Psychiatric Interviews for Teaching: Self-Harm

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University of Nottingham
Published at : 14 Dec 2020
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In this film, you see a psychiatrist who works in the liaison psychiatry department seeing a patient who has recently been treated in the emergency department for wrist lacerations. The lacerations were self-inflicted after a relationship ended.

The patient describes an emotional response to the end of a relatively short-lived relationship. She also gives a history of cutting since her teenage years and she is aware that she uses cutting to manage difficult emotions. She describes very low self-esteem and also some past alcohol misuse and binge/purge behaviours. She gives an account of hearing voices that are inside her head. There appears to be a pattern in her relationships of rapid attachment and then a strong sense of abandonment when they end. Towards the end of the interview, the patient appears to re-play this pattern in her relationship with the psychiatrist. However, the psychiatrist maintains a firm boundary.

This patient displays features of Emotionally Unstable Personality Disorder of the Borderline type. We may speculate that the origins of her problems lie in her childhood experiences.

Please note that this video has been made by the University of Nottingham for teaching purposes. The psychiatrist is a real psychiatrist but the patient is played by an actor.
Medicine And Health Sciencesself-harmdoctor-patient interviews

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