Girl Interrupted Borderline Antisocial Personality Case Study PDF

Girl, Interrupted
Overview
It’s the 1960s. Susanna Kaysen, 19 years old, recently took an overdose of aspirin and
vodka, although she insists it was not a suicide attempt. She has been sent to Claymoore
for an extended hospital stay (common for this time period).
At Claymoore, Susanna meets other women on the ward with various psychiatric
problems. Lisa Rowe is one person Susanna gets to know well during her stay. Lisa is
erratic, acts tough, and doesn’t seem to care about anything.
You are a nurse working with both Susanna and Lisa.
Client name: Susanna Kaysen

Psychiatric diagnosis: Borderline Personality Disorder
*For the criteria supporting this diagnosis, please refer to the Diagnostic and Statistical
Manual of Mental Disorders, 5th edition, by the American Psychiatric Association, and/
or your Wolters Kluwer mental-health nursing textbook.
Date:
Your name: kristen dragmen
Name of the client you are assessing: Susanna Kaysen

Name of the movie: Girl, Interrupted
What is the chief complaint? (In the client’s words, and report of others)
Response:Susanna reports feeling “empty” She suffers from headaches, is fatigued,

and believes she needs “rest.” She has bruises on her wrists suggestive of self harm
and suicidal thoughts that she portrayed as “half-hearted attempt” to kill herself by
taking a bottle of aspirin with vodka. She struggled with self identity issues as she
experienced increasing pressure from her family to be normal and later described
herself as ambivalent in an effort to suggest that she just doesn’t care and is going to
do what she wants.
This study source was downloaded by 100000855992034 from CourseHero.com on 02-12-2024 08:08:14 GMT -06:00
https://www.coursehero.com/file/107659956/Girl-Interrupted-Borderline-Antisocial-Personality-Case-Studypdf/
Based on the above information and a close viewing of the movie, what questions would
arise during history taking? What are some possible answers? You might base your
questions on:
• History of the client’s illness.
• Psychosocial history.
• Family history or dynamics.
Response:When did these feelings start and what caused them? How do these
situations make you feel?
- She first notices her feeling in high school when she realizes she is different from
others. Her general disinterest and apathy is portrayed by her falling asleep at her
graduation ceremony. She continues to questions her identity and wether things
are real when she is mocked about her future plans to become a writer. When a
school administrator points out that she is the only one not attending attending
college she questions if she is crazy. She has had fantasies about suicide and
discusses death with a friend.
How is your relationship with your family? With peers? How does this make you
feel?
- Susanna displayed an intense and unstable relationships pattern with family,

friends, and loved ones, often swinging from extreme closeness and love to
extreme dislike or anger. The relationship Susanna has with her parents stems
from abuse, neglect and constant pressure to be normal. Susanna’s parents are
troubled because she isn’t going to college and embarrassed by her behavior
suggesting poor family dynamics. Susanna states she doesn’t have any close
girlfriends outside of the hospital and any relationship she has with men is sexual
in nature.
What observations do you have about the client’s behavior?
Response:
- She has the inability to understand that she has a probelm.
- Some behaviors of the disorder intensify briefly while she is
admitted such as poor
impulse control, ambivalent feelings, labile mood, taking reckless chances and breaking
rules at the facility.
- Susanna experienced extreme shifts in behavior and mood. In certain situations, she
appeared to be normal and could go on with her day to day life. Other times she acted
impulsively and did not care at all.
- Lisa has a very strong presence on Susanna suggesting Susanna conforms to people
around her
- Day to day consequences seem to have little effect on Susanna. She only responds to an
situation or major crises.
In your opinion, is the diagnosis discussed above correct?
Response: yes
What requirements does the client meet that support this diagnosis, based on DSM-5
criteria?
Response:
- impulsivity
- A pattern of unstable relationships
- Suicidal behavior
- Chronic feelings of emptiness
- Unstable self image
What treatment plan would you outline?
Response:Outpatient treatment; cognitive-behavioral therapy (thought-stopping,,

positive self-talk); family therapy to work on relationships with parents; group
therapy to build social skills; monitoring for suicidal ideas or self-harm urges;
journaling about feelings and experiences; support to pursue work, school, or both;
setting of life goals
With what expected outcomes?
Response:
- Be free of significant injury
- Find purpose in life
- Demonstrate increased impulse control
- Express feelings and emotions directly and clearly.
- Overcome emotional problems
- Report satisfactory relationships with others
Client’s name: Lisa Rowe
Psychiatric diagnosis: Antisocial Personality Disorder
*For the criteria supporting this diagnosis, please refer to the Diagnostic and Statistical
Manual of Mental Disorders, 5th edition, by the American Psychiatric Association, and/
or your Wolters Kluwer mental-health nursing textbook.
Date:
Your name:
Name of the client you are assessing: Lisa Rowe

Name of the movie: Girl, Interrupted
What is the chief complaint? (In the client’s words, and report of others)
Response:
Based on the above information and a close viewing of the movie, what questions would
you raise during history taking? What are some possible answers? You might base your
questions on: Past psychiatric history, treatment, treatment outcomes
Note: Past history of the illness, psychosocial history, and criminal history would be important areas to assess
with a client such as Lisa; however, the movie doesn’t give information about Lisa’s history prior to her stay at
Claymoore.
Response:
What observations do you have about the client’s behavior?
Response:
In your opinion, is the diagnosis discussed above accurate?
Response:
What requirements does the client meet that support this diagnosis, based on DSM-5
criteria?
Response:
What treatment plan would you outline?
Response:
With what expected outcomes?
Response:
Powered by TCPDF (www.tcpdf.org)

Girl Interrupted Borderline Antisocial Personality Case Study PDF

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Girl Interrupted Borderline Antisocial Personality Case Study PDF

Uploaded by

Copyright:

Available Formats

Girl, Interrupted

You are a nurse working with both Susanna and Lisa.

Client name: Susanna Kaysen

Your name: kristen dragmen

Name of the client you are assessing: Susanna Kaysen

Response:Susanna reports feeling “empty” She suffers from headaches, is fatigued,

- Susanna displayed an intense and unstable relationships pattern with family,

What observations do you have about the client’s behavior?

In your opinion, is the diagnosis discussed above correct?

What treatment plan would you outline?

Response:Outpatient treatment; cognitive-behavioral therapy (thought-stopping,,

With what expected outcomes?

Name of the client you are assessing: Lisa Rowe

What observations do you have about the client’s behavior?

In your opinion, is the diagnosis discussed above accurate?

What treatment plan would you outline?

With what expected outcomes?

You might also like