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

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

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

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.

WEEKLY RESOURCES

Learning Resources

Required Readings

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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”

Required Media

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

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

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To submit your completed assignment, save your Assignment as WK10Assgn_LastName_Firstinitial

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Next, click on Upload File and select Submit Assignment for review.

Rubric

NRNP_6645_Week10_Assignment_Rubric

NRNP_6645_Week10_Assignment_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Succinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.

15 to >13.0 pts

Excellent 90%–100%

The response includes an accurate and concise description of the personality disorder, including the DSM-5-TR diagnostic criteria.

13 to >11.0 pts

Good 80%–89%

The response includes an accurate description of the personality disorder, including the DSM-5-TR diagnostic criteria.

11 to >10.0

pts

Fair 70%–79%

The response includes a somewhat vague or inaccurate description of the personality disorder, including the DSM-5-TR diagnostic criteria.

10 to >0 pts

Poor 0%–69%

The response includes a vague or inaccurate description of the personality disorder, including the DSM-5-TR diagnostic criteria.

15 pts

This criterion is linked to a Learning Outcome • 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.
25 to >22.0 pts

Excellent 90%–100%

The response includes an accurate and concise explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes a concise explanation of why the approach and modality were selected, with strong justification for why they are appropriate for the disorder.

22 to >19.0 pts

Good 80%–89%

The response includes an accurate explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes an explanation of why the approach and modality were selected, with adequate justification for why they are appropriate for the disorder.

19 to >17.0 pts

Fair 70%–79%

The response includes a somewhat vague or inaccurate explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes a vague or inaccurate explanation of why the approach and modality were selected, with a somewhat vague or inaccurate justification for why they are appropriate for the disorder.

17 to >0 pts

Poor 0%–69%

The response includes a vague or inaccurate explanation of a therapeutic approach and a modality that could be used to treat a client presenting with this disorder. Or, response is missing…. The response includes a vague or inaccurate explanation of why the approach and modality were selected, with poor justification for why they are appropriate for the disorder. Or, response is missing.
25 pts

This criterion is linked to a Learning Outcome • 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.
30 to >26.0 pts

Excellent 90%–100%

The response includes an accurate and concise explanation of the therapeutic relationship in psychiatry…. The response clearly and concisely explains an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions.

26 to >23.0 pts

Good 80%–89%

The response includes an accurate explanation of the therapeutic relationship in psychiatry…. The response adequately explains an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions.

23 to >20.0 pts

Fair 70%–79%

The response includes a somewhat vague or incomplete explanation of the therapeutic relationship in psychiatry…. The response provides a somewhat vague or incomplete explanation of an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions.

20 to >0 pts

Poor 0%–69%

The response includes a vague and inaccurate explanation of the therapeutic relationship in psychiatry. Or, response is missing…. The response provides a vague or incomplete explanation of an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions. Or, response is missing.
30 pts

This criterion is linked to a Learning Outcome · Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached.

15 to >13.0 pts

Excellent 90%–100%

The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.

13 to >11.0 pts

Good 80%–89%

The response is supported by examples from this week’s media and three peer-reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached.

11 to >10.0 pts

Fair 70%–79%

The response is supported by examples from this week’s media and two or three peer-reviewed, evidence-based sources from the literature. Examples and resources selected may provide only weak support for the rationale provided. PDFs may not be attached.

10 to >0 pts

Poor 0%–69%

The response is supported by vague or inaccurate examples from the week’s media and/or evidence from the literature, or is missing.

15 pts

This criterion is linked to a Learning Outcome 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.

5 to >4.0 pts

Excellent 90%–100%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineates all required criteria.

4 to >3.5 pts

Good 80%–89%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

3.5 to >3.0 pts

Fair 70%–79%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic.

3 to >0 pts

Poor 0%–69%

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.
5 pts

This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent 90%–100%

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good 80%–89%

Contains 1 or 2 grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair 70%–79%

Contains 3 or 4 grammar, spelling, and punctuation errors.

3 to >0 pts

Poor 0%–69%

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

This criterion is linked to a Learning Outcome 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.

5 to >4.0 pts

Excellent 90%–100%

Uses correct APA format with no errors.

4 to >3.5 pts

Good 80%–89%

Contains 1 or 2 APA format errors.

3.5 to >3.0 pts

Fair 70%–79%

Contains 3 or 4 APA format errors.

3 to >0 pts

Poor 0%–69%

Contains many (≥ 5) APA format errors.
5 pts

Total Points: 100

A Sample Of This Assignment Written By One Of Our Top-rated Writers

Therapy for Clients With Personality Disorders

            Personality disorders are mental health problems that affect a significant proportion of the population. Personality disorders affect the patient’s health, well-being, and functioning. Psychiatric mental health practitioners implement evidence-based interventions that help patients develop effective coping strategies and minimize the impact of the disorders on their quality of life. Therefore, this paper analyzes a therapeutic approach for antisocial personality disorder, its diagnosis, and the meaning of a therapeutic relationship in psychiatry.

Selected Personality Disorder

            Antisocial personality disorder is the selected disorder for this essay. Antisocial personality disorder is one of the four types of cluster B personality disorders. Patients with the disorder lack remorse for their behaviors that violate others’ rights. The DSM-5 has developed criteria for diagnosing patients with antisocial personality disorder. A patient is diagnosed with the disorder if he has symptoms, including failure to obey norms and laws, lying or manipulating others for self-gain, and demonstrating impulsive behaviors. Patients also report irritability and aggression toward others, disregarding safety for themselves and others, being irresponsible, and lacking remorse for their behaviors (Akçay & Akçay, 2020; Holzer et al., 2022). The patient should be at least 18 years old, had conduct disorder before 15 years, or the symptoms cannot be attributed to mental health problems such as bipolar disorder or schizophrenia.

A Therapeutic Approach

            Family therapy is one of the therapeutic approaches to the treatment of antisocial personality disorder. Family therapy can be used to administer psychotherapeutic interventions such as cognitive behavioral therapy to patients diagnosed with antisocial personality disorder. The effectiveness of family therapy stems from the fact that family dynamics play a crucial role in the development of antisocial personality disorder (Varghese et al., 2020). Family therapy complements the treatment outcomes if psychiatric mental health practitioners are considering individual therapy for antisocial personality disorder.

            Evidence-based data shows that family therapy is effective in helping patients understand the effect of their behaviors on others. This understanding is important since it promotes behavioral change. It also challenges patients to be actively involved in exploring and adopting healthy behaviors that will promote cohesion with other family members. Patients tend to be more secure emotionally, physically, and socially when their disorders are addressed in a family setting. They can benefit from the readily available support from their family members, which facilitates the recovery process. Family members also understand the patients better than the therapist does (Marzilli et al., 2021; Visdómine-Lozano, 2022). As a result, it is easy to address the patient’s difficulties in different aspects of their lives when family therapy is adopted.

A Therapeutic Relationship in Psychiatry

            A therapeutic relationship in psychiatry is a relationship characterized by the healthcare provider collaborating with patients to achieve a common goal. A therapeutic relationship facilitates a close bond between patients and their healthcare providers. This relationship is important for patient empowerment, engagement, satisfaction, and the realization of sustainable outcomes in the treatment of antisocial personality disorder (Moreno-Poyato et al., 2021). I will share a diagnosis of antisocial personality disorder in a non-judgmental manner. I will adopt openness and educate the patient about the disorder to avoid him/her feeling odd in the community. I will also demonstrate empathy when sharing the diagnosis with the patient (Hartley et al., 2020). Sharing the diagnosis with an individual is easy compared to sharing it in a family or a group session. The psychiatrist should ensure informed consent is obtained when sharing the diagnosis in a family or a group. There is also the risk of loss of confidentiality and privacy of data in a group or a family setting.

Conclusion

            In summary, this essay has examined antisocial personality disorder. Family therapy can be adopted for antisocial personality disorder. A therapeutic relationship is important when treating patients with antisocial personality disorder. This essay used scholarly resources, which are peer-reviewed, current, and can inform psychiatric practice.

References

Akçay, B. D., & Akçay, D. (2020). What are the factors that contribute to aggression in patients with co-occurring antisocial personality disorder and substance abuse? Archives of Clinical Psychiatry (São Paulo), 47, 95–100. https://doi.org/10.1590/0101-60830000000240

Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, 102, 103490.

Holzer, K. J., Vaughn, M. G., Loux, T. M., Mancini, M. A., Fearn, N. E., & Wallace, C. L. (2022). Prevalence and correlates of antisocial personality disorder in older adults. Aging & Mental Health, 26(1), 169–178. https://doi.org/10.1080/13607863.2020.1839867

Marzilli, E., Cerniglia, L., & Cimino, S. (2021). Antisocial Personality Problems in Emerging Adulthood: The Role of Family Functioning, Impulsivity, and Empathy. Brain Sciences, 11(6), Article 6. https://doi.org/10.3390/brainsci11060687

Moreno-Poyato, A. R., Rodríguez-Nogueira, Ó., & Group, M. C. working. (2021). The association between empathy and the nurse–patient therapeutic relationship in mental health units: A cross-sectional study. Journal of Psychiatric and Mental Health Nursing, 28(3), 335–343. https://doi.org/10.1111/jpm.12675

Varghese, M., Kirpekar, V., & Loganathan, S. (2020). Family Interventions: Basic Principles and Techniques. Indian Journal of Psychiatry, 62(Suppl 2), S192. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_770_19

Visdómine-Lozano, J. C. (2022). Contextualist Perspectives in the Treatment of Antisocial Behaviors and Offending: A Comparative Review of FAP, ACT, DBT, and MDT. Trauma, Violence, & Abuse, 23(1), 241–254. https://doi.org/10.1177/1524838020939509