Clinicians in Medicine / Internal Medicine — 24yo Woman | Psychiatry | SMLE Q#1495

A 24-year-old woman is brought to the emergency department after making superficial cuts on her wrist after her psychotherapy session was rescheduled. She reports intense fear that her therapist will stop seeing her. She describes unstable, intense relationships, rapid mood shifts, chronic feelings of emptiness, and episodes of intense anger when she feels rejected. She has a history of recurrent self-injury. Staff report she gives different accounts of interactions with clinicians, creating conflict within the team. During acute distress, she briefly reports hearing a voice but later denies it. What is the most likely personality disorder?