Assignment: Therapy for Clients With Personality Disorders

Assignment: Therapy for Clients With Personality Disorders

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.

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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

Therapy for Clients with Personality Disorders Sample

Narcissistic personality disorder is characterized by an exaggerated sense of a person’s own significance. Such patients lack empathy for other individuals and are driven by a compulsive need for recognition and praise. People suffering from narcissistic personality disorder can be dissatisfied and depressed if they do not get all of the attention and adulation they think they are entitled to. Because they are so often hurt by others’ opinions, they have a very low sense of their own worth. People who suffer from narcissistic personality disorder frequently struggle to have meaningful connections with others, both platonic and romantic ones. This is due to the fact that they have irrationally high expectations as well as an innately vulnerable nature. They are thus not very interested in interacting with others around them.

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DSM-5 Criteria

The DSM-5 defines narcissistic personality disorder as having its onset in adolescence and being marked by social ineptitude (Kacel et al., 2017). There are at least five circumstances in young adulthood when grandiosity, a craving for adulation, and a lack of compassion may be observed:

  1. Exaggerated feelings of one’s own significance and self-importance.
  2. Being preoccupied with delusions of everlasting affluence, power, intelligence, or elegance.
  3. Considering oneself to be so unique or important that only a select few people can comprehend or communicate with them.
  4. Demanding a great deal of awe and respect from those around them.
  5. Anticipating receiving a positive reception from others.
  6. Using other people to further one’s agendas

Therapeutic Approach and Modality

Talk therapy is a viable treatment option for patients suffering from narcissistic personality disorder. Interaction with the client is at the heart of this kind of treatment, which aims to elicit information about the client’s innermost emotions and thoughts. Finding the core psychological patterns that may be causing the illness is made easier with the use of this technique (Weinberg & Ronningstam, 2020). The functionality of the ego may be enhanced by employing this approach, which involves uncovering and changing unconscious thoughts into the appropriate ones.

Therapeutic Relationship

A therapeutic connection is a relationship that develops between at least two persons who are engaging in a psychotherapy session. This connection may be beneficial to both parties involved. The therapist-patient relationship is based on mutual respect, trust, and cooperation. When the diagnosis of narcissistic personality disorder is discussed with the client, the clinician has a responsibility to ensure that the client will not be upset by the discussion. This is necessary in order to keep the therapeutic relationship intact. As part of the therapeutic process, it is essential that clients be made aware of their own symptoms and need for help during one-on-one encounters with clinicians. It is crucial to have a strong connection with a client in order to break the potentially devastating news to them in an appropriate manner (Moreno-Poyato et al., 2017).

It is important for the family members of the client to participate in any sessions with the therapist. By taking part in the sessions and gaining exposure to the client’s thoughts and perspectives, they will gain a more comprehensive understanding of the illness. Having a correct diagnosis can make it clear to the patient’s family that they need to be actively involved in their recovery process.

References

Kacel, E. L., Ennis, N., & Pereira, D. B. (2017). Narcissistic personality disorder in clinical health psychology practice: Case studies of comorbid psychological distress and life-limiting illness. Behavioral Medicine, 43(3), 156-164. https://doi.org/10.1080/08964289.2017.1301875

Moreno-Poyato, A. R., Delgado-Hito, P., Suárez-Pérez, R., Leyva-Moral, J. M., Aceña-Domínguez, R., Carreras-Salvador, R., Roldán-Merino, J. F., Lluch-Canut, T., & Montesó-Curto, P. (2017). Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: Study protocol. BMC Nursing16(1). https://doi.org/10.1186/s12912-016-0197-8

Weinberg, I., & Ronningstam, E. (2020). Dos and don’ts in treatments of patients with narcissistic personality disorder. Journal of Personality Disorders34(Supplement), 122-142. https://doi.org/10.1521/pedi.2020.34.supp.122

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