Question
A young lady was admitted after taking overdose of diazepam after broken affair. She has history of slitting her wrist previously. Most likely diagnosis is
| A. |
Narcisstic Personality Disorder
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| B. |
Dependent P.D.
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| C. |
Borderline P.D.
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| D. |
Histirionic P.D.
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Show Answer
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Correct Answer » C
Explanation
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Detailed Explanation:
Clinical Reasoning for the Correct Answer:
– Borderline Personality Disorder (BPD) is characterized by impulsive self-harm or suicidal behaviors, often in the context of interpersonal stress such as rejection or abandonment.
– The young woman’s history of wrist slitting and current overdose after a broken affair is typical of the emotional instability and recurrent suicidal/self-injurious behavior seen in BPD.
– BPD patients frequently have intense and unstable relationships, fear of abandonment, and difficulty regulating emotions, consistent with the scenario.
Why Option A is Incorrect:
– Narcissistic Personality Disorder (NPD) involves grandiosity, need for admiration, and lack of empathy.
– NPD patients typically do not exhibit recurrent self-harming behavior or overdoses as a coping mechanism.
– The clinical picture here fits impulsive emotional dysregulation rather than narcissistic traits.
Why Option B is Incorrect:
– Dependent Personality Disorder features excessive need to be taken care of and submissive behavior.
– Self-harm and impulsive overdoses are not characteristic primary features.
– The history of wrist slitting and impulsive overdose is inconsistent with dependent personality, where patients avoid conflict and try to please.
Why Option D is Incorrect:
– Histrionic Personality Disorder is marked by excessive emotionality and attention-seeking behavior.
– It does not commonly involve recurrent self-injury or overt suicidality.
– Though emotional, histrionic individuals express emotions to gain attention rather than impulsive self-harm.
