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PD o Antisocial PD  Cluster C: o Avoidant PD o Dependent PD o Obsessive-Compulsive PD Considering these personality disorders, please use the questions below to provide the most appropriate diagnosis for Ms. Raspberry: QUESTION: Part A. How do we distinguish personality disorders from normative personality or personality traits? Part B. What criteria are consistent for all personality disorders? Explain why Ms. Raspberry meets each of these criteria.

PD o Antisocial PD  Cluster C: o Avoidant PD o Dependent PD o Obsessive-Compulsive PD Considering these personality disorders, please use the questions below to provide the most appropriate diagnosis for Ms. Raspberry: QUESTION: Part A. How do we distinguish personality disorders from normative personality or personality traits? Part B. What criteria are consistent for all personality disorders? Explain why Ms. Raspberry meets each of these criteria.

Ciccarelli: Psychology_5 (5th Edition)
Ciccarelli: Psychology_5 (5th Edition)
5th Edition
ISBN:9780134477961
Author:Saundra K. Ciccarelli, J. Noland White
Publisher:Saundra K. Ciccarelli, J. Noland White
Chapter1: The Science Of Psychology
Section: Chapter Questions
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Cluster A: Odd or Eccentric Behavior:
o Paranoid PD
o Schizoid PD
o Schizotypal PD

 Cluster B: Dramatic, Emotional, or Erratic Behavior:
o Histrionic PD
o Narcissistic PD
o Borderline PD
o Antisocial PD

 Cluster C:
o Avoidant PD
o Dependent PD
o Obsessive-Compulsive PD
Considering these personality disorders, please use the questions below to provide the most
appropriate diagnosis for Ms. Raspberry:

QUESTION:

Part A. How do we distinguish personality disorders from normative personality or personality
traits?

Part B. What criteria are consistent for all personality disorders? Explain why Ms. Raspberry
meets each of these criteria.

PRESENTING PROBLEM & BEHAVIORAL OBSERVATIONS Ms. Raspberry is a 20-year-old white female who sought services due to emotion regulation difficulties, symptoms of depression, and interpersonal difficulties. Ms. Raspberry sought out psychological services to improve her "emotional responses" stating when she is overcome by emotion, she can have anger outbursts, binging and purging episodes, panic attacks, uncontrollable crying, and engages in risky sexual behavior. During intake, Ms. Raspberry's affect frequently vacillated between high distress, depressed mood, and euthymia. BACKGROUND INFORMATION Ms. Raspberry expressed difficulties in making and maintaining friendships. She reported fluctuating feelings of apathy towards others' opinions to becoming extremely guarded so that others do not evaluate her negatively. She also reported engaging in "weird reactions" for attention, lying, and being "over blunt" which has prevented her from maintaining close friendships. In terms of romantic history, Ms. Raspberry currently identifies : However, she noted that she often will second guesses this identity as she does not feel confident in her attraction towards either men or women. She has a history of short and long-term relationships that oscillate between extremes of admiration and devaluation. She reported many behavioral problems that started in middle school, such as screaming at other individuals, "throwing tantrums," and becoming verbally aggressive with peers. She reported that she has engaged reported employment at various customer service jobs that lasted at most for 3 months. Ms. Raspberry reported that during moments of high stress at work she would often have “panic bisexual. in these behaviors regularly and across situations since middle school. Ms. Raspberry attacks" in which she felt like she could not breathe and like her bosses and coworkers were "out to get her," to which she typically responded to by yelling and cursing. Ms. Raspberry reported that she believes her emotional responses to these stressful situations prevent her from holding long-term employment. PAST AND CURRENT SYMPTOMS Ms. Raspberry stated her problems with emotion regulation and interpersonal relationships started around the time she reached puberty (about age 12). In terms of emotion regulation difficulties, Ms. Raspberry reported intense mood swings in which she fluctuates between extreme emotions that often occur unexpectedly throughout the day. She reported that her moods can switch from exhilaration to strong negative self-evaluation. These moods usually last a few hours. Her experience of extreme mood swings has been observed by others, and she reported that others have told her that she is irritable. Ms. Raspberry also reported difficulty controlling her anger and that her intense anger can last hours to months. When she loses her temper, she reported becoming verbally aggressive and occasionally throwing objects. She reported a plethora of situations that induce anger, such as the way people look at her, listening to conversations, and others talking. Additionally, her mother has repeatedly threatened to call the police on Ms. Raspberry due to her anger outbursts. She also reported frequent feelings of dissociation under stressful situations. Ms. Raspberry reported that when she dissociated it was as if she was "living in a dream" and felt a strong feeling of disconnectedness from reality. She also reported occasionally feeling like she was watching herself from outside her body and that parts of her body were unreal when under high stress. These feelings of dissociation usually last a few hours but can last several days.
Transcribed Image Text:PRESENTING PROBLEM & BEHAVIORAL OBSERVATIONS Ms. Raspberry is a 20-year-old white female who sought services due to emotion regulation difficulties, symptoms of depression, and interpersonal difficulties. Ms. Raspberry sought out psychological services to improve her "emotional responses" stating when she is overcome by emotion, she can have anger outbursts, binging and purging episodes, panic attacks, uncontrollable crying, and engages in risky sexual behavior. During intake, Ms. Raspberry's affect frequently vacillated between high distress, depressed mood, and euthymia. BACKGROUND INFORMATION Ms. Raspberry expressed difficulties in making and maintaining friendships. She reported fluctuating feelings of apathy towards others' opinions to becoming extremely guarded so that others do not evaluate her negatively. She also reported engaging in "weird reactions" for attention, lying, and being "over blunt" which has prevented her from maintaining close friendships. In terms of romantic history, Ms. Raspberry currently identifies : However, she noted that she often will second guesses this identity as she does not feel confident in her attraction towards either men or women. She has a history of short and long-term relationships that oscillate between extremes of admiration and devaluation. She reported many behavioral problems that started in middle school, such as screaming at other individuals, "throwing tantrums," and becoming verbally aggressive with peers. She reported that she has engaged reported employment at various customer service jobs that lasted at most for 3 months. Ms. Raspberry reported that during moments of high stress at work she would often have “panic bisexual. in these behaviors regularly and across situations since middle school. Ms. Raspberry attacks" in which she felt like she could not breathe and like her bosses and coworkers were "out to get her," to which she typically responded to by yelling and cursing. Ms. Raspberry reported that she believes her emotional responses to these stressful situations prevent her from holding long-term employment. PAST AND CURRENT SYMPTOMS Ms. Raspberry stated her problems with emotion regulation and interpersonal relationships started around the time she reached puberty (about age 12). In terms of emotion regulation difficulties, Ms. Raspberry reported intense mood swings in which she fluctuates between extreme emotions that often occur unexpectedly throughout the day. She reported that her moods can switch from exhilaration to strong negative self-evaluation. These moods usually last a few hours. Her experience of extreme mood swings has been observed by others, and she reported that others have told her that she is irritable. Ms. Raspberry also reported difficulty controlling her anger and that her intense anger can last hours to months. When she loses her temper, she reported becoming verbally aggressive and occasionally throwing objects. She reported a plethora of situations that induce anger, such as the way people look at her, listening to conversations, and others talking. Additionally, her mother has repeatedly threatened to call the police on Ms. Raspberry due to her anger outbursts. She also reported frequent feelings of dissociation under stressful situations. Ms. Raspberry reported that when she dissociated it was as if she was "living in a dream" and felt a strong feeling of disconnectedness from reality. She also reported occasionally feeling like she was watching herself from outside her body and that parts of her body were unreal when under high stress. These feelings of dissociation usually last a few hours but can last several days.
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