Personality disorders Quiz: Ace Your Exams

A 23-year-old person is hospitalized because of suicidal ideation. They describe a deep sense of emptiness and sadness for the past two weeks, since the end of their relationship. They were brought to the emergency department one month ago by their partner after ingesting multiple acetaminophen tablets, and they have been admitted to the hospital several times in the past few months after attempted self-harm. They claim that their ex-partner is “extremely selfish” and “does not care for me.” They feel betrayed by their partner and want their partner to pay attention to them. The patient’s parent, who is accompanying them, states that the patient is prone to outbursts of physical aggression, mood swings, and feelings of insecurity about themself. The mood swings last a few hours and can vary from states of “exuberance and affection” to states of “depression.” On physical examination, the patient appears anxious and tearful. The rest of the examination is otherwise unremarkable. The physician decides to initiate a therapy that focuses on stress tolerance, coping skills development, emotional regulation, self-management, and suppression of secondary gain. Which of the following forms of therapy was most likely initiated?