The patient is 55 years old and has borderline personality disorder as well as Major Depressive Disorder. It is a mental illness in which she has the following problems.
- Addiction issues
- Strokes her family
- Stopped taking medication
- Utilizes high dosages of alcohol and drugs
- Highly depressed
- Oversleeps and over-rests
- Unsocial and isolated
It is highly required to help her out as currently, she is willing to take any kind of therapy and is open to joining any appropriate groups.
Goals
The major goals would be to completely eliminate the symptoms of being overtired and feeling depressed. Moreover, the patient would start socializing, and the isolation would be decreased completely. The improvement of health would also be an important factor, and the main goal of engaging patients in social groups would be to build motivation.
Objectives
The main objective is to make the patient accept the changes that will occur in her life due to the therapies. Moreover, dialogue focusing on reality is also required, rather than always being in bed. The treatment and therapies’ objectives would include improving interpersonal skills, enhancement of emotions, and observance without any reaction. It will help the doctors to create a livelihood for the patient.
Group Therapy 1
One of the most effective therapies is psychotherapy in the group setting. Therapist-led group sessions are conducted in which the patient slowly interacts with others. Dialectical Behavior Therapy is one of the best therapies in which the patient is supposed to control intense emotions, improve relationships, and reduce self-destructive behavior. Breathing exercises and yoga would greatly help, and this kind of group would be highly beneficial.
Potential benefit
DBT has the potential to provide mindfulness, focus improvement, activeness, and emotional regulation. These improvements will open the patient’s mind to understand and feel the details around her, and she will question things and events. The meaning of this phrase is that she will become a normal person.
Potential drawback
There are potential drawbacks to this therapy in that if it is implemented completely on the first day, the patient to get the cure will completely die. Afterward, there would be no use in engaging the patient in the therapy because, in his alone time, she will start practicing her destructive habits in which over-resting and drugs would be listed.
Group therapy 2
Since the patient has problems with isolation and resting, adjuvant therapy would be required. In this therapy, the patient will have adjuvant care, which means the patient will have an assistant who will take extra care of her. This patient is over 50 years old, and at this age, she will not be left alone, so he will find someone to talk to, share her feelings, and discuss her hopes for life.
Potential benefit
The benefits will be long-lasting, as the therapy would be succeeded, the patient will not be able to live alone and will definitely final social connections and will get back to a normal life which is necessary for her to live like a social person.
Potential drawback
The patient will feel tired and unable to keep the therapy. Her sleeping habits will be changed, which would cause difficulty for her to keep normal and would insult the person who is performing the therapy.
References
Tay, S. A., Hulbert, C. A., Jackson, H. J., & Chanen, A. M. (2017). Affective and cognitive theory of mind abilities in youth with borderline personality disorder or major depressive disorder. Psychiatry research, 255, 405-411.
Streeter, C. C., Gerbarg, P. L., Whitfield, T. H., Owen, L., Johnston, J., Silveri, M. M., … & Hernon, A. M. (2017). Treatment of major depressive disorder with Iyengar yoga and coherent breathing: A randomized controlled dosing study. The Journal of Alternative and Complementary Medicine, 23(3), 201-207.
