Natalie is a 33-year-old with borderline personality disorde…

Questions

Nаtаlie is а 33-year-оld with bоrderline persоnality disorder who is being admitted to a psychiatric unit. She has a history of self-harm and most recently poured drain cleaner on her thighs. Other nonsuicidal self-injurious behavior includes cutting and burning herself with cigarettes. She reports that her first psychiatric hospitalization was at the age of 8. When asked about using the drain cleaner, Natalie asks for her partner to leave the room and tells the nurse, “Nobody listens. Nobody stays. I didn’t want her to leave me.” The patient also expresses “hating herself” and being “too ugly to love.” She denies suicidal ideation and has no history of suicidal thoughts or actions. Natalie is accompanied to the intake assessment by her partner, Lindsay, who pulls the registered nurse aside while Natalie is getting blood drawn. She said, “I think you should know that Natalie has been binge eating and engaging in risky behaviors such as thrill driving.” Lindsay expresses her frustration, “One day she thinks I’m the best thing ever. The next day she despises me. I never know where I stand.” The partner reports that Natalie has sudden outbursts of intense anger, disregard for personal boundaries, and extreme dependence on others. The partner says, “I can’t be everything to her.”      Choose the most likely options to complete the following statement. In her relationship with her partner, Natalie displays _________ characterized by the _________ when she _________.