NRNP 6645Therapy for Individuals with Personality Disorders

Personality disorders encompass a group of mental conditions characterized by persistent and ingrained patterns of behavior and thought over an extended period. In the latest edition of the DSM-5, ten distinct types of personality disorders are recognized, categorized into three groups (Winsper et al., 2020). Cluster A comprises schizotypal, schizoid, and paranoid personality disorders; cluster B includes narcissistic, histrionic, borderline, and antisocial personality disorders; and cluster C encompasses obsessive-compulsive, dependent, and avoidant personality disorders. The focus of this discussion is to delve into paranoid personality disorder and outline recommended strategies for individuals diagnosed with this condition.

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Understanding Paranoid Personality Disorder

Paranoid personality disorder (PPD) is the initial personality disorder identified within cluster A according to the DSM-5. It is commonly diagnosed in individuals characterized by persistent, pervasive, and enduring suspicion of others, coupled with a cynical outlook on people and the world at large (Grenyer et al., 2018). Those with PPD often face challenges in interpersonal relationships, particularly in collaborative or group settings. In times of stress, individuals with PPD may even experience brief episodes of psychosis. However, due to the absence of significant deficits in reality testing, antipsychotic medications are not typically prescribed for PPD. Instead, psychotherapy is the primary course of treatment.

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Approaches to Therapy

Clinical guidelines do not prescribe a specific treatment modality for PPD. Leading psychiatric organizations, including the American Psychiatric Association, advocate for Cognitive Behavioral Therapy (CBT) as the most effective therapeutic approach for individuals with PPD (Preti et al., 2020). The core of this disorder often revolves around deeply ingrained maladaptive beliefs, reinforcement of paranoid beliefs due to information biases, and a lack of adaptive skills. CBT interventions are designed to address and modify these characteristics. Engaging individuals with PPD in therapy can be challenging, given their tendency to perceive others as the cause of their problems. Therefore, building a strong therapeutic alliance and establishing trust are pivotal in facilitating positive outcomes through CBT.

The Therapeutic Relationship

The therapeutic relationship is defined by the qualities of ideal interpersonal interactions and experiences shared between the therapist and the individual seeking treatment. These attributes encompass effective communication, active listening, empathy, and have a significant impact on the individual’s engagement and progress in therapy (Saleh, 2022). Maintaining a positive therapeutic connection is essential for achieving favorable results. Considering that individuals with PPD often view others as the root of their issues, therapists must demonstrate impeccable communication skills, both verbal and nonverbal, while delivering the diagnosis with compassion and without judgment. Providing individuals with ample time to contemplate their diagnosis before acceptance is crucial. When it comes to minors or those with close family involvement, it is vital to communicate the diagnosis to family members sensitively. They need to understand that this is a manageable mental condition, and their support is pivotal for the individual’s recovery.

In Conclusion

Personality disorders are typically diagnosed in individuals whose behavior patterns are deemed unconventional by societal norms. For instance, individuals with PPD often struggle with interpersonal relationships and teamwork due to their perception of others as the source of their problems. Although there is no specific pharmacological treatment due to the absence of severe impairment, CBT, combined with a strong therapeutic alliance, has proven to be highly effective in treating PPD.

NRNP 6645Therapy for Individuals 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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.

BY DAY 7

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

SUBMISSION INFORMATION

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To submit your completed assignment, save your Assignment as WK10Assgn_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

nrnp 6645 therapy for clients with personality disorders

Rubric

NRNP_6645_Week10_Assignment_Rubric

Criteria

Ratings

Pts

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.

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.

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

• 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.

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.

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.

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

• 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.

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.

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.

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.

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.

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.

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

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.

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.

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

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.

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

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.

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

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Poor 0%–69%

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

NRNP 6645Therapy for Individuals with Personality Disorders