In addition, to prepare for this discussion read Chapter 4, Chapter 7, and Chapter 9 in your required textbook and the articles Substance Use Disorders and Borderline Personality: Common

In addition, to prepare for this discussion read , , and  in your required textbook and the articles  and . Lastly, view the video  and play the  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.
  • List all references used at the end of your discussion according to 
  • 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?