Dr. Ramchandra Lamba
Psychiatry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My partner has received a diagnosis of borderline personality disorder. She has been suspended from work on an allegation of a serious breach of health and safety, which could lead to dismissal. We are trying to investigate whether her diagnosis could have impacted her actions. She has sent a fitness program to a client for them to carry out at home when the process is for them to come into the leisure center and somebody go through the program with them. These clients have high-risk health conditions. My partner has done this, but in her view was only trying to be helpful to the woman and did not realize that this was not allowed. In your opinion, could her BPD have impacted her actions?
Hello,
]Welcome to icliniq.com.
I have gone through your problem and understand your concern. Yes, Borderline personality disorder can impact her behavior. Also, there can be micropsychotic episodes in a BPD person. If they are present, it can affect her behavior drastically. So, it depends on whether she has such an episode or not; also, sometimes, the behavior is out of proportion to that situation in a BPD person. Hope this helps you. Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
So, in your professional opinion, would it be difficult for her employer to prove that the specific disciplinary issue relating to the breach in Health and Safety with the home fitness program was not related to her BPD?
Hello,
Welcome back to icliniq.com.
Yes, it is difficult to separate a particular behavior. A particular behavior can be due to an error of judgment or it could be related to BPD (borderline personality disorder). So basically, it becomes quite difficult to separate any behavior or to label if it was due to BPD or due to an error of judgment. Hope it clears your concern. Thank you.
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Psychiatry
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