Discussion: Treatment of Personality Disorders

Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others Discussion: Treatment of Personality Disorders .

In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research.

Learning Objectives

Students will:

Analyze diagnostic criteria for personality disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

Analyze clinical features of clients with personality disorders

Align clinical features with DSM-5 criteria

Compare differential diagnostic features of personality disorders

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!

To prepare for this Discussion:

By Day 5 of Week 2, your instructor will have assigned you a personality disorder, which will be your focus for your initial post for this Discussion.

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Review the Learning Resources.

Post:

Explain the diagnostic criteria for your assigned personality disorder.

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder.

Describe clinical features from a client that led you to believe this client had this disorder. Align the clinical features with the DSM-5 criteria.

Support your rationale with references to the Learning Resources or other academic resources Discussion: Treatment of Personality Disorders.

The diagnostic criteria for antisocial personality disorder depend on a multiplicity of factors. Numerous instruments such as DSM IV-TR, DSM-5, and ICD-10, have been adopted to conduct diagnoses on suspected cases of ASPD. All these methods are predicated upon antisocial diagnoses such as the absence of remorse, the absence of empathy, and contravention of the law (Hentschel & Livesley, 2013). Further, consistent irresponsibility, impulsiveness, and irritability and aggressiveness also form part of the diagnostic criteria. Moreover, evidence of misconduct whose onset is below the 15th birthday and when antisocial behaviors manifest beyond manic or schizophrenic episodes could also be used to diagnose the condition.

After the diagnosis of the condition, there are several intervention strategies that may be preferred including individual psychotherapy and psychopharmacology. Evidence-based psychotherapy has been utilized in the management of the condition before. According to Yavuz et al. (2016), while the intervention proved to be successful initially, this has become doubtful in the recent past. However, the evidence-based psychotherapy works by aiding the patient to comprehend and then ruminate on his intrinsic mental processes, and then correlate his present and past difficulties (Yavuz et al., 2016). Nevertheless, evidence-based psychopharmacological intervention has proven to be more effective. Studies reveal that evidence-based psychopharmacology is particularly critical in the management of ASPD’s circumscribed symptom domains to improve certain symptoms (Connel et al., 2017). Major evidence suggests that the use of medication reduces aggression and impulsivity in ASPD.

When a client visited a clinic, she said that people do not want her to do what she wants because of jealousy. She also stipulates that her friend deserved losing her child because of what she did to her. In addition, the client argues that her multiple incarcerations are because police officers do not want her to enjoy her life. Using the DMS-5 scale, the client has antisocial personality disorder as she does not have empathy (Al-Dajani, Gralnick, & Bagby, 2016). Additionally, the patient also shows little disregard for the law and is irritable and aggressive. All these factors are consistent with the diagnostic criteria of the DMS-5 tool.

References

Al-Dajani, N., Gralnick, T. M., & Bagby, R. M. (2016). A Psychometric Review of the Personality Inventory for DSM–5 (PID–5): Current Status and Future Directions. Journal Of Personality Assessment, 98(1), 62-81.

Connell, C., Furtado, V., McKay, E. A., & Singh, S. P. (2017). How effective are interventions to improve social outcomes among offenders with personality disorder: a systematic review. BMC Psychiatry, 171-11.

Hentschel, A. G., & Livesley, W. J. (2013). The General Assessment of Personality Disorder (GAPD): Factor Structure, Incremental Validity of Self-Pathology, and Relations to DSM–IV Personality Disorders. Journal Of Personality Assessment, 95(5), 479-485.

YAVUZ, K. F., ŞAHİN, O., ULUSOY, S., İPEK, O. U., & KURT, E. (2016). Experiential avoidance, empathy, and anger-related attitudes in antisocial personality disorder. Turkish Journal Of Medical Sciences, 46(6), 1792-1800 Discussion: Treatment of Personality Disorders.

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