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NRNP 6645 Assignment: Therapy for Clients With Personality Disorders

NRNP 6645 Assignment: Therapy for Clients With Personality Disorders

Walden University NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

Whether one passes or fails an academic assignment such as the Walden University NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

The introduction for the Walden University NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

After the introduction, move into the main part of the NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

Personality disorders (PDs) are expressions of extreme personality traits that impede an individual’s daily living resulting in functional limitations and significant suffering. PDs are prevalent and are commonly encountered in almost all forms of health care. They are connected with poor health outcomes, low quality of life, and premature mortality (Ekselius, 2018). The purpose of this paper is to describe a personality disorder, including an ideal therapeutic approach or treatment modality for the disorder, and discuss the therapeutic relationship in psychiatry.

Description of the Personality Disorder

Histrionic personality disorder (HPD) is under cluster B (dramatic and emotional) of personality disorders. Individuals with HPD appear interesting, amiable, and intimate, but some people believe they are shallow and insincere and are petty, self-centered, and demanding in their relationships (Ekselius, 2018). HPD begins in the early years of life and appears in various backgrounds. The  DSM-V diagnostic criteria include at least five of the following features: Uncomfortable in situations they are not the center of attention; Inappropriate sexually seductive behavior; Rapid shifts of emotions; Using physical appearance to draw attention; Suggestive; Exaggerated expression of emotions; Impressionistic and vague speech; Considering relationships to be more intimate than they are (Bates et al., 2021).

Therapeutic Approach and Treatment Modality

Schema therapy is the selected therapeutic that I would use to manage a client with HPD. It offers a new approach of psychotherapy entirely designed for chronic personality disorders and severe personality disorde

NRNP 6645 Assignment Therapy for Clients With Personality Disorders
NRNP 6645 Assignment Therapy for Clients With Personality Disorders

rs. Schema therapy was proposed by Jeffrey Young, who stressed the role of early maladaptive schemas in developing and maintaining personality disorders (Gol et al., 2019). The theory of schema-therapy proposes that the primary cause of personality disorders is the existence of early maladaptive schema and confrontational styles. Schema therapy is considered a process that focuses on identifying, adjusting, and changing the schemas. Gol et al. (2019) established that schema-therapies effectively improve symptoms, maladaptive schemas, confirm-seeking, and self-concept of patients with HPD.

Therapeutic Relationship Is In Psychiatry

The therapeutic relationship (TR) is considered the cornerstone of mental health practice, and its importance in psychiatry is greatly emphasized. Bolsinger et al. (2020) explain that a TR has three major aspects: an affective connection between client and therapist, a collaborative nature, and common ability to agree on goals. A positive TR is connected with better therapy outcomes with reference to clinical improvement, re-hospitalization rate, and patient satisfaction.

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Establishing an appropriate TR with a patient with HPD may be challenging due to suggestibility and attention-seeking behavior. When sharing the HPD diagnosis with a client, I would first set boundaries and avoid becoming

NRNP 6645 Assignment Therapy for Clients With Personality Disorders
NRNP 6645 Assignment Therapy for Clients With Personality Disorders

over-involved, over-supportive, self-disclosure, and disclosing feelings about the patient (Bates et al., 2021). This would avoid counter-transference, which damages the therapeutic relationship. In the individual setting, I would share the HPD diagnosis by explaining its meaning and management to the client. In a family setting, I would explain to the family the diagnosis in the presence of the client and discuss how the family can help manage the disease. In a group session, I would put patients with HPD in one group and inform them of their diagnosis and how group therapy offers an opportunity to improve their symptoms and other social skills.

Conclusion

HPD is a psychiatric disorder characterized by a pattern of exaggerated emotions and attention-seeking behaviors. I would use schema therapy, which is founded on the belief that symptoms of HPD alleviate if the schemas are improved. Therapists should avoid counter-transference when handling HPD patients as it affects the therapeutic relationship.

References

Bates, C., Samghabadi, P., & Richman, S. (2021). Histrionic Personality Disorder.

Bolsinger, J., Jaeger, M., Hoff, P., & Theodoridou, A. (2020). Challenges and opportunities in building and maintaining a good therapeutic relationship in acute psychiatric settings: A narrative review. Frontiers in psychiatry10, 965.

Ekselius, L. (2018). Personality disorder: a disease in disguise. Upsala journal of medical sciences123(4), 194–204. https://doi.org/10.1080/03009734.2018.1526235

Gol, A., Sharbaf, H. A., Sedaghat, F., & Rasooli, H. (2019). The effectiveness of schema therapy on the symptoms, severity of early maladaptive schemas, confirm-seeking, and self-concept in histrionic personality disorder.

Sample Answer 2 for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

Personality disorders are characterized by extreme out-of-the-ordinary behavior in thought, perception, emotion, and social interaction. Fluctuations in emotions and distorted interpretations of others might result in disruptive and distressing conduct (Preti et al., 2020). While some attributes might exhibit improvement over time, others might endure even after resolving the acute symptoms associated with the disorder. Psychosocial therapies, in addition to pharmacological, are often used in the management of personality disorders. The purpose of this paper is to provide an overview of paranoid personality disorder and suggest the most effective course of treatment.

Paranoid Personality Disorder

Paranoid personality disorder (PPD) is a psychiatric disease characterized by persistent and unwarranted fear and suspicion of others. PPD, according to the DSM-5, is a diagnosis given to those who consistently and persistently exhibit a deep-seated distrust of others and have a very cynical perspective of both people and the world (Köse & Erbaş, 2020). PPD is categorized as a Cluster A personality disorder, which is distinguished by atypical or unusual patterns of behavior. Individuals diagnosed with PPD have an increased susceptibility to physical, verbal, or social aggressions, which results in less trust in others and, thus, restricts the development of close or romantic relationships. They tend to be detached, unemotional, remote, confrontational, and regularly express dissatisfaction. They are cautious and reserved, displaying a solid inclination towards reason, rationality, and lack of emotional expression. However, they sometimes show sarcasm, hostility, and inflexibility.

Individuals with PPD often have challenges in establishing positive relationships with others. Individuals diagnosed with PPD sometimes have difficulties engaging in group activities and collaborative undertakings (Lee et al., 2021). They will tend to scrutinize and evaluate others but react to any criticism directed at them with aggression or defensiveness. PPD is classified as a discrete diagnosis of an individual’s maladaptive and dysfunctional personality traits, as opposed to being a mood or thought disorder, which would classify it as a psychotic disorder. Individuals diagnosed with PPD may have transient psychotic symptoms in response to stress. However, it is essential to note that a short psychotic episode, by definition, is temporary and does not persist.

Therapeutic Approach

Research indicates that Cognitive Behavioral Therapy (CBT) is highly beneficial for most patients diagnosed with PPD  (Spytska, 2023). The primary objective of treating people with PPD is to address the patient’s deeply ingrained erroneous beliefs fully. The persistence of paranoid thoughts may be ascribed to a deficiency in fundamental capacities to convey adaptive traits and a bias in information processing. Every one of these components is present in CBT sessions. Adaptive coping techniques are developed as the first phase of CBT for patients with PPD. This increases the patient’s assurance of achieving the intended treatment outcome. The counselor will use several tactics, such as self-reflection, to aid the client in altering their unconstructive views and cultivating a more genuine and harmonized viewpoint (Köse & Erbaş, 2020). In addition, the patient will develop social skills and use various tactics to convert paranoid beliefs into adaptive ones (Paoli, 2024). This intervention provides alleviation and promotes the development of robust connections.   

Therapeutic Relationship

Individuals diagnosed with PPD often have erroneous perspectives of others, ascribing responsibility to external factors. This presents substantial challenges in the identification and management of these people. To get positive results from therapy, the therapist and patient need to have a strong rapport (Banyard et al., 2021). To build a strong relationship with the patient, I would listen to them carefully and empathetically, exhibiting compassion and openness. I would thoroughly examine and analyze the diagnosis and its potential consequences. I will collaborate with the client to determine the specific goals of the therapy. I consistently evaluate the suggestions put forward by the customer and endeavor to establish a correspondence that aligns with their preferences. During group therapy, I will explain the patient’s ailment to their family and advise them on how to help the patient get well.

Conclusion

The DSM-V has established three types of personality disorders. PPD is classified under Cluster A. Coping with this illness is difficult because of inherent hostile attitudes towards people. Studies suggest that a successful therapeutic method allows healthcare providers to build a robust and reliable connection with patients, resulting in the intended results.

References

Banyard, H. G., Behn, A., & Delgadillo, J. (2021). Personality disorders and their relation to treatment outcomes in cognitive behavioral therapy for depression: a systematic review and meta-analysis. Cognitive Therapy and Research, 45(4), 561–576. https://doi.org/10.1007/s10608-021-10203-x

Köse, S. S., & Erbaş, O. (2020). Personality disorders diagnosis, causes, and treatments. Demiroğlu Bilim Üniversitesi Florence Nightingale Transplantasyon Dergisi, 5(1–2), 22–31. https://doi.org/10.5606/dsufnjt.2020.013

Lee, O., Author_Id, N., Robbins, L., & Author_Id, N. (2021). Personality disorder patients in a pain clinic. Headache Medicine Connections, 1(2), 1–5. https://doi.org/10.52828/hmc.v1i2.2

Paoli, B. (2024). Therapeutic aphorisms for paranoid personality disorder and paranoid ideation treatment: Psychological opposites and complementaries in brief therapy. Frontiers in Psychology, p. 14. https://doi.org/10.3389/fpsyg.2023.1278721

Preti, E., Di Pierro, R., Fanti, E., Madeddu, F., & Calati, R. (2020). Personality disorders in time of pandemic. Current Psychiatry Reports, 22(12). https://doi.org/10.1007/s11920-020-01204-w

Spytska, L. (2023). Paranoid personality type: Relationships with the surroundings. Naukovij Vìsnik Mukačìvsʹkogo Deržavnogo Unìversitetu9(2). https://doi.org/10.52534/msu-pp2.2023.96

Sample Answer 3 for NRNP 6645 Assignment: Psychotherapy for Clients With Addictive Disorders

Personality disorders comprise multiple features and characteristics and are classified into three main clusters: A, B, and C (Zandersen & Parnas, 2019). People with disabilities in each cluster share essential features, such as quirky and unusual qualities. In cluster A, patients exhibit unusual or irregular conduct, which causes social issues. Cluster A conditions include schizotypal, paranoid, and schizoid personality disorders. Cluster B patients have chaotic and volatile personalities. Cluster B personality disorders are classified into four types: antisocial, borderline, histrionic, and narcissistic. Cluster C patients display scared and anxious characteristics. Cluster C personality disorder is classified into three types: avoidant, dependent, and obsessive-compulsive. The purpose of this paper is to describe paranoid personality disorder and to suggest the best treatment approach.

Paranoid Personality Disorder

PPD (Paranoid Personality Disorder) is classified as Cluster B in the DSM-5. PPD is a personality condition in which people develop a persistent, widespread, and abiding suspicion of others. PPD affects around 2.3 to 4.4% of the overall population in the United States, with males being more affected than females (Perrotta, 2020). According to the DSM-V, a patient must exhibit at least four of the seven symptoms listed to be diagnosed with these illnesses. Symptoms include, always assuming that individuals are lying or using you without evidence, doubting others’ faithfulness and reliability, retaining information to themselves out of fear of being betrayed, believing that other people’s remarks are always heartfelt and threatening, feeling guilt, being always envious and distrustful of others, as well as continually whining (Ni & Wang, 2022). The etiology of PPD is unknown, however, there is minimal evidence that it is caused by biological or environmental causes. However, most individuals can benefit from psychotherapy if they are diagnosed early enough.

Therapeutic Approach

According to available evidence, most individuals with PPD can benefit considerably from CBT. When treating individuals with PPD, substantial emphasis is placed on a deeply rooted system of erroneous beliefs. Information bias reinforces paranoid ideas, and a lack of critical capabilities to confer adaptive traits (Köse & Erbaş, 2020). All of these elements are used in CBT sessions. The first stage in CBT for PPD patients is to acquire coping strategies to increase the patient’s belief in achieving the treatment objective. The therapist will use several tactics, such as self-reflection, to assist the client to modify their maladaptive ideas and interpret things in a more realistic and balanced manner. The patient will also learn interpersonal skills and other tactics to help change paranoid thinking to adaptive ones, resulting in relief and the capacity to have healthy relationships. 

Therapeutic Relationship

Most of the time, people with PPD regard others as the problem, with erroneous perspectives of others. This makes diagnosing and treating these people much more difficult. As a result, for excellent treatment outcomes, the therapist must establish therapeutic rapport and a positive connection with the patient (Köse & Erbaş, 2020). To establish a positive relationship with the patient, I would listen to him or her with compassion and without judgment. I would then explain the diagnosis and its implications in detail. I will collaborate with the client to develop therapy objectives. I will always consider the client’s suggestions and make them feel as though I am on their side. But in group therapy, I’ll inform the patient’s family about their sickness and what they can do to help the patient get better.

Conclusion

DSM-V has classified personality disorders into three groups. PPD belongs to Cluster A. This condition is difficult to handle since they already have a negative opinion of others. However, studies demonstrate that by using the most suitable therapy strategy, doctors may build a healthy and trustworthy connection with the client, resulting in the desired outcome.

References

Köse, S. S., & Erbaş, O. (2020). Personality disorders diagnosis, causes, and treatments. Demiroglu Science University Florence Nightingale Transplantation Journal5(1-2), 22–31. https://doi.org/10.5606/dsufnjt.2020.013

Ni, C., & Wang, Y. (2022, December). Negative Parenting Practices, Childhood Trauma, and Paranoid Personality Disorder. In 2022 6th International Seminar on Education, Management and Social Sciences (ISEMSS 2022) (pp. 2404-2413). Atlantis Press. https://doi.org/10.2991/978-2-494069-31-2_282

‌Perrotta, G. (2020). Borderline Personality Disorder: definition, differential diagnosis, clinical contexts, and therapeutic approaches. Ann Psychiatry Treatm4(1), 043-056. DOI:10.17352/apt.000020

Zandersen, M., & Parnas, J. (2019). Borderline personality disorder or a disorder within the schizophrenia spectrum? A psychopathological study. World Psychiatry18(1), 109–110. https://doi.org/10.1002/wps.20598