NRNP 6645 Week 10 Psychotherapy With Personality Disorders

NRNP 6645 Week 10 Psychotherapy With Personality Disorders

Psychotherapy With Personality Disorders

Personality disorders are characterized by distortion in reality perception and abnormal affection. The fifth edition of the diagnostic and statistical manual of mental disorders (DSM-V) classifies personality disorders into various groups according to the clinical presentations (Ekselius, 2018). Patients with personality disorders have disordered presentations in thought and behavior that may impact their daily life – both social and interpersonal (Bertsch & Herpertz, 2018 NRNP 6645 Week 10 Psychotherapy With Personality Disorders). This discussion addresses various aspects of antisocial personality disorder.

NRNP 6645 Week 10 Psychotherapy With Personality Disorders

Antisocial Personality Disorder

Antisocial Personality Disorder (ASPD) is a cluster B personality disorder characterized by disordered functioning in the cognitive, affective, and interpersonal social domains (Fariba et al., 2021 NRNP 6645 Week 10 Psychotherapy With Personality Disorders). The DSM-V criteria for diagnosis of antisocial personality disorder include persistent disregard for the rights of others. These disregards include deceitfulness, violation of social norms, aggressiveness, impulsivity, disregard for safety, lack of remorse, and lack of responsibility (Fisher & Hany, 2021 NRNP 6645 Week 10 Psychotherapy With Personality Disorders). These self-destructive behaviors should be seen after 15 years of age and the individual should be 18 years old and above. Other psychiatric illnesses such as schizophrenia and bipolar disorders must be excluded from the patient.

Therapeutic Approach

Treatment of ASPD majorly involves psychotherapy. Pharmacotherapy is used when the patient presents with aggression or mood problems that might require medication intervention. I would suggest cognitive behavioral therapy as the best psychotherapy for individuals with ASPD (Wheeler, 2020). As aforementioned, antisocial personality disorder is characterized by disordered cognition and behavior. CBT will be appropriate to restore the thought and behavior to help in achieving normal social and interpersonal interactions. 

Therapeutic Relationship in Psychiatry

A therapeutic relationship is an alliance and bonding between the therapist and the patient during the entire course of psychotherapy. Psychotherapy sessions should ideally be patient-driven and therapist-directed in that the goals of the therapy are set by the patient and facilitated by the therapist. A positive therapeutic alliance improves the achievement of these goals and thus the positive outcomes are likely to be realized holding other factors constant.

I would share my diagnosis of ASPD with the patient once a positive strong therapeutic relationship ah been established between us. s will be shown by the patient’s wiliness to participate in the therapy once the history-building interview is done. This would differ in the case of family or group. Their response towards the diagnosis will be determined by the level of understanding of the condition and outcomes of the illness and the relationship between these group members. NRNP 6645 Week 10 Psychotherapy With Personality Disorders

My Sources and Examples

An example is provided of the patient is depicted in the simulation by Symptom Media (2020). Symptom Media is an organization offering certificated education for nurses in psychiatry subfields. In this simulated video example, the patient meets the majority of criteria by the DSM-V. Therefore, the source is considered scholarly. Peer-reviewed journals and books from various repeatable journal databases were also used. Therefore, the evidence used for this discussion can be considered scholarly. The information originated from scholarly papers that were peer-reviewed by relevant publishers before publication. NRNP 6645 Week 10 Psychotherapy With Personality Disorders

Conclusion

ASPD is a personality disorder with thought and behavior derangement. The DSM-V criteria require that the diagnosis be made in individuals 18 years or older. Below this age, a diagnosis of conduct disorder can be made. The management is mainly psychological. BT was preferred because it addresses the cognitive and behavioral domains of the patient. however, there is a great need for a strong therapeutic alliance. 

NRNP 6645 Week 10 Psychotherapy With Personality Disorders References

  • Bertsch, K., & Herpertz, S. C. (2018). Personality disorders, functioning, and health. Psychopathology, 51(2), 69–70. https://doi.org/10.1159/000487971
  • Ekselius, L. (2018). Personality disorder: a disease in disguise. Upsala Journal of Medical Sciences, 123(4), 194–204. https://doi.org/10.1080/03009734.2018.1526235
  • Fariba, K., Gupta, V., & Kass, E. (2021). Personality Disorder. In StatPearls. StatPearls Publishing.
  • Fisher, K. A., & Hany, M. (2021). Antisocial Personality Disorder. In StatPearls. StatPearls Publishing.
  • Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nurses [Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw
  • Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

NRNP 6645 Week 10 Psychotherapy With Personality Disorders Instructions

Week 10: Psychotherapy With Personality Disorders
Since personality represents who someone is at the deepest level, it is understandable that many people with personality disorders resist the idea that they have maladaptive patterns of personality traits. Even when clients acknowledge that their personality issues are at the heart of their interpersonal problems, they often find it difficult to change. As a PMHNP, how do you overcome this challenge and effectively counsel these clients?This week, you examine psychotherapeutic approaches for treating clients with personality disorders.Learning Objectives
Students will:Recommend therapeutic approaches for treating clients with personality disorders
Recommend strategies to support the therapeutic relationship in individual, family, and group modalities of therapy
Learning Resources
Required Readings (click to expand/reduce)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

For reference as needed
Paris, J. (2015). Psychotherapies. 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 (click to expand/reduce)

Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nurses [Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw

Symptom Media. (2020). Histrionic disorder NP mental health continuing education [Video]. YouTube. https://www.youtube.com/watch?v=GJVRGofeV-w

Symptom Media. (2020). Narcissistic personality disorder online LPN CE credit CEU unit classes [Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es

Assignment: 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.

Photo Credit: Getty Images/Blend Images

To prepare NRNP 6645 Week 10 Psychotherapy With Personality Disorders:

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 (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 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. NRNP 6645 Week 10 Psychotherapy With Personality Disorders

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.

By Day 7
Submit your Assignment. Also attach and submit PDFs of the sources you used.

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