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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.
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
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- 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.
Rubric
Criteria | Ratings | Pts | ||||
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Succinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.
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• 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.
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• 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.
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· Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached.
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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.
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Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
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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.
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Total Points: 100
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