Lecture 13: Personality Disorders: Review and Practical Applications

mental health notes Lecture 13: 3/31 Personality Disorders: Review and Practical Applications Personality Clusters Personality Cluster A Cluster B Personality refers to who a person is and how a person behaves Hehaviors that are odd or e''entri' Hehaviors that are dra-ati' or e-otional It inucen'es an individcalgs thoc,htsm feelin,sm attitcdesm valcesm -o/ tivationsm and behaviors ze,ative xAx of s'hiDophrenia Nntiso'ial personality disorder Paranoid personality disorder Horderline personality disorder Personality aBe'ts how a person deals with stressors and for/ -sA-aintains relationships x'hiDoid personality disorder Sistrioni' personality disorder x'hiDotypal personality disorder zar'issisti' personality disorder Cluster C Hehaviors that are anOiocs or fearfcl Nvoidant personality disorder Tependent personality disorder Mbsessive/'o-pclsive personality disorder Etiology khere is no 'o--only a''epted cnderstandin, of the etiolo,y of personality disorders "ost liUelym it is a -cltifa'eted pro'ess involvin, both ,eneti' and environ-ental fa'tors Cluster A Personality Disorders Schizotypal Paranoid Schizoid KTistorted realityK KTelcsionalm paranoidK Kxo'ial withdrawalK Mdd ideasm e''entri'itym cncscal eOperien'esm scpersti/ tionm reli,iositym scspi'iocsnessm re'lcsiveness Paranoia Tistrcstfcl natcre Nloofm cninterested in othersm solitarym so'ially withdrawnm cnaBe'ted by praise and 'riti'is- Ideas of referen'e Tocbts loyalty IndiBerent to othersg opinions "a,i'al thinUin, Leeps ,rcd,es Nppears shym anOiocsm cneasym or aloof HiDarre spee'h pattern Fasily oBended xeriocs aboct everythin, Ender stressm -ay de'o-pensate and display psy'hoti' sy-pto-s Enable to a't in a li,hthearted -anner Inappropriate or 'onstri'ted aBe't Cluster B Personality Disorders Histrionic Borderline Narcissistic Row i-pclsivitym hi,h aBe'tive instability Si,h i-pclsivitym hi,h aBe'tive instability Row i-pclsivitym low aBe'tive instability FO'itablem e-otionalm 'olorfclm dra-ati'm eOtroverted Intense and 'haoti' relationships Helieves they deserve spe'ial treat-ent Nttention/seeUin,m eOhibitionisti'm sedc'tive Nlways in a state of 'risis xense of entitle-ent Tij'clty payin, attention to detailm easily distra'ted Clc'tcatin,AeOtre-e attitcdes re,ardin, others Tisplays arro,ant behaviors Tij'clty for-in, 'lose relationshipm easily inucen'ed xelf/destrc'tive behaviorm la'U of identity zeeds ad-iration Inability to be alonem 'lin,in, and distan'in, FOploits others Cear of abandon-ent andAor en,clf-ent Ra'Us e-pathy "anipclationm splittin,m depression qesponds to 'riti'is- with ra,e Antisocial & Psychopathic Si,h i-pclsivitym low aBe'tive instability Cluster C Personality Disorders Avoidant Dependent Obsessive-Compulsive KInhibitedK KInse'creK Kqi,idm reWcirin, orderK Inferioritym so'ial withdrawalm shynessm avoid/ an'em e-barrass-entm low self/estee- Inde'isionm passivity zeeds rcles and or,aniDation )lin,iness Perfe'tionis- Nvoids new a'tivities and -eetin, new people qeWcires reasscran'e FO'essively -oral Tesires 'lose relationships bct avoids dce to fear of bein, re(e'ted Cear of loneliness )onstantly prodc'tive Treatment & Nursing Process Avoidant Personality Disorder Hehavioral ,rocp interventions to i-prove so'ial sUills Nntidepressants Borderline Personality Disorder Tiale'ti'al behavioral therapy &THk redc'es episodes of parasci'idal behavior and hospitaliDation Partial hospitaliDation &involvin, ,rocp and individcal therapy redc'es sci'ide atte-ptsm self/har-m psy'hiatri' sy-pto-sm inpatient daysm and in'reases the Wcality of so'ial fcn'tionin, zoradrener,i' a,ents i-prove -ood bct not irritability or dys'ontrol Schizotypal & Cluster A Disorders xerotoner,i' a,ents -ay redc'e i-pclsivity Nntipsy'hoti' -edi'ations -ay re/ dc'e sy-pto-s Strategies for Optimal Assessment Fnviron-ental -ana,e-ent Nursing Process Application qe'o,niDin, the diBeren'e between nor-al dij'clties and personality disorders 'an be 'rc'ial to ncrsesg de'ision/-aUin, pro'ess in navi,atin, the interpersonal pro'ess Sealth history and eOa-ination kherapecti' Ese of xelf Diagnosing and Planning Appropriate Interventions "eetin, the patientgs fo'csed needs Patient shocld be en'ocra,ed to parti'ipate in not only assessin, their proble-s and needs bct en,a,in, as an a'tive partner in plannin, their 'are Nssess-ent ndin,s and identi ed needs are hi,hly variable for patients with personality disorders N 'o--on priority ncrsin, dia,nosis is risU for self/di/ re'ted or other/dire'ted violen'e hen be,innin, a therapecti' relationship with any patientm the develop-ent of self/awareness is essential zcrse and patient -eet as stran,ers and be,in a relationship that involves ,ettin, to Unow one another to pro-ote the develop-ent fo trcst Implementing E ective Interventions ki-in, and Pa'in, xafety is of ct-ost i-portan'e CreWcentlym patients with personal/ ity disorders &parti'clarly borderline will be at a hi,h risU for sci'ide xpe'i ' interventions often vary de/ pendin, on the type of personality disorder Evaluating Mb(e'tive 'ritiWce of interventions self/reue'tion zcrse evalcates how -c'h pro,ress has been -ade toward a'hievin, eOpe'ted oct'o-es )o-pares the patientgs 'crrent level of fcn'tionin, with the identi ed ,oals Hoth the ncrse and patient reue't on pro,ress -ade toward rea'hin, ,oals qapid 'han,e in behavior is hi,hly cnliUely in patien/ ts dia,nosed with personality disorders