Lisa presented as having an insecure attachment as she had rapids shifts in her state of mind and had a difficult time with her affect regulation. Lisa also presented with a push-pull style in relationships, for example, she would hug me, ask me to stay, tell me how much she liked me (loved me) and within minutes would snap at me for no apparent reason. It could be argued that Lisa was idealizing me and then demonizing me …show more content…
320). Lisa came from a low-income family, was sexually abused, and had a stressful childhood in addition to the abuse. I would also argue that her mother has a mental health disorder, which impacted how she interacted with Lisa in general, but most importantly impacts how she responded to Lisa’s needs as an infant and regarding the trauma she experienced. Lisa also presented with impulsive behaviors, for example, she abused substance and engaged in high-risk sexual activity on numerous occasions. Lisa was almost proud of her sexual encounters and her substance abuse. Though one cannot diagnose Lisa with BDP or predict that she will have BDP in the future based on the above, it is clear that Lisa was at higher risk of developing