When he was 8 years old, he was sent by his parents to an overseas boarding school, describing that period as "being forgotten by the world." At the age of 13, he started self-harming behaviors (snapping a rubber band on his wrist, pinching himself).
He had two brief experiences with psychological consultation, both terminated after 3-4 sessions due to "feeling the therapist was stupid and couldn't understand me."
His artworks often center on themes of "fragmented self-images."
[Questions:
1. Please provide your preliminary diagnosis and list at least three core diagnostic criteria. Note: This case requires precise differentiation from bipolar disorder. Please elaborate on your differential diagnosis approach.
2. How would you deliver risk notifications regarding her "unprotected behavior" and "speeding late at night"? Please specifically outline what you would say to the visitor.
3. How would you handle the expensive gift she gives you?
