now renounces it.Becky has very little sense of who she is and
believes that her Personna is a fraud. For example she currently
works in a customer relationships for a loan Corporation. She is
quite good at her work and she receive compliments and
promotions, but she somehow she believes that she is not really
legitimate. Even when people like and it might hurt she feels
disingenuous and believes that she has somehow fooled them .

7. As you'll see Becky expresses serious self doubt it internal
conflict. In turn she sometime direct this anger towards herself
in the form of self-mutilation. Be forewarned that some of
description of this self -mutilation can be pretty disturbing, to
be frank there was something disturbing about the interview. I
remember feeling both disturbed by what Becky had to say and
concerned on her behalf.Interestingly the crew reacted
differently. The director perceived Becky as contrived it and
insincere. She believe Becky enjoyed manipulating people. I do
not agree but I will leave it to you to decide for yourself Becky
is currently living with her father and while she inmates that
this is less than ideal she knows that it is better than living
alone. Although she has problems dealing with people she is
most self injury us when she lives alone.Interview with
Becky Child hood Do you think there was anything out about
you when you were a child?Becky‘s response: I was so
desperate for my mom to teach and like one on me not her me
Napoca seeing on her that I told her that I was Sexually
molested by these six grade boys , and I was in the second grade
and that never happened and I knew it was wrong what I was
saying what I was doing I knew I was doing it for attention .I
was hungry for the response she gave me for my whole life I’ve
told Phillips like that you know well Phillips is kind of a
common way of putting it but you know either you know I’m
going in to be tested for cancer or you know I mean I haven’t
done it since high school but just this the stories so that I would
get her attention. Or with Sean the guy I was in love with their
high school I told him that this guy was harassing me when Att
worked at Wendy’s just something to get that caring and go get
that attention that I need it or wanted . What were you like
when you were in high school?Well I was desperate to be alone
I grew up Mormon and we stopped or when I was 15 so by the
time I was at school I should say we had just moved and I was
brand new and high school and I’ve met up with a group of
friends that went to a Baptist church so I started going to youth
group with them and septic Christ and went through the whole

8. rigmarole going to youth Bible every day Wednesday and going
to church every Sunday read in the Bible listen to Christian
music And at that point I wasn’t really being my true self but I
had a sense of being whole a sesame of belonging having people
care about me wanted to do things to take care of them.
Knowing that there are better things in life. What do you think
is the main cause of your mental problem?Well we can start at
the one on the Avenue learn to therapy is that the root of colors
of everything and that my mother she grew up in as an abused
child married then she was both my mother and father were
brought up more me Mary when she was 19 she had got back
from his mission so he was 23 she get pregnant with me on her
honeymoon she have five kids in six years with some one who
didn’t deal with anything and so my mom turned to me to be a
confident or of some sort. If she’d get frustrated I was the one
that she would take it out on whether it be mentally or
physically and just everything about her I was there to reassure
her that she was doing a good job that she was a good person
but yes I understood about yours and dadsex life that it’s too
bad that type of thing you know I remember being five years old
and sitting on the toilet next to my mom while she is putting on
her make up and telling me about how her and her father had
molested and had sex with two of her sisters and she was very
graphic and detail in at five years old I do not realize really
think I needed to know that you know question I could be five
or six it was kind of fuzzy about the time but so she was just
always very manipulating and parents aren’t perfect I don’t
want to be like her but I know in a lot of ways I am.What
therapy most effective Open and honesty if miss understood
address right away .
Substance Abuse Summery taskA psychoactive drug is a
substance that alter our thoughts feelings and behaviors. A very
wide variety of substance have psychoactive priorities including
B alcohol marijuana cocaine tobacco and heroin. For the more
by definition all of these medications prescribed to treat

9. psychological disorders including lithium right now and
antidepressant medication also psychoactive drugs.Psycho
active drugs very dramatically in terms of their potential benefit
dangerous side effects. In general there is an effort to allow
relatively being excepted such as U to remain illegal well
dangerous substance such as cocaine and heroin are made
illegal. Finally when a substance is dangerous but can’t be
beneficial when used judicious it is restrictive and only
available up on recommendation of a position.Unfortunately the
pattern of legalization is uneven. For example tobacco alcohol
two of the most popular psychoactive drugs we may legally and
spite of a long history of addiction and lethal outcome.Almost
everyone has ingested a psychoactive substance at sometime in
their life. For psychologists the question is when does this use
become pathology? As you would expect there is no easy
answer in this issue has been the debated for decades . the
imprecise term addiction is used less often has been replaced by
languages that focus on the effect of drugs use of individuals
life. currently the diagnosis and stactical manual identifies four
types of conditions related to the use of drugs
What’s the DSM 5 criteria for substance abuse The person
experiencing drugs Tolerate as evidence by the need for
increased amount of drugs achieve intoxication diminished
intoxication after imbibing the same amount of drugsThe
person experience drug withdrawal Expand with drawl
symptoms typically up the substance the use of related drugs to
avoid symptoms of withdrawalThe person takes the substance in
does that are larger than that attended amount and over a long
time them intended.The person has made multiple unsuccessful
efforts to quit.The person spends a great deal of time occurring
using and recovering from the substance. the person giving up
social and professional opportunities to become the
substitutes. The person continues to use the drugs in spite of
negative side effects and consequences.Case history When
Bobby was 16 year old she was living on the street she was a

10. heroin addict and her life revolved around selling her body
buying drugs and satisfying and overwhelmingly opiate
addiction. When Bobby with nine years old her life was already
challenging her mom was mostly absent and Bobby M is that
she was desperate for positive attention. In about this time she
was sexually abused by men in her household in spite of this
she desperately wanted to think of herself as a good girl.I live
begin to crumble when she was about 12 years old she feel with
an older crowd of kids and began smoking cigarettes and
drinking alcohol at 13 she started smoking marijuana and ran
away from home. And this course of the next three years she
experimented with a variety of hallucinogens amphetamines and
barbiturates. Impact her own mother introduced her to HAIR
and Bobby’s live quickly spare out of her control and remains
cell for the next 10 years.at this time of this interview Bobby
had been sober for about 10 years she currently in the squally
with her five-year-old son and her boyfriend in a small
suburban house. Although she is drug-free she still considers
herself and attic amid she is afraid that she might result using
drugs for the more she’s deal where is the scars of her previous
life. One Bobby junk so I asked her about the track marks on
her arm she explains that she was scratched by a cat. She also
carries emotional scars when I first met her Bobby seem warm
friendly and outgoing a charm and no more me in many respects
all of that is true. But I spoke to her gradually it also became
clear she is a damaged person. I am not trying to be mean or
unkind here and I invite you to watch the video and come to
your own conclusion. But it seem to me that she seems happy
she is also deeply fighting. While she seems strong willed she
will she is also terribly fragile. Bobby is working hard to
maintain a normal life for her small family. She has a part-time
job and is learning to cope with the special challenges of living
HIV. In spite of her many challenges she is determined to live a
happy life and for filling life.
Interview Bobby is white and works as waitressMe:what were

11. you like as a child Bobby :And I 9 years old I always knew I
wanted attention I wanted to mama my life my mom was in and
out of my life . Sexual abuse started at 9 I don’t say anything
did think any one would listen .Me: what happen as you got
older?Bobby :As I got older I stated to act out more drinking
acting out more being promiscuous . I knew it was wrong but I
was doing them anyway . I wanted my dad to pay attention to
me I Convince myself an early age that that didn’t love me. And
he and so he didn’t show it like I show it to my son by the
kisses and the hugs a lot of times it was a smack across the face
or a knee in the stomach he wasn’t there. So I was trying to get
other people outside to you know boys the bad girls to pay
attention.Me :was your mother a role model for you
? Everybody kept telling me I was like my mom you look just
like your mom you’re just you’re just like your mom and that
was hard. Because my mom I know the feeling of everybody
around me didn’t like my mom. And was very angry with her.
And so it was just like I feel bad that message up oh I’m a bad
horrible person I must be hurting so many people.
Treatment suggested