Sample Answer for NRNP 6645 Therapy for Clients With Personality Disorders Included After Question
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.
A Sample Answer For the Assignment: NRNP 6645 Therapy for Clients With Personality Disorders
Title: NRNP 6645 Therapy for Clients With Personality Disorders
Personality disorders are a group of mental health conditions that present with a variety of clinical manifestations that involve enduring patterns of thoughts, feelings and behaviors that deviate from cultural expectations. These patterns have been found to be inflexible as well as pervasive thus impairing various aspects of life of an individual and affecting how they perceive themselves and others. Individuals with such disorders require therapy in order to improve their social functioning as well as develop helpful coping mechanisms.
There are several forms of treatment that can be utilized, however therapy modalities such as individual, family or group approaches have been seen effective especially in long-term management. This paper will be in regards to antisocial personality disorder (ASPD), the therapeutic approaches involved and how a therapeutic relationship applies in the management of the condition (Mulay & Cain, 2020).
Antisocial Personality Disorder and the DSM-5 TR Diagnostic Criteria
ASPD is a mental health disorder in which patients present with a persistent pattern of disregard for and violation of rights of others. Patients with this condition have been known to show lack of empathy, disregard for social norms, tendency to manipulate or even exploit others as well as also displaying aggression. As these individuals lie and lack remorse this could lead to legal problems and unstable employment as well as relationships. It has a complex etiology however, a combination of environmental, neurological and genetic factors is believed to lead to its development (Mulay & Cain, 2020).
The DSM-5 states that when a person exhibits a persistent pattern of disrespecting and violating the rights of others, starting in infancy or early teenage years and continuing into adulthood, they are diagnosed with antisocial personality disorder (ASPD). The person must have a conduct disorder that began prior to the age of fifteen and be at least eighteen years old. The following criteria of at least three of the clinical manifestations must be met in order for the diagnosis to be made: disobedience to laws and social standards; dishonesty; impulsivity; irritability and aggression; reckless disregard for safety; irresponsibility; and lack of remorse or disregard to the feelings of others. Thus with such presentations one can be diagnosed with ASPD (Drislane et al., 2019).
Therapeutic Approach and Modality to manage ASPD
In regards to the treatment plan there is yet to be approved medications for this disorder, however one can use drugs can be prescribed to manage the associated symptoms of depression, depression and anxiety. However, these medications should be used in conjunction with therapy such as psychotherapy with the aim of improving functioning in their life. The use of combination therapy of pharmacological treatment as well as psychotherapy has been found to be effective in that patients are more open to speak about their emotions, thoughts, moods and behaviors and thus the therapist is able to provide interventions that will help them make rational choices (Gibbon et al., 2020).
Dialectical Behavior Therapy (DBT) that is based on CBT is a helpful therapeutic method that may require modifications to address the unique issues associated with (ASPD). DBT, which was first created to treat borderline personality disorder, can assist people with ASPD in acquiring skills related to mindfulness, emotion regulation, distress tolerance, and interpersonal efficacy. People with ASPD can work toward reducing impulsive and harmful behaviors, improving their ability to interact with others in healthier ways, and developing a better understanding of the consequences of their actions by learning how to recognize and control their emotions, tolerate distressing situations, improve communication and relationship skills, and cultivate self-awareness (Gibbon et al., 2020).
Reason DBT is an appropriate Approach
DBT, is an appropriate option for treating (ASPD) because it focuses on the main areas that these patients struggle with. First of all, DBT teaches people how to control their strong emotions, which lessens the impulsive and violent behaviors that are frequently linked to ASPD. Second, DBT includes distress tolerance strategies that help people deal with upsetting circumstances without acting in a destructive way. People with ASPD are able to respond to stimuli in a more adaptive way by adopting healthy coping mechanisms (Gibbon et al., 2020).
Additionally, as people with ASPD frequently struggle to establish healthy relationships and engage in manipulative behaviors, DBT’s emphasis on interpersonal efficacy is helpful. Enhancing one’s empathy, assertiveness, and communication abilities can help people form stronger bonds with others and lessen the possibility of destructive or exploitative actions. DBT is an appropriate therapy option for those with ASPD because it focuses on emotion regulation, distress tolerance, and interpersonal effectiveness. This helps the patients manage their distress, create healthier coping mechanisms, and enhance their relationships (Gibbon et al., 2020).
Therapeutic Relationship in Psychiatry
The therapeutic relationship in psychiatry refers to the collaborative and trusting relationship between a psychiatrist or mental health professional and their patient. In psychiatry, the therapeutic relationship serves as a foundation for effective treatment and provides a safe as well as supportive environment where patients can openly discuss their thoughts, feelings, and concerns.
Additionally, the therapeutic relationship also involves collaboration between the psychiatrist and the patient in developing treatment goals and plans, thus through this a personalized treatment approach can be developed. Furthermore, the therapeutic relationship in psychiatry provides a space for the patient to explore and gain insight into their thoughts, emotions, and behaviors therefore enabling the patient to gain a deeper understanding of themselves and work towards positive change (Moreno‐Poyato et al., 2021).
Sharing a diagnosis of Antisocial Personality Disorder (ASPD) with a patient requires a delicate approach to avoid damaging the therapeutic relationship. Firstly, it is crucial to establish a foundation of trust and empathy by creating a safe and non-judgmental space. Using clear and understandable language, focus on discussing the specific symptoms and behaviors associated with ASPD rather than labeling the patient. Furthermore, collaborate with the patient in setting treatment goals and plans. This is vital as it will empower them to be able to actively participate in their own mental health care and in the overall approach of sharing the diagnosis do it with empathy, respect, and collaboration so that the therapeutic relationship is preserved and strengthened (Moreno‐Poyato et al., 2021).
Depending on whether the diagnosis is shared with a family, in a group setting, or with an individual, different strategies are used to prevent harm to the therapeutic alliance. In an individual session, the client’s unique requirements and concerns are the main emphasis, enabling individualized support and cooperative treatment planning. The influence on family dynamics is taken into account in a family session, with an emphasis on psychoeducation, enhancing communication, and creating a supportive environment.
A safe, accepting environment is established in a group setting where members can share their experiences and perspectives. Common issues, psychoeducation, and symptom management techniques are the main topics of discussion. To maintain and improve the therapeutic connection in all circumstances, open communication, empathy, and respect are crucial (Moreno‐Poyato et al., 2021).
ASPD is a significant personality disorder which requires an intensive approach to manage it as it affects vital aspects of an individual’s life. DBT has shown to be effective in managing this condition as it addresses the core areas of emotion regulation, distress tolerance, and interpersonal effectiveness. The therapeutic relationship is an important aspect during the course of treatment therefore efforts should be made in order to maintain it. This can be done through taking a sensitive approach in sharing the diagnosis while considering the various settings such as whether it is to an individual, family or a group. In summative collaboration and support is required in the management of this disorder (Mulay & Cain, 2020).
As the authors of the publications used for this research have expertise with a variety of therapeutic techniques, they are regarded as scholarly. The papers were taken from academic journals and published within the last five years. They assess their theory by going over information from earlier studies and contrasting it with what is known today and with their own scientific study. Lastly, authors and psychotherapist specialists with adequate knowledge and expertise in the pertinent fields peer-review publications.
Drislane, L. E., Sellbom, M., Brislin, S. J., Strickland, C. M., Christian, E., Wygant, D. B., … & Patrick, C. J. (2019). Improving characterization of psychopathy within the Diagnostic and Statistical Manual of Mental Disorders, (DSM–5), alternative model for personality disorders: Creation and validation of Personality Inventory for DSM–5 Triarchic scales. Personality Disorders: Theory, Research, and Treatment, 10(6), 511.
Gibbon, S., Khalifa, N. R., Cheung, N. H., Völlm, B. A., & McCarthy, L. (2020). Psychological interventions for antisocial personality disorder. Cochrane Database of Systematic Reviews, (9).
Moreno‐Poyato, A. R., Casanova‐Garrigos, G., Roldán‐Merino, J. F., Rodríguez‐Nogueira, Ó., & MiRTCIME. CAT working group. (2021). Examining the association between evidence‐ based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study. Journal of Advanced Nursing, 77(4), 1762-1771.
Mulay, A. L., & Cain, N. M. (2020). Antisocial personality disorder. Encyclopedia of personality and individual differences, 206-215.