DOI: 10.36347/sjmcr.2018.v06i12.009

Pages: 1033-1034

Patients with borderline personality disorder (BPD) stand on the border between neurosis and psychosis, and they are characterized by extraordinarily unstable affect, mood swing, behavior, object relations, and self-image. Diagnosis required longitudinal studies and it shows BPD patients are fairly stable; patients change little over time; have a high incidence of MDD episodes. Diagnostic Criteria: Unstable and intense interpersonal relationships; Mood swings; Identity disturbance(unstable self-image or sense of self); Impulsivity in area of self-damaging e.g. self-harm, spending, sex, substance abuse, reckless driving, binge eating; Recurrent suicidal behavior, gestures, or threats; Chronic feelings of emptiness; Inappropriate, intense anger or difficulty controlling anger; Micro-psychotic episodes; Transient, stress-related paranoid ideation. Present case describes a 20 year unmarried female patient living with grandparents, study in 2nd year BA who came to psychiatry department with history of feeling emptiness & untrustworthiness, all depressive symptoms, easy anger outburst, multiple broken relationship, micro-psychotic episodes, self-harm by cutting wrists, striking head over wall and multiple suicidal idea & gesture since 5year later we admitted in ward for 15 days and longitudinal & detailed history was taken. Identified her emotional conflicts and immature defences like acting out, passive aggression, emotional hypochondriasis, and projection; other image distorting defences like projective identification and splitting.