Borderline Personality Disorder Case Studies

Ms. A. is a 28-year-old married executive who reports feeling anxiety and experiencing insomnia. She has been taking over-the-counter (OTC) medication to assist with sleep, but she still appears exhausted. Ms. A.’s symptoms have developed over a period of three months, and were reportedly triggered by her husband traveling out of town for business. She reports feeling irritable, tired, and nervous in a variety of situations. Ms. A. states that she has had a 15-pound weight loss over the past 3 months, along with reduced desire for sex and trouble falling and staying asleep. Ms. A. Ms. A. reports a history of “very intense” relationships and states that she feels “empty” even when she is in a relationship. Although these are possible indicators of a borderline personality disorder, she does not meet the criteria for diagnosis at this …show more content…
There is no reported history of trauma. Ms. A. has a history of using illicit substances, but has reportedly been abstinent for over 5 years. Ms. A. brought a lab report from her doctor with her that supports this. Her alcohol use is described as occasional, and does not appear to be a clinical concern. The recent blood tests conducted by her primary care physician indicate that her health is good, and thyroid function in normal, ruling out over active thyroid as a cause of her symptoms. Based on the initial clinical impression, it is likely that Ms. A. suffers from Generalized Anxiety Disorder GAD). This paper will explore pharmacological treatment approaches for GAD. It will discuss anticipated side effects of the pharmacological treatment and will consider how drug side effects will be managed. Exploration of how the treatment approach will alter brain chemistry and influence behavior will be explored, as well. The impact of over-the-counter (OTC) and illicit drugs on prescribed pharmacological treatment will be examined, along with ethical, socio-cultural, legal and individual