Antisocial Personality Disorder

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Antisocial Personality Disorder- 301.7 (F60.2)

                  Antisocial Personality Disorder according to the American Psychiatric Association (2013), DSM-5 is a disorder that occurs since age 15 years in which the patient (Pt.) have a pervasive pattern of disregard for the right of others, fails to conform to social norms concerning lawful behaviors by repeatedly performing acts that are grounds for arrest, repeated lying or conning others for personal profit, impulsivity, aggressiveness, reckless disregard for the safety of self and others, and lack of remorse after having hurt others.

Explanation of Therapeutic Approach PMHNP Student Might Use to Treat Client      

                PMHNP Student will use Cognitive Behavioral Therapy (CBT) to treat Pt. Antisocial Personality Disorder. Cognitive Behavioral Therapy (CBT) is a form of psychotherapy or talk therapy utilized by therapists to help Client identify and change their thinking and behavior patterns that are harmful or ineffective, replacing them with more accurate thoughts and functional behaviors (American Psychiatrist Association, 2019). According to Wheeler (2014), in CBT, the therapist and Client build a collaborative process of empirical investigation, reality testing, and problem-solving to achieve healing.

                   PMHNP Student will not prescribe psychotropic medication to Pt. unless Pt. has unstable mood (example- Pt. has mood swings or treat some of the distressing symptoms of the disorder, such as impulsivity and violent aggressiveness) in that case PMHNP will prescribe Depakote 250mg PO BID for Mood and Quetiapine 50mg PO BID for Agitation.

How to Share Diagnoses with Client To Avoid Damaging The Therapeutic Relationship Between the Client and the PMHNP Student

                 PMHNP Student will use CBT to help Pt. identify and change their thinking and behavior patterns that are harmful or ineffective, replacing them with more accurate thoughts and functional behaviors. PMHNP Student will use CBT build a collaborative relationship with Pt. to conduct an empirical investigation, reality testing, and problem-solving to achieve the goal of healing for Pt. Pt. will be made to focus on his current problems and how to solve them, which often involves practicing new skills to help them solve the problem impulsivity, lying for personal benefit, learn to show remorse and apologize when he offends other, learn how to interact with others appropriately. 

Support Approach with Evidence-based Literature.

                 PMHNP student selected CBT as a psychotherapy of choice to treat Pt. Antisocial Personality Disorder- 301.7 (F60.2) because in a peer review research by Matusiewicz, Hopwood, Banducci, and Lejuez (2010), the authors reviewed the manuscript of CBT treatments for Personality Disorder, including a description of the available treatments and empirical support, drawing on research published between 1980 and 2009 and found out that CBT is an effective treatment modality for reducing symptoms and enhancing functional outcomes among patients with Personality Disorder.

                   PMHNP Student will not prescribe psychotropic medication to Pt. unless Pt. has unstable mood because according to Cleveland Clinic (2020), medication is not used to treat the antisocial personality disorder itself, it might be used to help stabilize mood swings or treat some of the distressing symptoms of the disorder, such as impulsivity and violent aggressiveness thus psychotherapy remains the treatment of choice for antisocial personality disorder.

                                               References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental

              disorders (5th ed.). Washington, DC: Author.

American Psychiatrist Association (2019). What is psychotherapy? Retrieved from

               https://www.psychiatry.org/patients-families/psychotherapy

Cleveland Clinic (2020). Antisocial personality disorder: management and treatment.

                Retrieved from https://my.clevelandclinic.org/health/diseases/9657-antisocial-personality-disorder/management-and-treatment

Matusiewicz, A.K., Hopwood, C.J., Banducci, A.N.,and Lejuez, C.W. (2010). The effectiveness  

                of cognitive behavioral therapy for personality disorders. Psychiatric Clinics of North

                 America, 33 (3), 657-685. Retrieved from

                  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3138327/

Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-

                  to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing