PSYCHOLOGY WORK DONE TOWARDS

PARTIAL FULFILMENT OF AISSC

EXAMINATION 2024-2025

PSYCHOLOGY CASE STUDY

“BORDERLINE PERSONALITY DISORDER”

BY: AMINA CHOUGLE

CLASS :12I
ROLL NO: 05
INDEX
SR.NO TOPIC PG.

1 Borderline personality disorder

2 Gender and percentage

3 Symptoms

4 Treatment

5 Data identification

6 Interview

7 Conclusion

8 BIBLIOGRAPHY
CASE STUDY
A case study is a detailed, in-depth
analysis of a particular individual, group,
event, or situation. It is commonly used in
various fields such as psychology,
sociology, anthropology, medicine,
education, and business, among others.In
a case study, researchers typically gather
detailed information through various
methods such as interviews,observations,
documents, and archival records. The aim
is to understand the complexities and
nuances of the subject under
investigation, often to draw broader
conclusions or insights that can be
applied to similar contexts
Advantages and Disadvantages of a
case study
1. Hypothesis Generation: They can
generate hypotheses for further research.
2. Flexibility: Case studies can be adapted
to different research questions
3. Rich, Detailed Data: Case studies provide
detailed, in-depth information about a
specific case.
4. Contextual Understanding: They allow
researchers to explore the context
surrounding the case.
 5. Exploration of Rare Phenomena: Case
studies are useful for studying rare or
unusual phenomena .
Disadvantages
1.Limited Generalizability: Findings from a
case study are typically specific to the
particular case and may not be easily
generalizable to other cases or populations.
2.Subjectivity and Bias: Researchers'
interpretations and biases can influence the
findings, potentially compromising the
objectivity of the study.
3. Time-Consuming: Conducting a case study
can be labor-intensive and time-consuming,
especially in gathering and analyzing data from
multiple sources.
4.Ethical Concerns: Researchers must navigate
ethical considerations.

WHAT IS BODERLINE
PERSONALITY DISORDER?
Bipolar disorder, also known as manic-
depressive illness, is a mental health
condition characterized by extreme mood
swings that include emotional highs (mania or
hypomania) and lows (depression). These
mood swings can affect sleep, energy levels,
judgment, behavior, and the ability to think
clearly. Bipolar disorder is typically divided
into several types, including Bipolar I
disorder, Bipolar II disorder, and Cyclothymic
disorder, depending on the severity and
pattern of mood episodes experienced.
GENDER AND PERCENTAGE
-The lifetime prevalence of BPD may be as high
as 5.9%. The DSM-5 suggests that there is a 3:1
female to male gender ratio of BPD clinically,2
however several papers suggest no difference in
this rate in the population as a whole.

True prevalence by gender is unknown. The

modest empirical support for diagnostic biases of
various kinds would not account for a wide
difference in prevalence between the genders.
Biological and sociocultural factors provide
potentially illuminating hypotheses, should the
true prevalence of BPD differ by gender.
SYMPTOMS
Borderline Personality Disorder (BPD) can
manifest in a variety of mental and physical
symptoms. It's important to note that symptoms
can vary widely among individuals and can also
change over time. Here are some common mental
and physical symptoms associated with BPD:
Mental Symptoms:

1.Intense and Unstable Emotions: People

with BPD often experience intense emotions
that can shift rapidly.
2.Fear of Abandonment: Individuals with
BPD may have a pervasive fear of being
abandoned or left alone.
3.Relationships: Relationships are often
turbulent and marked by extreme idealization
and devaluation of others.
6.4.Impulsive Behavior: This can include
reckless driving, substance abuse, binge
eating, unsafe sex, or spending sprees.
5.Distorted Self-Image: Individuals with BPD
 may have a fragmented or distorted self-
image.
6.Self-Harm or Suicidal Behavior: People
with BPD may engage in self-harming
behaviors such as cutting or burning
themselves. Chronic Feelings of
Emptiness: Many individuals with BPD
describe feeling empty or hollow inside. They
may have difficulty identifying a sense of self
and may feel incomplete or lacking.

Physical Symptoms:

1.Sleep Disturbances: Insomnia or disturbed

sleep patterns are common among individuals
with BPD, often related to the emotional
turmoil they experience.
2.Chronic Pain or Health Issues: Some
individuals with BPD may experience chronic
physical health problems or pain that may or
may not have a clear medical cause.
3.Changes in Appetite: Fluctuations in
appetite, leading to weight gain or weight loss,
 can occur as a result of impulsive behaviors or
emotional instability.
4.Increased Sensitivity to Rejection:
Physically, this can manifest as heightened
stress responses, such as rapid heart rate,
sweating, or trembling, when faced with
situations that trigger fears of abandonment or
rejection.

5.Tension and Muscle Pain: Physical symptoms

of stress, such as muscle tension, headaches, or
stomachaches, may be more prevalent during
times of emotional distress.
TREATMENT
Treatment for Borderline Personality Disorder
(BPD) typically involves a combination of
psychotherapy, medication, and sometimes
hospitalization for severe cases. Here are the
main approaches used in the treatment of BPD:
1. **Psychotherapy (Talk Therapy) **: -
**Dialectical Behavior Therapy (DBT)**: This is
considered the gold standard for treating BPD.
- **Cognitive Behavioral Therapy (CBT)**: Helps
individuals identify and change unhealthy thought
patterns and behaviors.
- **Schema-Focused Therapy**: Targets lifelong
patterns and themes underlying BPD symptoms.
- **Transference-Focused Psychotherapy
(TFP)**: Focuses on the relationship between the
patient and therapist to understand and change
maladaptive patterns.
 - **Mentalization-Based Therapy (MBT)**: Aims
to improve the ability to understand the mental
states of oneself and others.
2. **Medications**: - There are no specific
medications approved for BPD, but medications
may be prescribed to manage specific symptoms
such as depression, anxiety, impulsivity, or mood
swings.
3. **Hospitalization or Intensive Treatment
Programs**:In severe cases where individuals are
at risk of harming themselves or others,
hospitalization may be necessary for stabilization
and safety.
4. **Self-help and Support Groups**: - Peer
support and self-help groups such as those based
on DBT principles (e.g., DBT skills groups) can
provide additional support and encouragement.

5. **Lifestyle Changes** - Healthy lifestyle

choices such as regular exercise, adequate sleep,
and a balanced diet can complement other
treatments and help manage symptoms.
6. **Family Support and Education**:
- Involving family members in treatment can
help improve understanding and support for the
individual with BPD.

Treatment plans are often tailored to the

individual, considering their specific symptoms
and needs. It's essential for individuals with BPD
to work closely with mental health professionals to
find the most effective combination of treatments.
Early intervention and consistent treatment
adherence can significantly improve outcomes for
individuals with BPD.
DATA IDENTIFICATION
NAME SHREYA

DIAGNOSED WITH? BPD

GENDER FEMALE
AGE 29
OCCUPATION FINANCE

D.O.B 16.8.1996
VOLUNTARY/ REFRAL
REFUSAL
Interview-I interviewed my client Ms Shreya, a
person with borderline personality disorder. She has
a strong fear of abandonment and can’t deal with
her emotions well. She suffers every day to control
her emotions
Thank you for sharing that. Could you describe
what it's like to live with BPD on a daily basis?

It's really challenging. My emotions can be

overwhelming, swinging from intense highs to
deep lows very quickly. Relationships are difficult
because I often fear abandonment and struggle
with trusting others. Sometimes, I feel like I'm on
an emotional rollercoaster that I can't control.

How has BPD affected your relationships with

friends and family?

It's been tough. I can push people away when I feel

overwhelmed or afraid they might leave me. At the
same time, I crave closeness and connection. It's
a constant battle between wanting to be close to
others and fearing rejection or betrayal.
What kind of treatment do you undergo and does it
help?
Definitely. Dialectical Behavior Therapy (DBT) has
been a game-changer for me. It's helped me learn
to regulate my emotions better and develop
healthier coping skills. I've also found support
groups with others who understand what I'm going
through to be really comforting.

How do you think awareness and understanding of

BPD can be improved in society?

I think more education and open discussions

about mental health are crucial. There's still a lot
of stigma surrounding BPD, and many people
misunderstand it. If more people understood that
it's a serious mental health condition that can be
managed with the right support, it could make a
big difference.
Absolutely. What advice would you give to
someone who suspects they or a loved one might
have BPD?

I would encourage them to seek help from a

mental health professional who is experienced
with BPD. Early intervention and treatment can
really make a difference in managing symptoms
and improving quality of life. It's also important to
be patient with yourself or your loved one—
recovery is a journey, and progress can take time.

ANOTHER PATIENT HISTORY

OF BPD
It's a cycle of negativity. I truly believe that I
will never get better, because I am
surrounded by negative people with
negative feelings toward me that I then
reciprocate toward them.
Yesterday, I had to say goodbye to a dear
friend of mine, because I became emotional
and said things I never should have. I tried
to be responsible. I walked away so she
wouldn’t have to deal with that; because no
one should have to. I told my siblings what I
really thought of them a couple days before
that, because they always use my past
against me, and lie about me. And a couple
days ago I put my guitar away and said,
“I’m done.”
The stigma. The disregard/disbelief. It is
killing my spirit. My will. I was diagnosed
with BPD about seven years ago. When I
was told what it was, I went home and
researched everything I could about it. I
was excited because all of my problems
finally had an explanation, and just maybe I
wasn’t such a bad person. Maybe it wasn’t
all my fault like I was always told and I
always believed. And most importantly,
maybe I had a chance to get
better.Unfortunately, a few years later,
the societal stigma against mental illness
reared its ugly head. People started
telling me that I was using my diagnosis
as an excuse for my bad behavior. I
started to believe that. Now, multiply
that feeling times ten and that is what a
person with BPD considers intense
emotion. That is what a fight with a loved
one feels like, or how intensely they can
feel love for a single person. The emotion
can easily become unbearable, which is
when the BPD takes control. Your mind,
your body, are completely taken over and
you end up doing something you regret
deeply but have to live with. People will tI
am aware there is a shift in the middle of
this brief description of my experience
from talking to people with mental
illness, toward talking to those without it.
Originally, I had intended for those
without it to read and hopefully gain just
a grain of understanding. But that will
only happen if others that share in the
experience find this and share it with
others. My intention was to describe the
difficulty while remaining brief.
CONCLUSION
Borderline Personality Disorder (BPD) is a
complex mental health condition marked
by emotional instability, impulsive
behavior, and disturbed relationships.
With effective treatment like Dialectical
Behavior Therapy (DBT), individuals can
achieve improved quality of life.
Understanding and support are crucial in
managing BPD and reducing stigma
surrounding the disorder.
BIBLIOGRAPHY
@GOOGLE.COM
@NAMI.COM
@MAYO CLINIC.COM
@PSYCH CENTRAL.COM
@PSYCHOLOGY TODAY .COM