Early Life Rejection, Poor Identify of Self and Others and Micro-Psychotic Episodes of Borderline Personality Disorder- A Case Report

Abstract

Amit Kumar

Prevalence of BPD in the general population varies between 0.7% and 2.7%, with symptoms usually manifesting in early adulthood [1]. Borderline personality disorder is associated with emotional suffering, self–harm attempts, poor interpersonal relationships and impairment in social functioning [2]. Currently, it is hypothesized that borderline personality disorder is caused by an interaction between genetic factors and adverse childhood experiences affecting brain development via neuropeptides and hormones [3]. Features mimicking BPD may be seen in various medical conditions like head trauma, neoplasms, HIV Encephalopathy and cerebrovascular accidents [4]. DSM- 5 lists several criteria for diagnosing borderline personality disorder, out of which minimum 5 criteria must be fulfilled [5]. Patient often presents with chronic low mood, difficulty maintain long term relationships, feelings of emptiness and abandonment [6]. Childhood trauma, disturbed family dynamics and temperament may be precipitating factors in many cases [7]. This case report tries to highlight the progression of various psychopathology in a 23-year-old girl, who underwent continuous troubled life circumstances and ultimately developed a chronic rebellious attitude towards others, mistrust and blurring of self-image.

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