Abordaje psicológico de un caso de Trastorno Límite de Personalidad en una Unidad de Salud Mental Comunitaria durante el estado de alarma por COVID-19.

  1. Vega Trujillo López 1
  2. Melissa Liher Martínez Shaw 1
  1. 1 USMC Cádiz (Hospital Universitario Puerta del Mar)
Journal:
Revista de Casos Clínicos en Salud Mental

ISSN: 2255-5609

Year of publication: 2021

Volume: 9

Issue: 1

Pages: 127-142

Type: Article

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Abstract

Borderline Personality Disorder is a severe disorder in which instability in interpersonal relationships and self-image prevails, there is a great impulsivity,and it is common to find suicidal or parasuicidal behaviors. In addition, it presents great comorbidity with other disorders, because of which finding its evaluation and treatment is highly complex. This work presents the clinical case of an 18-years-old female, who urgently attended the Community Mental Health Unit due to the aggravation of her symptoms, caused by the Covid-19 confinement situation. The clinical history and the evaluation process that were carried out through several clinical interviews (individual and with her mother), questionnaires, and self-registrations are detailed. We concluded that she suffers from the Borderline Personality Disorder and proceeded to formulation of the case. For the treatment, the general objective was stabilization of the current emotional crisis, to be achieved through four specific objectives: establishment of a safe therapist-patient bond, reduction/elimination of self-injurious attempts, promoting the emotional self-regulation,and improving her interpersonal relationships. We held eight sessions with a weekly frequency, in which based on the Dialectical Behavioral Therapy model, we worked on adherence to the treatment, basic awareness skills, emotional regulation skills, discomfort tolerance training, and interpersonal effectiveness skills. After completion of these sessions, positive results and a significant improvement were found in the patient, concluding that Dialectical Behavioral Therapy presents a great scientific evidence and, despite having to be adapted to the individual psychotherapy format and to the public health context, it is an advance in the treatment of this type of patients.

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Data source: Dialnet