NURS 6670 Discussion: Treatment of Personality Disorders
Week 3: Personality Disorders
I cannot believe these people. Don’t they know who I am? I deserve better treatment than this. That hostess should have seated me immediately, but I had to wait for 10 minutes and then she put me at this table right by the kitchen. I see an empty table right in the middle where I should be. I am just going to get up and move there. I don’t care what the hostess says, rules don’t apply to me.
Ashley, age 25
Personality disorders represent perhaps the most challenging disorders that the psychiatric mental health nurse practitioner will have to address in their professional careers. Personality disorders can co-occur in every mental health disorder and, in some cases, can mask as disorder . Although difficult to treat, the PMHNP must be able to identify personality disorders and endeavor to work with the client to not only recognize the disorder, but to treat a disorder that clients often do not believe they have. NURS 6670 Discussion: Treatment of Personality Disorders.
NURS 6670 EXAMS, DISCUSSIONS AND ASSIGNMENTS
This week, you will explore the many personality disorders and use the DSM-5 criteria for diagnosing individuals with specific personality disorders. You will use the Decision Tree format to diagnose and treat a client with a personality disorder. You also will complete the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. NURS 6670 Discussion: Treatment of Personality Disorders.
Photo Credit: kaisersosa67 / iStock / Getty Images Plus / Getty Images
NURS 6670 Discussion: Treatment of Personality Disorders Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)
- Chapter 22, “Personality Disorders” (pp. 742–762)
- Chapter 13, “Psychosomatic Medicine” (pp. 451–464)
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
- Chapter 68, “Paranoid, Schizotypal, and Schizoid Personality Disorders”
- Chapter 69, “Antisocial Personality Disorder”
- Chapter 70, “Borderline Personality Disorder”
- Chapter 71, “Histrionic Personality Disorder”
- Chapter 72, “Narcissistic Personality Disorder”
- Chapter 73, “Cluster C Personality Disorders
Note: You will access this book from Walden Library databases. NURS 6670 Discussion: Treatment of Personality Disorders.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
- “Personality Disorders”
Note: You will access this book from Walden Library databases.
Perry, J. C., Presniak, M. D., & Olson, T. R. (2013). Defense mechanisms in schizotypal, borderline, antisocial, and narcissistic personality disorders. Psychiatry: Interpersonal & Biological Processes, 76(1), 32–52. doi:10.1521/psyc.2013.76.1.32
Note: You will access this article from Walden Library databases.
Rees, C. S., & Pritchard, R. (2015). Brief cognitive therapy for avoidant personality disorder. Psychotherapy, 52(1), 45–55. doi:10.1037/a0035158
Note: You will access this article from Walden Library databases. NURS 6670 Discussion: Treatment of Personality Disorders.
Required Media
Laureate Education. (2017a). A woman with personality disorder [Interactive media file]. Baltimore, MD: Author.
Kernberg, O. (n.d.). Psychoanalytic psychotherapy for personality disorders: An Interview with Otto Kernberg, MD. [Video file]. Mill Valley, CA: Psychotherapy.net
Note: This video is approximately 94 minutes of length. You will access this article from Walden Library databases.
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.
In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research. NURS 6670 Discussion: Treatment of Personality Disorders.
NURS 6670 Discussion: Treatment of Personality Disorders 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.
- Review the Learning Resources. NURS 6670 Discussion: Treatment of Personality Disorders.
By Day 3
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. NURS 6670 Discussion: Treatment of Personality Disorders.
- Support your rationale with references to the Learning Resources or other academic resources.
By Day 6
Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. What are their similarities and differences? How might you differentiate the two diagnoses? NURS 6670 Discussion: Treatment of Personality Disorders.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 3 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 3 Discussion
Assignment 1: Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.
NURS 6670 Discussion: Treatment of Personality Disorders Learning Objectives
Students will:
- Evaluate clients for treatment of mental health disorders
- Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders
** Assigned in Week 3 and submitted in Week 4
Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:
- Decision #1: Differential Diagnosis
- Which Decision did you select?
- Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. NURS 6670 Discussion: Treatment of Personality Disorders.
- Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
- Decision #2: Treatment Plan for Psychotherapy
- Why did you select this Decision? Support your response with evidence and references to the Learning Resources. NURS 6670 Discussion: Treatment of Personality Disorders.
- What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
- Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? NURS 6670 Discussion: Treatment of Personality Disorders.
- Decision #3: Treatment Plan for Psychopharmacology
- Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
- Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? NURS 6670 Discussion: Treatment of Personality Disorders.
- Also include how ethical considerations might impact your treatment plan and communication with clients and their family.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. NURS 6670 Discussion: Treatment of Personality Disorders.
By Day 7
Submit by Day 7 of Week 4.
Assignment 2: Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam
In Weeks 1 or 2 of this course, you received an e-mail from Fitzgerald Health Education Associates (FHEA) explaining how to access the Fitzgerald Health Education Associates (FHEA) PMHNP 150 University Exit Comprehensive Exam. Please follow the directions FHEA provided and complete the exam. You must complete the exam by Day 7 of Week 3 to receive a grade. Each exam is worth 100 points and 10% of your grade. The 3-hour exam is required and will provide you with an overall view of your preparedness for the certification exam.
Note: Your Instructor receives the results and will inform you when the results are available. Do not e-mail the Fitzgerald site. NURS 6670 Discussion: Treatment of Personality Disorders.
NURS 6670 Discussion: Treatment of Personality Disorders Assignment 3: Board Vitals
This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point.
These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. NURS 6670 Discussion: Treatment of Personality Disorders.
By Day 7
Complete the Board Vitals questions.
NURS 6670 Discussion: Treatment of Personality Disorders Making Connections
This week, you explored the many personality disorders and used the DSM-5 criteria for diagnosing individuals with specific personality disorders. You used the Decision Tree format to diagnose and treat a client with a personality disorder. You also completed the Fitzgerald University Exit Comprehensive Exam to determine your readiness for the certification exam. NURS 6670 Discussion: Treatment of Personality Disorders.
Next week, you will analyze clients presenting for treatment of substance-related and addictive disorders and evaluate effectiveness of therapeutic approaches for clients diagnosed with substance-related and addictive disorders. NURS 6670 Discussion: Treatment of Personality Disorders.