• Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria. Week 10: Assignment: Therapy for Clients With Personality Disorders
  • 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.

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Week 10: Assignment: Therapy for Clients With Personality Disorders

Therapy for Clients with Personality Disorders

The purpose of this paper is to describe Antisocial Personality Disorder (ASD) and explain a therapeutic approach and a modality for its treatment. Besides, the assignment describes therapeutic relationships in psychiatry and how to relay ASD diagnosis to individuals, families, and group sessions. ASD is characterized by a dysfunctional thought process that pairs social irresponsibility with non-conformity and criminal behavior associated with the affected individual’s lack of remorse for these behaviors. With an estimated lifetime prevalence rate of 4%, it is imperative to examine the disorder and determine the therapeutic approach to its treatment.

Antisocial Personality Disorder (ASPD).

ASPD refers to a marked violation of and disregard for other people’s rights (APA, 2013). The primary ASPD feature is the antisocial pattern of contempt and violation of other people’s rights. This behavioral pattern presents childhood/early adolescence and persists into adulthood. Besides, the pattern is associated with a lack of conformity with existing social norms guided by laws, dishonesty, lack of remorse, petulance, impulsivity, aggressiveness, recklessness, and irresponsibility. ASPD diagnosis is only given when an individual is age 18 years and above. However, individuals experience specific conduct symptoms before age 15.

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Therapeutic Approach and Modality

The behavioral approach is the most probable therapeutic approach to treat clients diagnosed with ASPD. In the behavioral approach, a significant focus is on assuming that an individual’s environment determines their behaviour. The way an individual responds to a given situation depends on their experience and past learning. In this case, an individual can be taught to recognize the adverse outcomes of their reckless behaviors on oneself and others and replace them with prosocial behaviors. Primarily, behavioral therapies are concerned with objective behavior, which can be learned and unlearned, thus focusing on helping individuals modify unwanted behaviours. In this case, unwanted behavior includes the undesired response to other people’s rights and opposing views/actions.

Like most other personality disorders, ASPD is difficult to treat since it is difficult to convince individuals that they need treatment. However, the most suitable therapeutic modality for this situation would be cognitive behavioral therapy (CBT). CBT assumes that an individual’s core beliefs are founded and shaped by childhood experiences and genetic composition (Sargın, Özdel, & Türkçapar, 2017). Therefore, CBT focuses on altering an individual’s thought process and behavior (Sargın et al., 2017). Through the CBT approach, a psychotherapist would identify an unwanted behavior and teach the client crucial coping skills such as muscle relaxation in intense situations and helping the client learn desirable behavior by copying and watching others. Consequently, CBT may help individuals think about how their behaviors and perceptions affect others and themselves, thus disputing the maladaptive behaviors to decrease distressful emotions. Significantly, CBT can be used for individuals who cannot take medication across all ages and alongside other pharmacologic interventions.

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Therapeutic Relationship In Psychiatry.

A therapeutic relationship refers to the consistent and close relationship that exists between a client and a therapist. A therapeutic relationship assists a client to open up about their emotions, thoughts, and beliefs regarding their psychiatric condition and enables them to modify their life for the better. In this regard, a therapist should provide an open, safe, and non-judgmental environment to allow the client to be free and at ease (Hartley et al., 2020). This relationship also promotes an atmosphere of trust, respect, and congruence, characterized by empathy, personal boundaries of behaviors, and genuineness with the client.

To maintain a therapeutic relationship between a therapist and an individual, it is crucial for the therapist to first affirm their support to the client (Wheeler, 2020). Besides, it is vital to balance your perception as a therapist of a client’s potential for adaptation with the diagnosis, growth, and positive psychotherapeutic outcome, particularly in instances when clients have less optimal ego functioning. The difference in presenting a diagnosis to individuals, families, and group session is the need for confidentiality. Like other healthcare professionals, therapists must keep confidentiality and not disclose without a client’s written consent (Wheeler, 2020). In this regard, a therapist must seek a client’s consent to communicate their diagnosis to the family or in a group session. This would help maintain clients’ interpersonal relationships with their caregivers/families/peers and the therapist.

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Conclusion

To sum up, ASD is an antisocial behavioral pattern characterized by a disregard for social norms and irresponsibility. CBT provides a framework for treatment as a psychotherapist would identify an undesirable behavior and teach the client crucial coping skills. Lastly, a therapeutic interaction is founded on trust, respect, and congruence, characterized by empathy, personal boundaries of behaviors, and genuineness with the client. Such a relationship promotes holistic healing and facilitates better outcomes for the client.

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

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 Studies102, 103490. https://dx.doi.org/10.1016%2Fj.ijnurstu.2019.103490

Sargın, A. E., Ă–zdel, K., & TĂĽrkçapar, M. H. (2017). Cognitive-Behavioral Theory and Treatment of Antisocial Personality Disorder. Psychopathy-New Updates on an Old Phenomenon. http://dx.doi.org/10.5772/intechopen.68986

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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Week 10: Assignment: Therapy for Clients With Personality Disorders

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 (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.

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The Assignment:

Succinctly, in 1–2 pages, address the following

  • Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria. Week 10: Assignment: Therapy for Clients With Personality Disorders
  • 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.

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