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Transcript of The Roommate
Resources With 7 out of 9 of the criteria, Rebecca Evans can be diagnosed with Borderline Personality Disorder Movie Overview Psychological Thriller about two friends - Rebecca Evans &
Sara Matthews Rebecca develops an obsession to isolate Sara Stabs Sara's friend Tracy
Seduces Sara's professor
Puts Sara's cat in the dryer Sara, disturbed of Rebecca's behavior found clues that made her realize Rebecca was not stable Rebecca grew increasingly hostile.
She impersonates Sara and threatens to kill Sara's ex-boyfriend At the end, Sara ultimately realizes Rebecca's sickness and kills her to save herself and her loved ones Proposed Diagnosis Borderline Personality Disorder A disorder in which individuals are having difficulties in regulating their emotions Prevalence: Distributed equally for both men and women Symptoms (in general):
Highly unstable social relationships
Shifting attachment and anger
Distorted thoughts DSM-IV lists 9 criteria, 5 of which must be met to diagnose BPD Resources 1. Frantic efforts to avoid real or imagined abandonment.
2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. 3. Identity disturbance: markedly and persistently unstable self-image or sense of self.
4. Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, excessive spending, eating disorders, binge eating, substance abuse, reckless driving). 5. Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars or picking at oneself (excoriation). 6. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days)
7. Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights). Causes Unknown but many theories exist
Biopsychosocial model of causation
However, studies show the disorder could be "passed down" Causes could be from biological, genetic, psychological and environmental factors Dialectical Behavior Therapy (DBT)
Schema Focused Therapy
Mentalization Based Therapy
Transference Focused Psychotherapy