: Karen displays extreme emotional reactions at the hint of perceived
abandonment in a relationship. There is a history of unstable and intense interpersonal relationships,
impulsive behaviors, and recurrent suicidal gestures.
Diagnostic Impression: Borderline Personality Disorder
Long-Term Goal: (substance abuse, cutting, and suicidal behaviors).
: Reduce the frequency of maladaptive behaviors, thoughts, and feelings.
Intervention 1: Dr. Banks will outline the process of .
Intervention 2: Karen will commit to attending group behavioral skills training and individual
Intervention 3: Karen will participate in imaginal exposure to trauma, until the memories no
longer cause marked distressed.
For additional information regarding Karens case history and the outcome of the treatment interventions,
please see Dr. Banks session notes under Case 15 in Gorenstein and Comers (2015), Case Studies in
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