26th April 2024

A 30-year-old woman frequently experiences intense emotions, which she finds difficult to control.

A 30-year-old woman frequently experiences intense emotions, which she finds difficult to control. She describes her relationships as “rollercoasters,” with partners often being idealised initially and then quickly devalued. She has a history of self-harming behaviours and admits to feelings of emptiness. Recently, she quit her job impulsively after a minor disagreement with a colleague. She struggles with a chronic fear of abandonment and has made several impulsive attempts to prevent perceived rejection. Her mood swings rapidly, with intense periods of anger, sadness, and anxiety.

Which is the most likely diagnosis?