Kylie is a 24 year old female who has been admitted to the inpatient ward via the emergency department after apparent self-harm wounds to both her forearms while appearing intoxicated. This is Kylie’s third admission to the ward in the past four months following self-harm following a relationship breakup with her partner Sue, and difficulties with her friends. Kylie has recently withdrawn from university and now resides with her mother after previous flatmates could not cope with her behaviours. In this case study potential barriers to Kylie’s recovery will be discussed including interventions that would be beneficial to aid her recovery with an undiagnosed psychiatric disorder. Impact on family members will be highlighted along with ethical
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Due to the lack of information given, diagnosis is difficult; Kylie appears to meet the criteria for borderline personality disorder (American Psychiatric Association, 2013). Borderline personality disorder has been defined as; an enduring pattern of subjective behaviour and experience that deviates from a cultural norm. These features are stable over time, have their onset in adolescents or early adulthood, can be manipulative leading to distress, impairment or role function and unhappiness (Harris, Nagy and Vardaxis, 2010). There are three clusters of borderline personalities; Cluster A, B and C. Borderline personality disorder is located in cluster B meaning the persons behaviour is more likely to be dramatic, erratic and emotional (Elder, Evans, Nizette, 2005). Borderline personality disorder is diagnosed in about 2% of adults and 20% of people using mental health services. Diagnosis of borderline personality disorder is higher in women than men in a 3:1 ratio (Mental Health Foundation of New Zealand, n.d.; Barker, 2009) with borderline personality disorder being most common in late adolescents (Hebblethwaite, Harris, Leung, & Waller-Vintar, 2009). In Kylie’s case she would be in the life stage that
Due to the lack of information given, diagnosis is difficult; Kylie appears to meet the criteria for borderline personality disorder (American Psychiatric Association, 2013). Borderline personality disorder has been defined as; an enduring pattern of subjective behaviour and experience that deviates from a cultural norm. These features are stable over time, have their onset in adolescents or early adulthood, can be manipulative leading to distress, impairment or role function and unhappiness (Harris, Nagy and Vardaxis, 2010). There are three clusters of borderline personalities; Cluster A, B and C. Borderline personality disorder is located in cluster B meaning the persons behaviour is more likely to be dramatic, erratic and emotional (Elder, Evans, Nizette, 2005). Borderline personality disorder is diagnosed in about 2% of adults and 20% of people using mental health services. Diagnosis of borderline personality disorder is higher in women than men in a 3:1 ratio (Mental Health Foundation of New Zealand, n.d.; Barker, 2009) with borderline personality disorder being most common in late adolescents (Hebblethwaite, Harris, Leung, & Waller-Vintar, 2009). In Kylie’s case she would be in the life stage that