Personality Disorders Assignment

Personality Disorders Assignment

Personality Disorders Assignment: I cannot believe these people. Don’t they know who I am? I deserve better treatment than this. That hostess should have seated me immediately, but I had to wait for 10 minutes and then she put me at this table right by the kitchen. I see an empty table right in the middle where I should be. I am just going to get up and move there. I don’t care what the hostess says, rules don’t apply to me.

Personality Disorders Assignment

Ashley, age 25

Personality disorders represent perhaps the most challenging disorders that the psychiatric mental health nurse practitioner will have to address in their professional careers. Personality disorders can co-occur in every mental health disorder and, in some cases, can mask as disorder . Although difficult to treat, the PMHNP must be able to identify personality disorders and endeavor to work with the client to not only recognize the disorder, but to treat a disorder that clients often do not believe they have.

This week, you will explore the many personality disorders and use the DSM-5 criteria for diagnosing individuals with specific personality disorders. You will use the Decision Tree format to diagnose and treat a client with a personality disorder.

Discussion on Personality Disorders Assignment: Treatment of Personality Disorders

Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less

likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research.

Students will:

· Analyze diagnostic criteria for personality disorders

· Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

· Analyze clinical features of clients with personality disorders

· Align clinical features with DSM-5 criteria

· Compare differential diagnostic features of personality disorders

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

                                                                 ASSIGNMENT

· Explain the diagnostic criteria for your assigned personality disorder (PLEASE CHOOSE ANY PERSONALITY DISORDER OF YOUR CHOICE IN MENTAL HEALTH )

· Explain the evidenced-based psychotherapy and psychopharmacologic

treatment for your assigned personality disorder.

· Describe clinical features from a client that led you to believe this client had this

disorder. Align the clinical features with the DSM-5 criteria.

· Support your rationale with references to the Learning Resources or other

academic resources.

                                                                     Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 4, “Theories of Personality and      Psychopathology” (pp. 151–191)
• Chapter 22, “Personality Disorders” (pp. 742–762)
• Chapter      13, “Psychosomatic Medicine” (pp. 451–464)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

• Chapter 68, “Paranoid, Schizotypal, and Schizoid      Personality Disorders”
• Chapter 69, “Antisocial Personality Disorder”
• Chapter 70, “Borderline Personality Disorder”
• Chapter 71, “Histrionic Personality Disorder”
• Chapter 72, “Narcissistic Personality Disorder”
• Chapter 73, “Cluster C Personality Disorders

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

• “Personality Disorders”

Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders. Psychiatry: Interpersonal & Biological Processes, 76(1), 32–52. doi:10.1521/psyc.2013.76.1.32

Rees, C. S., & Pritchard, R. (2015). Brief cognitive therapy for avoidant personality disorder. Psychotherapy, 52(1), 45–55. doi:10.1037/a0035158

                                                      Required Media

Laureate Education. (2017a). A woman with personality disorder. Baltimore, MD: Author.

Kernberg, O. (n.d.). Psychoanalytic psychotherapy for personality disorders: An Interview with Otto Kernberg, MD. [Video file]. Mill Valley, CA: Psychotherapy.net

 

Therapy for Clients with Personality Disorders

Personality disorders can be described as a group of mental conditions where the patient presents with rigid patterns of certain behavior and thoughts for a longer time. The fifth, most recent version of the DSM-5 described 10 different types of personality disorders that are diagnosable as psychiatric conditions in three different clusters (Winsper et al., 2020). Schizotypical, schizoid, and paranoid personality disorders belong to cluster A, narcissistic, histrionic, borderline, and antisocial personality disorders belong to cluster B, and finally, obsessive-compulsive, dependent, and avoidant personality disorders belong to cluster C. The purpose of this discussion is to describe paranoid personality disorder and provide the most appropriate cause of action for a patient diagnosed with this disorder.

Paranoid Personality Disorder

Paranoid personality disorder (PPD) is the first personality disorder listed by DSM-5 under cluster A. It is normally diagnosed in people who have a persistent, pervasive, and enduring mistrust of other people, with a strong cynical view of other people and the entire world (Grenyer et al., 2018). PPD patients usually find a hard time getting along with other people as they normally tend to do poorly in collaborative or group work. Patients with PPD have the capability of developing brief psychotic reactions when put under stress. However, PDD patients are not recommended antipsychotic medications, but rather psychotherapy, since there are no typical gross deficits in reality testing.

Therapeutic Approach

            No specific treatment option has been provided by the DSM-5 for the treatment of PPD. However, the American Psychiatric Association among other psychiatric organizations recommends the use of CBT (Cognitive Behavioral Therapy) as the most effective treatment for patients with PPD (Preti et al., 2020). The management of this disorder mainly entails a profoundly ingraining system of maladaptive beliefs, strengthening of paranoid beliefs due to biases of information, and a lack of adaptation skills. Interventions through CBT have the potential of amending all of these features. PPD patients usually view other people as the problem in every situation. This usually makes it hard to enter into treatment with them. As such, to promote positive outcomes with CBT, developing therapeutic rapport and trust is key.

Therapeutic Relationship

The therapeutic relationship can be defined as the qualities of optimal interpersonal behavior and experience between the therapist and the patient involving masterful communication, concentration, and enjoyment, with a significant impact on the involvement and performance of the patient in therapy (Saleh, 2022). Maintaining a good and healthy therapeutic relationship is key to promoting positive outcomes. Since patients with PPD already see others as the problem, the therapist needs to display appropriate communication skills, both verbal and non-verbal, with great understanding and empathy, without being judgmental when disclosing the diagnosis to the patient. The patient should be given enough time to think through the symptoms before accepting the diagnosis. Communicating the patient’s diagnosis, especially for those who are minors, to their family members is quite crucial as they play an important role in helping the patient recover. Communicating the diagnosis to them is however different as they need to understand that this is just a mental disorder that can be managed, hence they need to support the patient rather than discriminate against them.

Conclusion

Personality disorders are normally diagnosed among individuals who present certain patterns of strange behavior, that society view as abnormal. For instance, with PPD patients will normally view other people as the problem most of the time, making it difficult for them to properly engage in group or team activities and collaborations. However, since there is no specific measurable deficit, no psychotropic medication has been recommended for these patients. Studies however show that CBT has displayed great effectiveness in the management of PPD, with a well-developed therapeutic rapport and trust.

 

 

References

Grenyer, B. F., Lewis, K. L., Fanaian, M., & Kotze, B. (2018). Treatment of personality disorder using a whole of service stepped care approach: a cluster randomized controlled trial. PloS one, 13(11), e0206472.

Preti, E., Di Pierro, R., Fanti, E., Madeddu, F., & Calati, R. (2020). Personality disorders in time of the pandemic. Current psychiatry reports, 22(12), 1-9. https://doi.org/10.1007/s11920-020-01204-w

Saleh, S. A. (2022). Defense mechanisms and personality disorders. In the Psychology of Consciousness: Theory and Practice (pp. 57-79). Springer, Cham.

Winsper, C., Bilgin, A., Thompson, A., Marwaha, S., Chanen, A. M., Singh, S. P., … & Furtado, V. (2020). The prevalence of personality disorders in the community: a global systematic review and meta-analysis. The British Journal of Psychiatry, 216(2), 69-78. doi:10.1192/bjp.2019.166