Mindanao State University – Iligan Institute of Technology

COLLEGE OF NURSING
Psychiatric Nursing

Name: Camille C. Sinday Date: February 6, 2022

Block: DDD

Instructions: Answers must be handwritten. Write legibly. Upload this activity in the

MOLE.

Case Study - Personality Disorders

1. Frank, age 28, is engaged in ongoing supportive therapy through the outpatient clinic.
He was diagnosed with a personality disorder when he was 20 years old. His history is
significant for limited and unstable relationships with others. He is estranged from his
family after they endured years of his manipulative behavior. Frank’s sister describes it
in these words: “He will pull us in tightly by some urgent emergency––usually a suicide
attempt—and then abruptly push us all away telling us we don’t understand him and
never care enough to try to help. We just can’t go through this anymore. My parents
have had enough. It’s ruined their marriage.” His assessment shows that his mood and
affect are labile and volatile. He is impulsive, having attempted suicide on seven different
occasions over the past 2 years. Frank reports frequently engaging in unsafe behavior
with prostitutes, and he has several homemade tattoos on his arms, back, and neck.

a. The behaviors Frank exhibits are associated with which personality disorder?
Borderline Personality Disorder

b. What interventions would be most useful to implement when working with Frank in the
outpatient clinic?
The following are interventions that would be most useful to implement for Frank
in the outpatient clininc:
 Ask questions with regards to suicide
 Have the client sign a no-harm agreement
 Educate about thought stopping techniques
 Mindanao State University – Iligan Institute of Technology
COLLEGE OF NURSING
Psychiatric Nursing
 Assist client in de-catastrophizing the circumstance
 Have the family be educated about the situation
 Improve social abilities
 Reconstruction of time