Borderline Personality Disorder Case Study - Nursing Assignment Help

Assignment Task

Case : Borderline Personality Disorder

Michelle is a 17?year?old female student, who lives at home with her adoptive parents and two younger siblings. She presented to the ED late tonight after taking an overdose of paracetamol tablets following an online fight with friends from school. They had accused her of trying to steal someone’s boyfriend and although she denied it, she felt the group were ostracising her and she had challenged them about this. Half an hour after taking the tablets she informed her parents, who then drove her to the Emergency Department (ED).
Michelle reports that she feels hopeless and sad about her life. She spent her first few years in foster care and explains that she was sexually abused by one of family
members when she was 10 years of age. Alcohol and marijuana use began at age 12, although she says that she only drinks intermittently now. Moving around the foster care system meant it was difficult to make friends - she has no friends at all currently, and she cannot see the point in living. She reports that things were okay for her until she started secondary school. She describes increasing problems with her peers, and says her friends often blame her for starting fights and causing trouble. She has always worried about whether she was being left out or not. She spends a lot of time online, checking what her friends were doing. Michelle describes her moods as intense and that she feels four different moods in a day.  She finds this overwhelming and exhausting. When feeling particularly upset, she self?harms. Michelle describes
intermittently self?harming since the age of 14, although she has only taken one overdose prior to this referral. She is able to identify that feeling rejected by her friends often precipitates her harming herself. Over the past two months, Michelle had been staying in her room, only leaving for short periods of time, refusing to go to school or to come out and engage with her family. Michelle’s self?harm has increased, to daily superficial cutting of inner arms with razors. She also describes frequently feeling angry about small issues, and states she had been suspended from school for assaulting a peer six months ago. Her parents reported she is often moody, had frequent angry tantrums and had always had a short fuse “like her father”. Despite these ongoing problems, Michelle says she was managing academically, and that she had been good at basketball until she gave it up two years ago. She is currently enrolled in year 11, but with the recent events she is unlikely to finish the year.

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