A 24 year girl named Heena is often flamboyantly dressed and goes out on dates frequently. Although she changed boyfriend almost monthly, but she used to plan her marriage and future with each of them with equal enthusiasm and optimism. She would often make stories to seek attention. She would feel uncomfortable at big parties leave them midway. Heena made promises to other people that were impossible to keep but seemed to be aimed at winning their approval; when she broke the promise, she usually made up a story designed to elicit sympathy and compassion. Diagnosis is –

**Core Concept**
Heena's behavior is indicative of a personality disorder characterized by a pervasive pattern of emotional dysregulation, impulsivity, and a need for approval, which leads to unstable and intense relationships.

**Why the Correct Answer is Right**
Heena's behavior is consistent with borderline personality disorder (BPD), which is marked by a history of unstable relationships, frequent changes in occupation and residence, and a pervasive pattern of emotional dysregulation. The key features of BPD include a pattern of unstable and intense interpersonal relationships, impulsivity, and recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior. Heena's behavior of changing boyfriends frequently, planning marriage with each of them, and making promises to win approval are all indicative of her unstable relationships and impulsivity.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because Heena's behavior is not indicative of histrionic personality disorder, which is characterized by excessive emotional expression and attention-seeking behavior, but Heena's behavior is more consistent with BPD.

**Option B:** This option is incorrect because Heena's behavior is not indicative of avoidant personality disorder, which is characterized by social avoidance and fear of rejection, but Heena's behavior is more consistent with BPD.

**Option C:** This option is incorrect because Heena's behavior is not indicative of dependent personality disorder, which is characterized by a need for others to assume responsibility for one's life, but Heena's behavior is more consistent with BPD.

**Option D:** This option is incorrect because Heena's behavior is not indicative of paranoid personality disorder, which is characterized by a pervasive distrust and suspiciousness of others, but Heena's behavior is more consistent with BPD.

**Clinical Pearl / High-Yield Fact**
A key feature of borderline personality disorder is the presence of dissociative symptoms, such as depersonalization and derealization, which can be triggered by stress or trauma. Heena's behavior of making up stories to seek attention may be indicative of her dissociative symptoms.

**Correct Answer:** D.

✓ Correct Answer: B. Histrionic personality disorder