| Sumario: | Mr. Rice has come into the office today on crutches with his wrist injured possibly by a self-inflicted wound. He is carrying a bag of possessions on his lap. His behavior seems erratic and nervous as he describes inept doctors and a bizarre relationship he formed with a local fraternity in which he made his temporary residence. After an argument with the fraternity brothers, he now claims he will be moving in with a woman he just met at a bus stop. This training title highlights the major symptoms of Borderline Personality Disorder. Symptoms of Borderline Personality Disorder may include: frantic efforts to avoid real or imagined abandonment; a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation; identity disturbance: markedly and persistently unstable self-image or sense of self; and impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse, reckless driving); recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself, affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days); chronic feelings of emptiness; inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights); transient, and stress-related paranoid ideation, delusions or severe dissociative symptoms.
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