Borderline Personality Disorder Case Study Jordan

2. Using the Diagnostic and Statistical Manual of Mental Disorders 5

2.1 Introduction to diagnostic formulation

The following pages contain a comprehensive discussion of Jordan (as provided in the case study). A diagnosis is provided for Jordan‘s disorder according to the DSM-5. The diagnosis is thoroughly discussed according to subheadings and appropriate examples from the case study are integrated throughout the discussion.

According to Kuruvilla and Kuruvilla (2010) The Association of Psychiatrists in Training (APIT) defined diagnostic formulation as:

“An account of deductions based on data obtained from the history and examination, followed by management plans, formulations include (i) A brief two or three line ‘Introduction’ stating

The presenting problem is that over the past few months Jordan became more unstable, with unpredictable mood changes ranging from terrified to be without her mother to leaving the house in a fit of intense rage and not returning for a few days. Jordan is furthermore engaging in self-mutilating behaviour.

2.2 Provisional Diagnosis

From the initial data Jordon’s provisional diagnosis could be Borderline Personality Disorder (due to Jordan’s extreme mood swings, impulsive behaviour and severe separation anxiety), or Disruptive Mood Dysregulation Disorder or Oppositional Defiant Disorder. In order to come to a substantiated diagnosis all of the above possibilities will be explored in order to reach a conclusion.

2.2.1 Borderline Personality Disorder

Relatively new to the field of psychiatry presented in the DSM 5, accommodating the diagnosis of children. These outburst are far more severe than mere “temper tantrums” and grossly out of proportion in intensity or duration to the situation, occurring three or more times per week one year or more. Children with DMDD display by parents, teachers, or peers. In order to provide a diagnosis a persistently irritable or angry mood should be observed, most of the day and nearly every day, that is observable in at least two settings (at home, at school, or with peers) for 12 or more months, during this period, the child must not have gone three or more consecutive months without symptoms. These symptoms must also be “severe” in at least one of these settings. The age of onset of symptoms must be before age 10. DMDD should not be diagnosed made for the first time before age 6 or after age 18 (Hiller,