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CLINICIAN'S CORNER
A 44-Year-Old Woman With Borderline Personality Disorder
John M. Oldham, MD, Discussant
JAMA. 2002;287:1029-1037.
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INTRODUCTION
DR BURNS: Ms J is a 44-year-old woman with a history of borderline personality disorder. She lives alone and currently works full-time as a residential counselor in the mental health field. She purchases Medicaid-type insurance through Common Health in Massachusetts. She initially came to see Dr M in July 2000 because she was unhappy with her previous primary care physician.
Ms J has an extensive psychiatric and comorbid medical history. She first had contact with a mental health care professional at the age of 22 after moving away from home and starting her first job. The transition precipitated extreme anxiety, and Ms J lost her sense of self-direction. She became extremely dependent on others and feared abandonment. When other changes and personal losses occurred, Ms J reacted with intense emotional instability, marked by depression and intermittent anger. She has had numerous, prolonged hospitalizations . . . [Full Text of this Article]
MS J: HER VIEWS
DR M: HER VIEWS
AT THE CROSSROADS: QUESTIONS FOR DR OLDHAM
Diagnosis, Etiology, Epidemiology, and Comorbidity Natural History and Course Diagnosis in a Primary Care Setting Treatment of Borderline Personality Disorder Recommendations for Ms J
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Oldham is Director, New York State Psychiatric Institute, New York, NY.
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