A 22-Year-Old Woman Is Hospitalized Due to Suicidal Ideation

A 22-year-old woman is hospitalized due to suicidal ideation.  The patient describes feelings of intense sadness, emptiness, and despair for the past week following the breakup of her month-long romantic relationship.  For the past week, she has had difficulty falling and staying asleep but has had no change in appetite, energy level, or concentration.  She feels betrayed by her boyfriend and is furious at her parents for turning against her.  Since the breakup, the patient has been going to bars, engaging in unsafe sex, and drinking excessively.  She describes having intense mood swings since adolescence and has a history of 2 suicide attempts involving an overdose of sleeping pills.  Which of the following is the most likely diagnosis?

A) Bipolar II disorder
B) Borderline personality disorder
C) Dependent personality disorder
D) Histrionic personality disorder
E) Major depressive disorder
F) Paranoid personality disorder
G) Substance-induced mood disorder

Correct Answer:

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