NRNP_6645 Therapy for Clients with Personality Disorders Essay

 NRNP_6645 Therapy for Clients with Personality Disorders Essay

 NRNP_6645 Therapy for Clients with Personality Disorders Essay

Therapy for Clients with Personality Disorders Essay

Personality disorders comprise multiple features and characteristics and are classified into three main clusters: A, B, and C (Zandersen & Parnas, 2019). People with disabilities in each cluster share essential features, such as quirky and unusual qualities. In cluster A, patients exhibit unusual or irregular conduct, which causes social issues. Cluster A conditions include schizotypal, paranoid, and schizoid personality disorders. Cluster B patients have chaotic and volatile personalities. Cluster B personality disorders are classified into four types: antisocial, borderline, histrionic, and narcissistic. Cluster C patients display scared and anxious characteristics. Cluster C personality disorder is classified into three types: avoidant, dependent, and obsessive-compulsive. The purpose of this paper is to describe paranoid personality disorder and to suggest the best treatment approach.

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Paranoid Personality Disorder

PPD (Paranoid Personality Disorder) is classified as Cluster B in the DSM-5. PPD is a personality condition in which people develop a persistent, widespread, and abiding suspicion of others. PPD affects around 2.3 to 4.4% of the overall population in the United States, with males being more affected than females (Perrotta, 2020). According to the DSM-V, a patient must exhibit at least four of the seven symptoms listed to be diagnosed with these illnesses. Symptoms include, always assuming that individuals are lying or using you without evidence, doubting others’ faithfulness and reliability, retaining information to themselves out of fear of being betrayed, believing that other people’s remarks are always heartfelt and threatening, feeling guilt, being always envious and distrustful of others, as well as continually whining (Ni & Wang, 2022). The etiology of PPD is unknown, however, there is minimal evidence that it is caused by biological or environmental causes. However, most individuals can benefit from psychotherapy if they are diagnosed early enough.

Therapeutic Approach

According to available evidence, most individuals with PPD can benefit considerably from CBT. When treating individuals with PPD, substantial emphasis is placed on a deeply rooted system of erroneous beliefs. Information bias reinforces paranoid ideas, and a lack of critical capabilities to confer adaptive traits (Köse & Erbaş, 2020). All of these elements are used in CBT sessions. The first stage in CBT for PPD patients is to acquire coping strategies to increase the patient’s belief in achieving the treatment objective. The therapist will use several tactics, such as self-reflection, to assist the client to modify their maladaptive ideas and interpret things in a more realistic and balanced manner. The patient will also learn interpersonal skills and other tactics to help change paranoid thinking to adaptive ones, resulting in relief and the capacity to have healthy relationships.        

Therapeutic Relationship

Most of the time, people with PPD regard others as the problem, with erroneous perspectives of others. This makes diagnosing and treating these people much more difficult. As a result, for excellent treatment outcomes, the therapist must establish therapeutic rapport and a positive connection with the patient (Köse & Erbaş, 2020). To establish a positive relationship with the patient, I would listen to him or her with compassion and without judgment. I would then explain the diagnosis and its implications in detail. I will collaborate with the client to develop therapy objectives. I will always consider the client’s suggestions and make them feel as though I am on their side. But in group therapy, I’ll inform the patient’s family about their sickness and what they can do to help the patient get better.

Conclusion

DSM-V has classified personality disorders into three groups. PPD belongs to Cluster A. This condition is difficult to handle since they already have a negative opinion of others. However, studies demonstrate that by using the most suitable therapy strategy, doctors may build a healthy and trustworthy connection with the client, resulting in the desired outcome.

References

Köse, S. S., & Erbaş, O. (2020). Personality disorders diagnosis, causes, and treatments. Demiroglu Science University Florence Nightingale Transplantation Journal, 5(1-2), 22–31. https://doi.org/10.5606/dsufnjt.2020.013

Ni, C., & Wang, Y. (2022, December). Negative Parenting Practices, Childhood Trauma, and Paranoid Personality Disorder. In 2022 6th International Seminar on Education, Management and Social Sciences (ISEMSS 2022) (pp. 2404-2413). Atlantis Press. https://doi.org/10.2991/978-2-494069-31-2_282

‌Perrotta, G. (2020). Borderline Personality Disorder: definition, differential diagnosis, clinical contexts, and therapeutic approaches. Ann Psychiatry Treatm, 4(1), 043-056. DOI:10.17352/apt.000020

Zandersen, M., & Parnas, J. (2019). Borderline personality disorder or a disorder within the schizophrenia spectrum? A psychopathological study. World Psychiatry, 18(1), 109–110. https://doi.org/10.1002/wps.20598

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THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS assignment information

Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.

RESOURCES

Required Readings

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
“Culture and Psychiatric Diagnosis”
Paris, J. (2015). Psychotherapies Links to an external site.. In A concise guide to personality disorders (pp. 119–135). American Psychological Association.
Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.
Chapter 18, “Dialectical Behavior Therapy for Complex Trauma”
Required Media

Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nurses Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw
Symptom Media. (2020). Histrionic disorder NP mental health continuing education Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=GJVRGofeV-w
Symptom Media. (2020). Narcissistic personality disorder online LPN CE credit CEU unit classes Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es
To prepare:

·       Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.

·       Select one of the personality disorders from the DSM-5-TR (e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.

THE ASSIGNMENT:

Succinctly, in 1–2 pages, address the following:

·       Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.

·       Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.

·       Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship.

·       Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources.

Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

NRNP_6645_Assignment_Rubric

Criteria      Rating       Pts

This criterion is linked to a Learning Outcome

Succinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.

15 to >13.0 pts

Excellent 90%–100%

The response includes an accurate and concise description of the personality disorder, including the DSM-5-TR diagnostic criteria.

15 pts

• Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.

25 to >22.0 pts

Excellent 90%–100%

The response includes an accurate and concise explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes a concise explanation of why the approach and modality were selected, with strong justification for why they are appropriate for the disorder.

25 pts

• Briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

30 to >26.0 pts

Excellent 90%–100%

The response includes an accurate and concise explanation of the therapeutic relationship in psychiatry…. The response clearly and concisely explains an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions.

30 pts

Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached.

15 to >13.0 pts

Excellent 90%–100%

The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.

15 pts

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 to >4.0 pts

Excellent 90%–100%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineates all required criteria.

5 pts

Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation.

5 to >4.0 pts

Excellent 90%–100%

Uses correct grammar, spelling, and punctuation with no errors.

5 pts

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent 90%–100%

Uses correct APA format with no errors.

5 pts

Total Points: 100

Please be sure to attach the articles used for this assignment.