Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Personality Disorders

13/08/2020 Client: tiger Deadline: 24 Hours

 I need a response to this assignment


Zero Plagiarism


Therapy for Clients with Personality Disorders


                                           Description of the Condition Selected


The selected personality disorder is borderline personality disorder (BPD).  The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) lists 10 personality disorders divided into the 3 clusters (A, B, and C). BPD is 1 of 4 Cluster-B disorders that include borderline, antisocial, narcissistic, and histrionic (American Psychiatric Association, 2013). The condition is characterized by hypersensitivity to rejection and resulting instability of interpersonal relationships, self-image, affect, and behavior. Also, BPD causes significant impairment and distress and is associated with multiple medical and psychiatric co-morbidities. Surveys have estimated the prevalence of BPD to be 1.6% in the general population and 20% of the psychiatric inpatient population (Brüne, 2016).  


The DSM-5 diagnostic criteria for BPD include a pervasive pattern of instability of interpersonal relations, self-image, and affects as well as marked impulsivity beginning by early adulthood (American Psychiatric Association, 2013). BPD present in a variety of contexts as indicated by five or more of the symptoms such as frantic efforts to avoid real or imagined abandonment, a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes and idealization and devaluation, and identity disturbances. Also, patients diagnosed with BPD must report impulsivity in at least two potentially self-damaging areas, such as spending, substance abuse, binge eating, sex, and reckless driving. They should also present affective instability due to a marked reactivity of moods, such as intense episodic dysphoria, irritability, or anxiety lasting for a few hours (American Psychiatric Association, 2013).


Therapeutic Approaches for BPD


Since patients with BPD suffer considerable morbidity and mortality, BPD causes a therapeutic challenge for clinicians. First-line treatment for BPD is psychotherapy. However, symptom targeted medications have also been found useful. The psychotherapies that have been adapted to treat patients with BPD are; Dialectical behavior therapy (DBT), Mentalization-based therapy, Transference-focused therapy, Cognitive-behavioral therapy (CBT), and Schema-focused therapy (Kulacaoglu & Kose, 2018). These therapies provide active and focused interventions that emphasize current functioning and relationships. These therapy modalities also offer a structured manual supporting the therapist and providing recommendations for common clinical problems. They are structured so that they encourage increased activity, proactivity, and self-agency for the patients.


According to the literature, the pharmacological treatment for BPD is limited. It is suggested that the patient with BPD who continues to experience severe, impairing symptoms such as affective dysregulation, impulsive-behavioral dyscontrol, and perceptual symptoms despite receiving psychotherapy, should receive symptom-focused, adjunctive medication treatment (Wheeler, 2014).  Low-dose antipsychotic drugs are more useful for cognitive and perceptual symptoms such as dissociation, paranoid ideation, and hallucinations compared with antidepressants or mood stabilizers. Mood stabilizers are found to be more effective for impulsivity, aggression, and behavior control in BPD. Mood stabilizers in the meta-analyses were lamotrigine, topiramate, valproate, and lithium (Brüne, 2016). Lithium is also found to be effective in preventing suicide in BPD patients, as reported by a retrospective study. But lithium has limited usage due to significant side effects.


How to Share the BPD Diagnosis to Patients


Training communication strategies is essential when communicating BPD diagnosis to clients due to the stigma associated with it. There are two primary strategies of communicating the BPD diagnosis to clients without damaging a therapeutic relationship. The first strategy is to withhold BPD in favor of axis I diagnosis. Clinicians should use various tactics to communicate their patients' mental health conditions, generally without directly giving the diagnosis of BPD (Sulzer et al., 2016). For example, clinicians often chose to discuss co-morbid mood disorders like depression and anxiety without disclosing the borderline diagnosis. The second strategy is to withhold BPD in favor of euphemistic diagnosis (Sulzer et al., 2016). Clinicians should employ involved the use of euphemisms such as cluster B symptoms, borderline traits, difficulty regulating emotions. These expressions were used in place of a diagnosis when explaining to the patient that they had a mental health condition


                                                    References


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.


Brüne, M. (2016). Borderline Personality Disorder: Why 'fast and furious'?. Evolution, medicine, and public health2016(1), 52–66. https://doi.org/10.1093/emph/eow002


Kulacaoglu, F., & Kose, S. (2018). Borderline Personality Disorder (BPD): In the Midst of Vulnerability, Chaos, and Awe. Brain sciences8(11), 201. https://doi.org/10.3390/brainsci8110201


Sulzer, S. H., Muenchow, E., Potvin, A., Harris, J., & Gigot, G. (2016). Improving patient-centered communication of the borderline personality disorder diagnosis. Journal of mental health (Abingdon, England)25(1), 5–9. https://doi.org/10.3109/09638237.2015.1022253


Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Top Grade Tutor
Writer Writer Name Offer Chat
Top Grade Tutor

ONLINE

Top Grade Tutor

I can provide you with a guarantee of plagiarism free work. I am producing quality content for my clients including ARTICLE WRITING, ESSAY WRITING, RESEARCH PAPERS, BUSINESS PLAN, TECHNICAL WRITING, MATLAB, THESIS & DISSERTATIONS.

$55 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Activation energy of persulfate iodide reaction - Biology lab notebook example - Solutions acids and bases worksheet - Michael knighton net worth - Who invented multitrack recording - Lady in red monologue - Ati basic concept template maternal newborn - Case 18 ford motor company new strategies for international growth - How to change the theme to retrospect in excel - 8 minute speech word count - Physical chemical changes lab answers - Ethical issues debate project overview - Mypearsonmasteringlab - How tall was the shortest president - Create dangerously the immigrant artist at work sparknotes - Research Methods in Criminal Justice - Chapter 13. - Uno game flowchart - Which inequality is true for x 5 - American optical corporation provides a variety of share based - Describe mr crane's attitude towards richard - Aifs hedging case solution - Army family action plan - Similarity index gcu - City of clearwater municipal services building - The multinational financial system does not enable companies to - Irish land law notes - Assignment 3 - Steelers family fest bogo ticket code - The body shop company profile - Crowea bush flower essence - Anz smart choice super financial hardship - Which is an example of the historical manifestation of ethnocentric monoculturalism? - English - INTRODUCTION TO WIRELESS NETWORKS - Symbol for activation energy - Ford motor company number of employees 2014 - ITCC200 - Statistical studies statistical investigations student activity sheet 1 - Systems engineering principles and practice solution manual - The garden place case study solution - Wsq competency framework - Medical fitness certificate for working at heights - A kg microwave oven is pushed - Ista-2a vs astm d4169 - Enterprice Risk Management - Toucon collections - Mathletics times tables toons 9 - Cone development in autocad - Wageman and donnenfeld conflict intervention model - 4/1 - Book a council clean up liverpool - Ariel in greek mythology - Two discussions - Apa style tables and figures example - Reading weather maps practice - Bloomberg wacc data - Risk management case study with solution - Journal entry 29 on course - Female patrick bateman costume - Nndc view planning applications - Conative meaning - Edmund how fen yong v westpac banking corporation - Double declining balance depreciation table - 640k ought to be enough for anybody - What is the sociological concept coined by irving janis - Bishop tufnell primary school - Psyc 351 journal article critique - Silver creek caravan park beechworth - Flow visualization lab report - Lattice energy of magnesium chloride - Levered vs unlevered firms - 2 questions managing change and innovation - Verivide light box manual - Standards of practice - 1 chloro 1 methylcyclopentane - Unlevered cost of capital - Barrios emerging contemporary readings for writers - I need accounting homeworkhelp - Critical thinking and discussion questions international business - Hyperphysics phy astr gsu - Descriptive Statistics - Purdue owl scavenger hunt - Gospel Christology Paper - Reflective essay on nonverbal communication - American university sis admissions - How do technologies related to microorganisms suggest ethical conflicts - Animal farm absolute power corrupts absolutely - 3 page APA compliant paper, NO PLAGIARISM - Organ Leader & Decision Making - Suppose that the manufacturer of a gas clothes dryer - Target customer of milk tea - Discharge through venturimeter formula - Shogun finance ltd v hudson [2004] 1 ac 919 - Chapter 18 section 2 reteaching activity the spanish american war - San diego state university hr - Csis 100 liberty university - As long as grass grows or water runs - Can the subaltern speak spivak essay - Brisbane city council duplex - Steve jobs biography by nick bilton pdf - Tuskegee Experiment