Gentry is a 23-year-old Pacific Islander

In addition, to prepare for this discussion read Chapter 4Chapter 7, and Chapter 9 in your required textbook and the articles Substance Use Disorders and Borderline Personality: Common BedfellowsLinks to an external site. and Borderline Personality Links to an external site.Disorder & Substance AbuseLinks to an external site.. Lastly, view the video Debunking the Myths & Misunderstandings of Borderline Personality DisorderLinks to an external site. and play the Mouse PartyLinks to an external site. interactive game.

Read the following case studies and refer to your textbook, and the DSM-5, as needed to support your understanding.

Borderline Personality Disorder – Week 3

Janice is a 35-year-old Caucasian female who came to counseling after being released from the hospital with non-life-threatening, self-inflicted cuts on her arm after she threatened suicide when her boyfriend of 4 months broke up with her. Janice reported she was hoping to prove how much she loved her boyfriend by doing this, so he would not break up with her. You received a report from the hospital that stated client came in extremely angry and could not be calmed down. Her ex-boyfriend stated that their relationship had been very intense where she would one day praise him and talk about her love for him to the point he was uncomfortable, and the next day something would happen and she would call him horrible names. Janice has been to the hospital several times for similar situations with past relationships. She states she doesn’t want to kill herself really and often cuts to take away her emotional pain. She states her need to be in a relationship due to the emptiness she feels, she just wants something to make her feel less empty.

Substance Abuse – Week 3

Gentry is a 23-year-old Pacific Islander male, who is a recent college graduate. He is seeking treatment after being fired from his first job out of college due to too many absences and coming to work hungover. Gentry stated he started drinking socially at 18 when he entered college. At first, he would drink only on weekends at parties and would often blackout or become sick. He stated this is what his friends did, and he didn’t see a problem. During his senior year, he didn’t have as many classes and started to drink during the week and earlier in the day, since his classes ended at noon.

Once out in the college, he got a job a year ago, and he would go out after work with co-workers a few nights a week to drink. On the nights he didn’t go out with co-workers he would drink at home by himself. Slowly drinking more and more to feel a buzz.  Over the past few months, Gentry has struggle to get out of bed in the morning due to having a headache, nausea, and lack of good sleep. After being warned several times about consequences for being late over the past 3 months, he continued his drinking behavior and was eventually fired because he missed too much work.

In your initial post,

  • First, choose one of the options and describe the patient’s symptoms and the available demographic and historical data.
  • Based on the scenario you chose, evaluate how the intensity, duration, and focus support the identified diagnosis. (Support your discussion with citations outlined in the University of Arizona Global Campus Writing Center’s APA: Citing Within Your PaperLinks to an external site.Links to an external site.)
  • Discuss the available treatments for this patient.
  • Discuss the implications of a therapist who actively encourages a patient to take medication that has been shown to be effective when the patient has strong objections to the use of a pharmacological approach to treatment.
  • Develop at least three recommendations for the patient/family for ongoing functioning (social, occupational, and academic, if applicable), associated with the scenario you chose.
  • Finally, analyze the differences between both scenarios: Borderline Personality Disorder and Substance Abuse? Do the recommendations differ?

Post your initial response of 300 words or more by Day 3 (Thursday). Respond to at least two of your peers by Day 7 (Monday). Peer postings should be a minimum of 200 words each.

Guided Peer Responses: Peer responses should be carefully crafted and insightful. The goal of the discussion forum is to foster continual dialogue, similar to what might occur in a verbal face-to-face exchange. Consider areas discussing areas of interests as well as the following questions in your responses:

  • What strikes you as interesting or something you did not know that your peer shared?
  • What additional questions do you have about the diagnosis summarized by your peer? For example, you could ask about the reasoning for the type of treatment chosen.
  • Are there relevant connections between your conclusions and your peers?
  • What additional recommendations would you offer the patient/family?

Instructor Responses: Review any instructor feedback on your postings. Often feedback is shared to help you to elevate your level of critical thought or make corrections. Reply based on this feedback to advance your understanding of the content addressed.

Observe the following guidelines for all responses:

  • Remember that discussion forums should be conversations; dialogue is encouraged throughout the course.
  • Provide a courteous and interactive learning environment.
  • Continue to monitor this discussion through 5:00 p.m. on Day 7 of the week and reply to anyone (instructor or classmate) who has chosen to respond to your original post.
  • Your grade will reflect the quality of your initial post, the depth of your peer replies, and your active support of forum dialogue.
  • Your responses should demonstrate that you have read the existing replies on the board. (In your response, mention information and viewpoints already expressed by existing responses to the same post.)
  • The peer responses should deeply reflect on the content.
  • You are encouraged to post one or more of your required replies early each week (e.g., by Saturday) to stimulate more meaningful and interactive discourse in the discussion forum. In addition, strive to provide a response to classmates who replied to your initial post and/or the instructor (if applicable).
  • Before you submit your weekly discussions, you are also encouraged to review the Writing Center’s Grammarly: A Free Proofreading ToolLinks to an external, which includes a link to The Grammarly GuideLinks to an external site., set up a Grammarly account (if you have not already done so), and use Grammarly to review a rough draft of your assignment. Then, carefully review all issues identified by Grammarly and revise your work as needed.