Sarah, a 25-year-old marketing assistant, has a tumultuous i…
Sarah, a 25-year-old marketing assistant, has a tumultuous interpersonal history. Her mood can shift dramatically—from joyous to despairing—within the span of a few hours. When she starts dating someone new, she initially idealizes them as her “soulmate” but becomes fiercely possessive. If her partner takes too long to reply to a text, she instantly fears abandonment, accuses them of cheating, and cyclically sends angry, hateful messages followed by desperate, self-deprecating apologies. This emotional distress often leads to impulsive behaviors, such as reckless spending or abruptly quitting a job, driven by a persistent, deep-seated feeling of emptiness. This recurring, unstable pattern of emotional volatility, intense fear of abandonment, and identity disturbance is most characteristic of which personality disorder?
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