Charlene's parents have been concerned about her for quite some time. After her recent suicide attempt, they sought professional help. They told the therapist that Charlene often goes into uncontrollable rages for no apparent reason. She has intense fluctuations in her mood, self-image, and interpersonal relationship, being extremely friendly one minute, then mean and hostile the next. She sometimes hears voices, although she's aware they are imaginary. What is the most likely diagnosis for Charlene?

Question

Quizplus · Accepted Answer

Charlene's symptoms, including intense mood fluctuations, unstable self-image, and difficulty in maintaining stable interpersonal relationships, along with episodes of uncontrollable rage and a suicide attempt, are characteristic of borderline personality disorder (BPD). Hearing voices, even with the awareness that they are imaginary, can also occur in BPD, though it is more commonly associated with psychotic disorders; in the context of BPD, these symptoms can be part of transient stress-related paranoid ideation or severe dissociative symptoms.

Charlene's Parents Have Been Concerned About Her for Quite Some