See complete instructions on attached document.

Assignment: 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.

To prepare:

· Select one of the personality disorders from the DSM-5-TR- See attached PDF document (e.g., paranoid, antisocial, narcissistic, etc.). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.

The Assignment _ Instructions

Succinctly, in 2-3 pages, address the following:

· Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. ( Use the DSM-5-TR attached PDF document)

· 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.

· Use APA7

· At least 5 references – 2 from this week’s Learning Resources (see PDF attachments) and at least three peer-reviewed, evidence-based sources. Attach the PDFs of your sources

119

10

Psychotherapies

Psychotherapy for personality disorders (PDs), like any other form of treatment, should be evidence based. For many years, if you wanted to
read about treatment, the only choices you had were to read books describ-

ing the clinical experience of an “expert.” You could also go to workshops

to learn about these ideas. Recommendations were not based on empirical

evidence, however, because there wasn’t any.

Almost all research on the treatment of PDs has studied patients

meeting criteria for borderline PD (BPD), which is also the condition

that most interests clinicians. Starting with the seminal work of Linehan

(1993), a number of innovative methods of treatment have been tested

in clinical trials and shown to be effective. There are now half a dozen

therapies for patients with BPD, each described by an acronym. I am not

convinced, however, that they work in different ways and have different

effects.

http://dx.doi.org/10.1037/14642-011
A Concise Guide to Personality Disorders, by J. Paris
Copyright © 2015 by the American Psychological Association. All rights reserved.

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A C O N C I S E G U I D E TO P E R S O NA L I T Y D I S O R D E R S

120

Three caveats should be considered. First, even if one follows a tested

method of psychotherapy, many decisions still need to be made that

derive from experience and skill. Second, research on the therapy of BPD

does not have the heft of literature on other mental disorders, such as

depression or anxiety. Third, there is no evidence that any one method

that has been tested is better than any other. Any therapy that is well

planned will be better than unstructured treatment as usual (TAU)

because it provides patients with external structures that make up for their

inner chaos.

A further limitation, one that applies to any psychotherapy, is that not

every patient can be expected to benefit from treatment. Even in the most

seriously ill, however, rehabilitation can have partial effects. Yet some are

sicker than others, and those who do best usually have “ego strengths”—

a job, an intimate relationship, or both. These areas of positive function-

ing provide patients with a base on which to build skills in other areas.

Although there are always surprises and some patients who are seriously

ill may recover, the observation that better functioning is predictive of

8/3/22, 9:36 AM Psychiatry Online | DSM Library

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Personality Disorders
Edited by:

https://doi.org/10.1176/appi.books.9780890425787.x18_Personality_Disorders

This chapter begins with a general definition of personality disorder that applies to each of

the 10 specific personality disorders. A personality disorder is an enduring pattern of inner
experience and behavior that deviates markedly from the norms and expectations of the

individual’s culture, is pervasive and inflexible, has an onset in adolescence or early

adulthood, is stable over time, and leads to distress or impairment.

With any ongoing review process, especially one of this complexity, different viewpoints

emerge, and an effort was made to accommodate them. Thus, personality disorders are

included in both Sections II and III. The material in Section II represents an update of text

associated with the same criteria found in DSM-5 (which were carried over from DSM-IV-

TR), whereas Section III includes the proposed model for personality disorder diagnosis

and conceptualization developed by the DSM-5 Personality and Personality Disorders

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