A 24-year-old woman with chronic self-harm presents after superficial cutting following an argument. She denies intent to die now, has a safety plan

Question

A 24-year-old woman with chronic self-harm presents after superficial cutting following an argument. She denies intent to die now, has a safety plan and wants help regulating emotions. Which of the following is the most appropriate longer-term treatment approach?

Accepted Answer

Structured psychotherapy such as dialectical behaviour therapy with crisis planning

Answer

Long-term benzodiazepines as primary therapy

Answer

Admit indefinitely for all future distress

Answer

Exclude her from care because self-harm is behavioural

Answer

Focus only on wound closure and avoid mental health follow-up

Borderline personality disorder crisis — MCCQE Part 1 MCQ

A 24-year-old woman with chronic self-harm presents after superficial cutting following an argument. She denies intent to die now, has a safety plan and wants help regulating emotions. Which of the following is the most appropriate longer-term treatment approach?