Disorder Selected And DSM V Criteria Essay Assignment
Disorder Selected And DSM V Criteria Essay Assignment
NK10 Personality D/O
Disorder selected and DSM V criteria
Personality disorders result when an individual has unhealthy and rigid thinking patterns. I selected borderline personality disorder (BPD) among the cluster-B personality disorders. The etiology of BPD includes genetics and environmental factors such as childhood trauma, poor maternal attachment, sexual or physical abuse, and emotional neglect. BPD. BPD is more prevalent among women and is higher among psychiatric inpatient populations than outpatient populations (Kulacaoglu & Kose, 2018). Individuals with BPD can have comorbid conditions such as mood, eating anxiety, and substance abuse disorders Disorder Selected And DSM V Criteria Essay Assignment.
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The DSM V diagnostic criteria mainly present with hypersensitivity to rejection. As a result, an individual is not stable in behavior by trying to avoid imagining or real abandonment, self-image, affect marked by anxiety, episodic dysphoria or irritability, and unstable relationships, which alternate between devaluation and idealization (Kulacaoglu & Kose, 2018).They can also be impulsive in areas that can be damaging, including; substance abuse and reckless driving, among others. An individual with BPD can also have a chronic feeling of emptiness and intense anger. BPD causes distress and impairment in social and occupational life.
Therapeutic approach
The best approach for managing borderline personality disorder is dialectical behavioral therapy. DBT is a type of cognitive behavioral therapy that aims to treat the various dysfunctional behaviors resulting from mental health problems. Initially, it was purposely for suicidal individuals and those with BPD, but recently, it has been used for all individuals who experience difficulty managing their emotions .Through DBT, individuals with BPD can adopt various healthy ways of dealing with distress, regulate emotions, have good interpersonal relationships, and be mindful. DBT helps individuals with BPD to acquire those skills that can help them deal with various distresses.
The patient and a therapist take part in DBT for 8 to 12 months. It involves four elements: individual therapy, group therapy, phone calls, and weekly consultation meetings. Individual therapy focuses on improving the quality of life by restricting an individual cognition, and the therapist and the patient meet weekly for the sessions. Group therapy focuses on training the patients on skills that can help them deal with difficult situations. The phone calls help apply the skills learned during the therapy sessions. During the consultation meetings, the therapist focuses on supporting the patient and motivating them to adhere to the therapy (Rudge et al., 2017). Therefore, DBT is an effective therapy for BPD.
Therapeutic relationships
Therapeutic relationships are interactive relationships between the patient and the therapist that focus on achieving specific goals. A good therapeutic relationship in healthcare enhances patient satisfaction, improved health outcomes, decreased rehospitalization rate, and decreased hospital duration (Bolsinger et al., 2020). A positive environment during BPD therapy in any setting, including family, individual, or group, is related to positive outcomes. During the therapeutic relationship, I would ensure that I listen actively to the patient’s problems and understand their feelings. Through this, I would ensure that the patient focuses on the present facts, and in cases where their emotions are distracted, I would want to know the cause and find the best ways to help them. In case of a group session, I would adapt the group members’ various ideas and solutions and educate them on the need to take the group and family meetings as a safe setting for solving their issues and achieving the goals set. The therapeutic relationship and a safe environment should be consistent for patients with BPD because it can make it easy to share diagnoses and deal with the patient’s issues Disorder Selected And DSM V Criteria Essay Assignment.
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. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
“Culture and Psychiatric Diagnosisâ€
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.
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Chapter 18, “Dialectical Behavior Therapy for Complex Traumaâ€
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.
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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 Disorder Selected And DSM V Criteria Essay Assignment.
Submit your Assignment. Also ATTACH AND SUBMIT PDFs of the SOURCES you used.
References
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(10). https://doi.org/10.3389/fpsyt.2019.00965
Kulacaoglu, F., & Kose, S. (2018). Borderline personality disorder (BPD): in the midst of vulnerability, chaos, and awe. Brain Sciences, 8(11), 201. http://dx.doi.org/10.3390/brainsci8110201
Rudge, S., Feigenbaum, J. D., & Fonagy, P. (2017). Mechanisms of change in dialectical behaviour therapy and cognitive behaviour therapy for borderline personality disorder: a critical review of the literature. Journal of Mental Health, 29(1), 1–11. https://doi.org/10.1080/09638237.2017.1322185 Disorder Selected And DSM V Criteria Essay Assignment