Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.

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.

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.

ASSIGNMENT

 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.

LEARNING RESOURCES

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders Links 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). Psychotherapies Links 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”

Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nurses Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw

Symptom Media. (2020). Histrionic disorder NP mental health continuing education Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=GJVRGofeV-w

Symptom Media. (2020). Narcissistic personality disorder online LPN CE credit CEU unit classes Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es

Sample Solution

I have selected Narcissistic Personality Disorder (NPD) as the personality disorder to focus on. NPD is defined as a persistent pattern of grandiosity, need for admiration, and lack of empathy as indicated by at least five of the following criteria (DSM-5-TR):

1. Has a grandiose sense of self-importance
2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3. Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people or institutions
4. Requires excessive admiration
5. Has a sense of entitlement
6. Is interpersonally exploitative
7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others
8. Is often envious of others or believes that others are envious of him or her
9. Shows arrogant, haughty behaviors or attitudes.

I would use Dialectical Behavior Therapy (DBT) as a therapeutic approach to treat a client with NPD. DBT is an evidence-based modality that focuses on balancing acceptance and change through the integration of cognitive and behavioral techniques (Wheeler, 2020). The skills taught in DBT can help individuals with NPD improve their interpersonal relationships, regulate their emotions, and reduce self-destructive behaviors.

The therapeutic relationship is crucial in psychiatry and involves a collaborative, empathetic, and respectful interaction between the therapist and the client. Sharing the diagnosis of NPD with the client is an important step in therapy, but it should be done in a manner that avoids damaging the therapeutic relationship.

In an individual session, I would present the diagnosis in a non-judgmental and empathetic manner, explaining the criteria and how they relate to the client’s experiences. I would also emphasize…Order a customized and more comprehensive answer here