Mary (28 years old) comes to see the PMHNP and says, “I need a new provider!” She has a history of panic, depression
Mary (28 years old) comes to see the PMHNP and says, “I need a new provider!” She has a history of panic, depression, and anxiety. She recently became upset with her boyfriend whom she thought was making negative statements about her, at which time, she went in the bedroom and began scratching her arms with a fork. She scratched hard enough to draw blood. She is now sorry that she did this and thinks she may have over-reacted. She admits to a history of cutting herself. She took an overdose of sleeping pills when she was 14 and was subsequently hospitalized. She has taken various SSRIs over the past 10 years, and she has a history of occasional binge drinking. Her parents divorced when she was 12 years of age and has since severed any relationship with her mother and only talks to her dad. She tells the PMHNP that she feels lonely and “alone”. The appropriate personality disorder diagnosis would be: What differential diagnoses should be considered? What medication, if any, should she be prescribed? Why or why not? What is the treatment of choice for this patient, and how does the person-centered approach to therapy align with this
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