THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS
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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
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.
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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
· 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
· Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nursesLinks to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw
· Symptom Media. (2020). Histrionic disorder NP mental health continuing educationLinks 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 classesLinks to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es
Rubric
NRNP_6645_Week10_Assignment_Rubric
NRNP_6645_Week10_Assignment_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeSuccinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
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.
13 to >11.0 pts
Good 80%–89%
The response includes an accurate description of the personality disorder, including the DSM-5-TR diagnostic criteria.
11 to >10.0 pts
Fair 70%–79%
The response includes a somewhat vague or inaccurate description of the personality disorder, including the DSM-5-TR diagnostic criteria.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
10 to >0 pts
Poor 0%–69%
The response includes a vague or inaccurate description of the personality disorder, including the DSM-5-TR diagnostic criteria.
15 pts
This criterion is linked to a Learning Outcome• 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
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.
22 to >19.0 pts
Good 80%–89%
The response includes an accurate explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes an explanation of why the approach and modality were selected, with adequate justification for why they are appropriate for the disorder.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
19 to >17.0 pts
Fair 70%–79%
The response includes a somewhat vague or inaccurate 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 vague or inaccurate explanation of why the approach and modality were selected, with a somewhat vague or inaccurate justification for why they are appropriate for the disorder.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
17 to >0 pts
Poor 0%–69%
The response includes a vague or inaccurate explanation of a therapeutic approach and a modality that could be used to treat a client presenting with this disorder. Or, response is missing…. The response includes a vague or inaccurate explanation of why the approach and modality were selected, with poor justification for why they are appropriate for the disorder. Or, response is missing.
25 pts
This criterion is linked to a Learning Outcome• 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
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.
26 to >23.0 pts
Good 80%–89%
The response includes an accurate explanation of the therapeutic relationship in psychiatry…. The response adequately 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
23 to >20.0 pts
Fair 70%–79%
The response includes a somewhat vague or incomplete explanation of the therapeutic relationship in psychiatry…. The response provides a somewhat vague or incomplete explanation of 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
20 to >0 pts
Poor 0%–69%
The response includes a vague and inaccurate explanation of the therapeutic relationship in psychiatry. Or, response is missing…. The response provides a vague or incomplete explanation of 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. Or, response is missing.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
30 pts
This criterion is linked to a Learning Outcome· 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
13 to >11.0 pts
Good 80%–89%
The response is supported by examples from this week’s media and three peer-reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached.
11 to >10.0 pts
Fair 70%–79%
The response is supported by examples from this week’s media and two or three peer-reviewed, evidence-based sources from the literature. Examples and resources selected may provide only weak support for the rationale provided. PDFs may not be attached.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
10 to >0 pts
Poor 0%–69%
The response is supported by vague or inaccurate examples from the week’s media and/or evidence from the literature, or is missing.
15 pts
This criterion is linked to a Learning OutcomeWritten 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.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
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.
4 to >3.5 pts
Good 80%–89%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
3.5 to >3.0 pts
Fair 70%–79%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic.
3 to >0 pts
Poor 0%–69%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
5 to >4.0 pts
Excellent 90%–100%
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.5 pts
Good 80%–89%
Contains 1 or 2 grammar, spelling, and punctuation errors.
3.5 to >3.0 pts
Fair 70%–79%
Contains 3 or 4 grammar, spelling, and punctuation errors.
3 to >0 pts
Poor 0%–69%
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows the correct APA format for the 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 the correct APA format with no errors.
4 to >3.5 pts
Good 80%–89%
Contains 1 or 2 APA format errors.
3.5 to >3.0 pts
Fair 70%–79%
Contains 3 or 4 APA format errors.
3 to >0 pts
Poor 0%–69%
Contains many (≥ 5) APA format errors.
5 pts
Total Points: 100
Therapy for Clients with Personality Disorders Comprehensive Essay Example
Personality involves a way of reasoning, feeling, and behaving that distinguishes an individual from another. The environment, life experiences, and inherited attributes influence personality, which is perceived as constant over time. A personality disorder refers to an impaired way of thinking, feeling, and behaving, which deviates from the expectations of the person and the culture, leading to functionality issues and distress, and can be long-lasting without treatment. This paper discusses paranoid personality disorder.
Paranoid Personality Disorder and the DSM-5-TR Diagnostic Criteria
Paranoid personality disorder (PPD) is in Cluster A of personality disorders, which entail odd or eccentric approaches to reasoning. PDD occurs when a person demonstrates a pervasive pattern of suspecting other people and perceiving them as spiteful. Individuals suffering from PPD frequently assume that other people intend to harm or deceive them and cannot confide in other individuals or develop a trusting relationship (Jia, 2023). Generally, PDD patients experience paranoia, which is unrelenting and has no concrete reason. The disorder typically starts in early adulthood and is more common in men than women. Per the DMS-5 criteria, individuals with PDD tend to be hypervigilant to other people’s physical, verbal, or social attacks and never develop trust, hence having few close friends or intimate partners. The pervasive suspicion of others makes them argumentative, distant, aloof, and constant complainants. These individuals are highly guarded and secretive, appear unemotional, hostile, and rigid, and tend to employ sarcasm (Bhandari, 2022). Conclusively, getting along with people, engaging in group activities, or collaborative projects can be challenging with PDD because these individuals are highly critical of others but fail to take criticism well, becoming overly defensive and hostile.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
Therapeutic Approach and Modality
Individuals with PDD are less likely to seek treatment by themselves because they fail to see the problem in them or their role in problems. However, in case a person seeks treatment, psychotherapy is the first line of treatment. Behavioral therapeutic approach is more appropriate in this case because it focuses on behavior and thought patterns impacting behavior. With this approach, the therapist will first help the client find the cause of the symptoms and ways to relieve the symptoms (Nakao et al., 2021). The approach will delve into helping the client recognize the symptoms when they occur and the associated thinking patterns, and what alternative thoughts can create new, positive feelings. The therapeutic modality suitable for this case is cognitive behavioral therapy (CBT), the first treatment option for personality disorders, including PDD. A case study by Fard and Rad (2019) revealed that CBT can effectively treat PDD. The therapist will focus on helping the individual develop appropriate coping skills and improve social interaction, communication skills, and self-esteem. The therapist works closely with the client to identify situations or variables that trigger distrust, fear, and paranoia and develop a plan to help minimize paranoid thoughts and elevate the quality of life. The primary focus is on negative or harmful thinking patterns, and CBT has indicated effectiveness in helping PDD patients trust others, regulate their emotions, and improve social interactions. It can be adopted in an individual or group setting, depending on the needs of the patient (Fard & Rad, 2019). Group or family settings are preferable in some cases where the primary focus is helping the patient interact with others by participating in a behavioral experiment.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
Therapeutic Relationship
A therapeutic relationship is a close and consistent engagement or association between the therapist and the patient or group of patients. The relationship aims to help individuals change their lives for the better (Bolsinger et al., 2020). A therapist must develop a therapeutic relationship to deal with PDD patients because, without trust, it would be impossible to engage the client. The therapist should be sensitive to the client’s intimate thoughts, beliefs, and emotions surrounding the disorder and develop a safe, open, and non-judgmental space when communicating with the client about the diagnosis, given that PDD clients distrust others and do not take well criticism or judgement. The therapist must establish trust, respect, and congruence to establish and maintain the therapeutic relationship, even when communicating the diagnosis.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
It is easier to share the information about the diagnosis in an individual setting because the client is confident the information will remain private and confidential, especially with this diagnosis. First, I would ask the patient if he would like me to explain the diagnostic results, and if the patient accepts, I would share the information cautiously, slowly, and clearly, recognizing their concerns, emotions and feelings (Bolsinger et al., 2020). In a group setting, the patient has the right to dictate whether other people should know about the diagnosis. Therefore, I would validate the concerns and ask the patient if he would like others to know. If the patient accepts, I would establish a considerate, trusting, and non-judgmental group atmosphere that is accepting of what others are going through (Jia, 2023). Sometimes patients do not want the family to know, and it is cautious and professional to ask whether the information should be shared with the family. If yes, the family should be invited to a session with the client, and the information communicated clearly, openly, and without filters.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
Conclusion
Personality disorders impact functionality, making it hard for individuals to develop social relationships. Paranoid personality disorder causes people to pervasively suspect others and perceive other people as intending to harm them, physically or verbally. Diagnosis should follow the DMS-5 criteria, and treatment should be considerate of the patient’s needs. The patient has a right to dictate how information about the diagnosis should be disclosed and to whom, and it is professional to engage the patient in this decision.(Therapy for Clients with Personality Disorders Comprehensive Essay Example)
Review of Scholarly Sources
Scholarly sources used include Fard and Rad (2019), Jia (2023), Berichon et al. (2019), Nakao et al. (2021), and Bolsinger et al. (2020). These sources are peer-reviewed, and published in peer-reviewed journals, implying they are scholarly. The sources also have authority because they are written by experts and professionals in the field of psychology, well-versed with the topic and affiliated with medical institutions like universities and medical departments, including the Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, Zurich, Switzerland, University of Tehran, Beijing Huijia Private School, Department of Adult Psychiatry, Psychiatrie Baselland, Liestal, Switzerland, Bronson School of Nursing, Western Michigan University, Kalamazoo, Michigan, USA. (Therapy for Clients with Personality Disorders Comprehensive Essay Example)
References
Berichon, M., Birgy, T. R., Konrath, C. M., & Abraham, S. P. (2019). Challenges of Treatment and Living with the Stigma Related to Paranoid Personality Disorder. International Journal of Science and Research Methodology, 273-284. https://doi.org/10.4324/9780203837016-26
Bhandari, S. (2022, August 25). Paranoid personality disorder. WebMD. https://www.webmd.com/mental-health/paranoid-personality-disorder
Bolsinger, J., Jaeger, M., Hoff, P., & Theodoridou, A. (2020). Challenges and Opportunities in Building and Maintaining a Good Therapeutic Relationship in Acute Psychiatric Settings: A Narrative Review. Frontiers in psychiatry, 10, 965. https://doi.org/10.3389/fpsyt.2019.00965
Fard, M. K., & Rad, M. H. (2019). Cognitive-behavioral therapy of paranoid personality disorder; a case study. https://www.researchgate.net/publication/325313817_Cognitive-behavioral_therapy_of_paranoid_personality_disorder_A_case_study
Jia, Y. (2023). General overview of paranoid personality disorder. Lecture Notes in Education Psychology and Public Media, 2(1), 355-360. https://doi.org/10.54254/2753-7048/2/2022488
Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive-behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial medicine, 15(1), 16. https://doi.org/10.1186/s13030-021-00219-w
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