Therapy For Clients With Personality Disorder Essay
Therapy For Clients With Personality Disorder Essay
Therapy For Clients With Personality Disorder Essay
Therapy For Patients With Paranoid Personality Disorder
People with personality disorders frequently find it challenging to change the ingrained thought and behavior patterns they have encountered and assimilated into their everyday lives. When a person has a personality disorder, they have a skewed view of reality and unusual emotional responses. This causes distress in most areas of the individual’s life, including problems at a job, poor social functioning, and problems with others (Fariba et al., 2020). A paranoid personality disorder is a habit of thinking that other people are bad or mean. Individuals with the condition often think that other people want to hurt them or trick them, so they do not trust others or get close to them. This article explores therapy for patients who have paranoid personality disorders.
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The Diagnostic and Statistical Manual of Mental Disorders diagnoses Paranoid Personality Disorder in people who are deeply cynical and mistrustful of others. They are characterized by widespread, persistent, and enduring distrust of others (American Psychiatric Association, 2013). It is categorized as a Cluster A personality condition, characterized by “odd or eccentric” patterns of behavior. PPD diagnosis requires meeting two primary criteria outlined in DSM-5. Criterion A has seven sub-features, with four being necessary for diagnosis. Criterion A: Adult onset of global mistrust and suspicion of others’ motives. Criterion A has seven sub-features.
1. PPD sufferers have unfounded suspicions of others using, lying to, or harming them.
2. They doubt others’ loyalty and trustworthiness.
3. They fear betrayal and hence do not confide in anyone.
4. Whenever ambiguous or benign comments are made, they are interpreted as hurtful or threatening.
5. Grudge-holding.
6. Will retaliate without evidence if reputation is attacked.
7. Jealous and suspicious of intimate partners’ infidelity without cause.
According to the American Psychiatric Association (2013), criteria B excludes symptoms associated with schizophrenia, bipolar disorder, or depressive disorders with psychotic features. If PPD criteria are met before Schizophrenia onset, note that PPD was premorbid.
Therapeutic Approach
An effective therapeutic strategy for patients with paranoid personality disorder is cognitive-behavioral therapy (CBT). The individual’s propensity to perceive the environment as dangerous and frightening and to read ambiguous social cues as indications of malice can be addressed particularly well by CBT (Lewis & Ridenour, 2020). It entails discussing the problem with others, creating goals, and employing strategies like gradually exposing patients to dreaded circumstances while identifying and addressing their negative thought patterns and beliefs. CBT is a chosen treatment strategy for treating paranoid personality disorder because it is evidence-based, has shown efficacy in lowering disorder symptoms, and can be tailored to multiple modalities, including individual, group, online, or self-directed forms.
Therapeutic Relationship
A therapeutic relationship is a collaborative alliance between client and therapist that fosters trust, respect, empathy, and understanding. The therapeutic relationship is crucial for successful therapy and affects treatment effectiveness (Baier et al., 2020). Sharing a PPD diagnosis with a client requires sensitivity and skill. Explain the diagnosis clearly and concisely, including criteria and potential effects. Therapists should be empathetic and supportive and encourage clients to take responsibility and seek treatment.
Sharing Diagnosis in Individual, Family, and Group Therapy.
In individual therapy, the therapist and client can work together to identify behavior patterns and coping strategies for PPD. The therapist can share the diagnosis with the client, highlighting strengths and growth areas. The therapist can help the family understand PPD’s impact on family dynamics (Guillén et al., 2022). Therapists can share diagnoses and encourage family collaboration to improve communication and relationships. Group therapy provides a safe space for clients to explore their behavior and receive peer feedback. The therapist can share the PPD diagnosis with the group and encourage the collaborative development of adaptive behaviors.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5-TR). Psychiatry.org; American Psychiatric Association. https://www.psychiatry.org/psychiatrists/practice/dsm
Baier, A. L., Kline, A. C., & Feeny, N. C. (2020). Therapeutic alliance as a mediator of change: A systematic review and evaluation of research. Clinical Psychology Review, 82, 101921. https://doi.org/10.1016/j.cpr.2020.101921
Fariba, K., Gupta, V., & Kass, E. (2020). Personality disorder. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK556058/
Guillén, V., Fonseca-Baeza, S., Fernández-Felipe, I., Botella, C., Baños, R., García-Palacios, A., & Marco, J. H. (2022). Effectiveness of family connections intervention for family members of persons with personality disorders in two different formats: Online vs face-to-face. Internet Interventions, 28, 100532. https://doi.org/10.1016/j.invent.2022.100532
Lewis, K. C., & Ridenour, J. M. (2020). Paranoid personality disorder. Encyclopedia of Personality and Individual Differences, 3413–3421. https://doi.org/10.1007/978-3-319-24612-3_615
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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.
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-TRdiagnostic 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.
Required Readings
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disordersLinks to an external site. (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 Diagnosis”
Paris, J. (2015). PsychotherapiesLinks to an external site.. 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”
