suicidal Q

[GFLIP]

21 yo white F has CC of depressed mood for 2 wks. She says that since her therapist went on vacation, she has noted suicidal ideation, crying spells, and incr appetite. She says she left 50 messages on her therapist’s machines saying that she was going to kill herself. PE shows multiple healed scars on her forearm. What’s her DX?

a. dysthymic d/o
b. bipolar I
c. Bipolar II
d. Panic d/o
e. Histrionic personality d/o
f. borderline personality d/o
g. schizoaffective d/o
h. schizoid d/o
i. MDD

[evans9279]

maybe borderline personality d/o...

[GFLIP]

borderline is correct - these PT feel alone in the world, have unstable mood and behavior. can see suicide attempts or suicide gestures.

[GFLIP]

side note: one of the most characteristic defense mechanisms associated with borderline personality disorders is splitting

[student-2]

could also be histrionic