Ever came across a case of ?Borderline Personality Disorder?

  1. Hello Everyone!

    I've posted this in the psychiatry forum also but since i would like to receive views on this case i'm posting it here too...
    I just came across about a very interesting but unfortunate case. I would like to know your viewpoint on this case:

    A girl, Shanah, of 16 yrs, who killed her mother for no evident reason. Only thing that's known to the family is that, she was pretty much attached to her mom. And there was no fights, arguments or any such sort of provocations. After the incident, which happened at 12.30 am in the night, she comes to her brother's room and tells him that Mom is not getting up.

    The only previous history is of five separate incidents of shouting and shivering when Shanah was 11 yrs old.She was attended by a General Practitioner then. She was not taken to a psychiatrist at that point.But she was all right after that, for all these years.

    Now what I would like to ask you all is -

    1) If it was a case of Borderline personality disorder(assuming), is it possible for her to commit this murder and forget it?

    2) Is it possible that she had this problem and was managing to lead a perfectly normal life (I meant, the family who lives with her says she was absolutely normal)



    As you can guess she is in police custody now and the investigation is going on. And one thing is she is not able to explain how she did the murder and is changing the statements.

    Why i posted this case here is because i know many of you must have come across such cases previously and are really experienced in the field of psychiatry.

    Thanks....
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  2. 11 Comments

  3. by   canoehead
    Borderlines are as common as cockroaches, but they do not tend to be able to control their behavior for years, nor do they have memory loss.

    Sounds to me like the story you got was inaccurate. If you post a link you may get better information.
  4. by   sans
    hi,

    it is a case that came in my unit.

    the patient reportedly fainted right after the murder. and everyone is as clueless as i am. the officer investigating the case ruled out the possibility of another person involved in the murder.(situational evidence and so so...)everything so far depends on the patient's statements. (it looks like that)what i'm trying to find out is, though bpd patients get violent very frequently, how many of them especially adolescents murdered the one they were centering on? and what is the possibility of it?


    Quote from canoehead
    borderlines are as common as cockroaches, but they do not tend to be able to control their behavior for years, nor do they have memory loss.


    sounds to me like the story you got was inaccurate. if you post a link you may get better information.
  5. by   Agnus
    I saw on TV news magazine type show about a case were a man killed His wife . He was a known sleepwalker.
    Didn't remember a thing.

    Howerver, the wife on previous occasions said that she was afraid that he might kill her. Hmm?

    I am quite sure that whatever you know is is not the whole story.

    It was interesting to me that you said, "The only" past history was that "5" seperate times there was shouting and shoving. I would hardly use the word "only" for something that happend 5 X previously.

    Who defines "perfectly normal". The family? How normal do you think any family is. What standard of norm are they using.
    Definately sounds like a lot of missing info.

    She is changing statements because???????? Could it be she is lying?!! People who commit crimes might just do that. Hmm?
    I am not making an assumption here but let's get real this is suspect.

    By the way as cannonhead said this does not fit the picture of borderline personality. (I'm no phyc nurse though)

    Why is she a patient?
    Last edit by Agnus on Jul 5, '04
  6. by   lady_jezebel
    Sounds like some kind of psychosis.
  7. by   hypnotic_nurse
    If that is her real name, please change it (HIPAA) -- if not, please put in quotes so everyone knows it's fake.
  8. by   BBFRN
    The best way to tell if someone has BPD is if they get on your nerves like no other person could...lol. There were lots of BPDs in the women's prison where I used to work, most of which were in there for murder or attempted murder. The ones I've been in contact with do anything to get attention- even hurt themselves at times, refuse treatment, and then blame the staff for the ensuing problems afterward. They are known for staff-splitting and lying as well. They also don't trust anyone- at all. Very manipulative and exhausting they are. They can also be very litigious pts, so document everything carefully with them. You have to be firm and stand your ground with them, and they can require much cajoling when it comes to getting them to agree to certain things- they like to bargain A LOT. I don't know one BDP pt that I can think of even remotely seeming "normal." Have they ruled out Paranoid Schizophrenia in this pt, or done any head CTs?
  9. by   sans
    thanks yaar! they are yet to do anything on her tests on her. as you know its due to the investigation that's going on. becoz as i've put it its only a suspected bpd. as a reply to other posts name of the patient i've put is fictitious
    . the patient was apparently leading a normal (as defined by family with whom she was) life. so i personally didn't feel it as a bpd. but i couldn't count on my experience for i'm new to this field. the case looked too fishy to me!

    Quote from lgflamini
    the best way to tell if someone has bpd is if they get on your nerves like no other person could...lol. there were lots of bpds in the women's prison where i used to work, most of which were in there for murder or attempted murder. the ones i've been in contact with do anything to get attention- even hurt themselves at times, refuse treatment, and then blame the staff for the ensuing problems afterward. they are known for staff-splitting and lying as well. they also don't trust anyone- at all. very manipulative and exhausting they are. they can also be very litigious pts, so document everything carefully with them. you have to be firm and stand your ground with them, and they can require much cajoling when it comes to getting them to agree to certain things- they like to bargain a lot. i don't know one bdp pt that i can think of even remotely seeming "normal." have they ruled out paranoid schizophrenia in this pt, or done any head cts?
  10. by   Hellllllo Nurse
    "As a reply to other posts name of the patient I've put is fictitious..."

    I'm glad you clarified that. I about freaked out when I read your post, thinking you had actually included the pt's name.
  11. by   gwenith
    I am hoping too, given the Hippa laws within America that there is not "too much information" in this post. Often it is not enough jsut to change the name one must change other details as well.
  12. by   mattsmom81
    Seems like sociopaths and BPD's have similar traits, but BPD is more 'out there' and easy to see...hmm. BPD was not a dx when I went to nursing school and since I don't work psych its news to me. Interesting website info.
  13. by   BBFRN
    http://www.palace.net/~llama/psych/bpd.html Here's a link to a site that describes BPD very well.

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