A 20-year-old woman is brought into the clinic by her mother, who is asking for an antidepressant for her daughter. The daughter is crying and refuses to answer questions. Her mother says she is “very depressed” and “doing scary things.” When asked to explain specifics of her daughter’s behavior, the mother states that her daughter frequents bars and picks up men for sex. She is also drinking heavily. The daughter recently wrecked a car belonging to her father. When confronted about the accident, the daughter became very angry and screamed at her father. At other times, her daughter is withdrawn and doesn’t want to talk to anyone. She is unable to hold down a job or keep friends. She does not like being alone. In the past, she has cut herself with razor blades, making small incisions on her arms and legs. She has also expressed thoughts of suicide. Although she has seen a psychiatrist, the daughter will not take her medications as prescribed. What is the most likely diagnosis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 20-year-old woman is brought into the clinic by her mother, who is asking for an antidepressant for her daughter. The daughter is crying and refuses to answer questions. Her mother says she is “very depressed” and “doing scary things.” When asked to explain specifics of her daughter’s behavior, the mother states that her daughter frequents bars and picks up men for sex. She is also drinking heavily. The daughter recently wrecked a car belonging to her father. When confronted about the accident, the daughter became very angry and screamed at her father. At other times, her daughter is withdrawn and doesn’t want to talk to anyone. She is unable to hold down a job or keep friends. She does not like being alone. In the past, she has cut herself with razor blades, making small incisions on her arms and legs. She has also expressed thoughts of suicide. Although she has seen a psychiatrist, the daughter will not take her medications as prescribed. What is the most likely diagnosis?