A 16 year old girl was brought to the psychiatric emergency after she slashed her wrists in a suicide attempt. On enquiry, her father revealed that she had made several such wrist-slashing attempts in the past, mostly in response to trivial fights at home. She also has marked mood fluctuations with a pervasive pattern of unstable interpersonal relationships. What is the most probable diagnosis?

Question

Image below highlights jugular foramen. Which of the following structures do not pass through the marked structure “A”?

Answer 1

A 16 year old girl has cut her wrists more than once, often after small fights at home, and also shows big mood swings and a long pattern of rocky relationships. The question asks which diagnosis fits this picture best.

Borderline personality disorder: Marked by repeated impulsive self-harm, sharp mood swings, and a lasting pattern of unstable relationships, which is exactly what is described here.
Major depression: Usually causes a suicide attempt during a low mood episode, but does not by itself explain a repeated pattern of self-harm set off by minor quarrels, or ongoing relationship instability.
Histrionic personality disorder: Centres on being overly dramatic and craving attention, not on repeated cutting behaviour and unstable relationships.
Adjustment disorder: A reaction limited to one clear stressor over a short time, not a long repeating pattern seen across many episodes.

The repeated wrist-slashing tied to trivial conflicts, along with mood instability and unstable relationships that run through her life, are the hallmark triad of borderline personality disorder.

Let's summarize:

Recurrent impulsive self-harm is a core feature of borderline personality disorder.
Unstable mood and unstable relationships that persist over time support this diagnosis over a single depressive episode.
Histrionic personality disorder and adjustment disorder do not match the repeated self-harm pattern described.

So the correct answer is borderline personality disorder.

Answer 2

A 16 year old girl has cut her wrists more than once, often after small fights at home, and also shows big mood swings and a long pattern of rocky relationships. The question asks which diagnosis fits this picture best.

Borderline personality disorder: Marked by repeated impulsive self-harm, sharp mood swings, and a lasting pattern of unstable relationships, which is exactly what is described here.
Major depression: Usually causes a suicide attempt during a low mood episode, but does not by itself explain a repeated pattern of self-harm set off by minor quarrels, or ongoing relationship instability.
Histrionic personality disorder: Centres on being overly dramatic and craving attention, not on repeated cutting behaviour and unstable relationships.
Adjustment disorder: A reaction limited to one clear stressor over a short time, not a long repeating pattern seen across many episodes.

The repeated wrist-slashing tied to trivial conflicts, along with mood instability and unstable relationships that run through her life, are the hallmark triad of borderline personality disorder.

Let's summarize:

Recurrent impulsive self-harm is a core feature of borderline personality disorder.
Unstable mood and unstable relationships that persist over time support this diagnosis over a single depressive episode.
Histrionic personality disorder and adjustment disorder do not match the repeated self-harm pattern described.

So the correct answer is borderline personality disorder.

Show Hint

The Correct Option is A

Solution and Explanation

Questions Asked in NEET (PG) exam