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Therapy For Clients With Personality Disorders Assignment Discussion

Therapy For Clients With Personality Disorders Assignment Discussion

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I choose borderline personality disorder.

THE ASSIGNMENT:
Succinctly, in 1–2 pages, address the following:
• Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria.
• Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
• Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.
Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Therapy For Clients With Personality Disorders Assignment Discussion

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Borderline personality disorder (BPD) is a complex mental illness that is marked by ongoing volatility in emotional states, interpersonal interactions, as well as self-perception (Brüne, 2016). According to the DSM-5-TR, people with BPD meet certain diagnostic criteria, such as frantic attempts to stay in relationships after being rejected, which causes severe anxiety about being rejected even in committed partnerships. Additional characteristics of the condition include tumultuous as well as unpredictable relationships, in which people may quickly switch from idealizing and devaluing other people (Videler et al., 2019)Therapy For Clients With Personality Disorders Assignment Discussion. Identity disruption is a common trait, where people find it difficult to stay true to who they are and often take on new personas depending on the circumstance.

A common trait of impulsive conduct includes self-harm, binge eating, risky driving, drug misuse, and other behaviors that are often triggered by strong emotions. Those with BPD are more likely to engage in recurring suicide conduct or self-mutilation when they are experiencing emotional distress (Brüne, 2016). Short-term, sharp mood swings are caused by affective instability, and long-term depressive moods are a factor in issues with a sense of self-worth and identity (Videler et al., 2019)Therapy For Clients With Personality Disorders Assignment Discussion. Unreasonably strong and inappropriate rage in relation to the situation is another common feature of BPD. Furthermore, especially in the presence of stress, people may exhibit brief, related paranoid ideation or acute dissociation symptoms.

The Therapeutic Approach for Treating BPD

Dialectical behavior therapy, or DBT, is a well-respected therapeutic strategy for treating people with BPD, and group therapy is a helpful technique within this framework. Marsha Linehan created DBT, especially for people with Borderline Personality Disorder. It is a thorough, empirically supported cognitive-behavioral treatment that blends techniques for acceptance and transformation (Mehlum, 2021). With its emphasis on the dialectic process of striking a balance between acceptance as well as change, DBT offers a methodical framework for tackling the fundamental issues related to BPD.

Skills training, which focuses on four sections emotion regulation, mindfulness, distress tolerance, as well as interpersonal effectiveness, constitutes one of the fundamental principles of DBT (Mehlum, 2021)Therapy For Clients With Personality Disorders Assignment Discussion. Because they target impulsivity, dysregulation of emotions, as well as interpersonal issues that are specific to BPD, these skills are very important for those who have BPD. Emotional regulation skills promote emotional stability, abilities to tolerate distress assist in controlling strong emotions without turning to inappropriate behaviors, mindfulness practices improve awareness as well as acceptance of the current moment, and effective interpersonal skills strengthen interpersonal relationships and communication (Mehlum, 2021)Therapy For Clients With Personality Disorders Assignment Discussion. Because DBT strikes a balance between urging change and supporting the person’s feelings and actions, it is an ideal therapy for those with BPD. DBT’s organized format, which includes phone coaching, group skills development, individual treatment, and therapist consultation, provides a thorough and standardized method of addressing the many issues related to BPD.

Within the DBT (Dialectical Behavioral Therapy) framework, group therapy is an effective approach for treating patients with BPD. Group sessions offer a safe space where people may practice and acquire DBT techniques in practical settings. It lessens the isolation that people with BPD often face and promotes a feeling of community. Participants in group therapy may also observe and acquire knowledge from others, standardizing their experiences as well as offering a setting in which to practice new skills (Choi-Kain et al., 2017)Therapy For Clients With Personality Disorders Assignment Discussion. Group settings imitate everyday interactions in terms of interpersonal relationships, giving people with BPD a secure and encouraging environment in which to practice newly acquired abilities. Members of a group may share coping mechanisms, and insights, along with mutual understanding, which helps people feel less alone and more sense of belonging (Choi-Kain et al., 2017).

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The Therapeutic Relationship

In the field of psychiatry, a therapeutic relationship is characterized by a cooperative and therapeutic partnership between a client along a mental health practitioner. In order to provide a secure and encouraging environment for the client to investigate and deal with their mental health issues, this connection is essential to the success of therapy (Levy et al., 2018)Therapy For Clients With Personality Disorders Assignment Discussion. It creates an atmosphere where the customer feels understood, valued, as well as accepted. It is defined by empathy, trust as well as open communication. For the client to heal, develop, and experience good changes in their ideas, emotions, and actions, a therapeutic relationship is necessary.

Diagnosis Sharing with A Client

In order to prevent disrupting the therapeutic relationship, diagnosis sharing of BPD takes delicacy as well as thoughtfulness. The dialogue should, above all, be conducted with empathy, confirming the client’s feelings as well as experiences. The diagnosis should be fully explained by the doctor, who should stress that it provides a framework for understanding and addressing problems as opposed to a label that defines the individual (Levy et al., 2018). Discussing certain noticed behaviors, and symptoms as well as how the diagnosis has affected the client’s life should be done in a collaborative manner. A feeling of agency as well as ownership over the course of therapy is fostered by including the patient in the diagnostic process. Furthermore, encouraging the client to participate in the therapeutic process may be accomplished by emphasizing the possibility of positive change via therapeutic procedures like DBT (Levy et al., 2018)Therapy For Clients With Personality Disorders Assignment Discussion.

Differences in Diagnosis-sharing

A client’s unique experiences and problems might be the center of attention during an individual session. A collaborative approach to therapy may be developed by the therapist and the patient, who can discuss personal responses to their diagnosis as well as its consequences for their lives. Assuring that the client’s particular wants and queries are met, the personal environment enables a more customized and in-depth conversation (Mongelli et al., 2020). Psychoeducation on BPD and its effects on interpersonal relationships may be given by the therapist during a family session. Within the family, the focus would be on promoting good communication, understanding, as well as support. Engaging relatives in the treatment procedure might improve the BPD patient’s whole support network (Mongelli et al., 2020)Therapy For Clients With Personality Disorders Assignment Discussion. In a group context, BPD diagnosis sharing necessitates striking a delicate balance between group support as well as secrecy. A comprehensive overview of BPD may be given by the physician, who will highlight typical experiences as well as the possibility of improvement. Disseminating success stories from individuals who have surmounted comparable obstacles helps mitigate stigma and foster a feeling of unity within the community.

Justification for Scholarly Sources

They are regarded as scholarly because the materials are written by professionals in the field, published in respected journals, and go through peer review to ensure the accuracy and validity of the data. Every source provides evidence-based information on the efficacy of treatment modalities for borderline personality disorder.

References

Brüne, M. (2016). Borderline personality disorder: why ‘fast and furious’?. Evolution, medicine, and public health, 2016(1), 52-66. doi:10.1093/emph/eow002

Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017). What works in the treatment of borderline personality disorder. Current Behavioral Neuroscience Reports, 4, 21-30. https://doi.org/10.1007/s40473-017-0103-z

Levy, K. N., McMain, S., Bateman, A., & Clouthier, T. (2018). Treatment of borderline personality disorder. Psychiatric Clinics, 41(4), 711-728.

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Mehlum, L. (2021). Mechanisms of change in dialectical behaviour therapy for people with borderline personality disorder. Current opinion in psychology, 37, 89-93. https://doi.org/10.1016/j.copsyc.2020.08.017

Mongelli, F., Georgakopoulos, P., & Pato, M. T. (2020). Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. Focus, 18(1), 16-24. doi: 10.1176/appi.focus.20190028

Videler, A. C., Hutsebaut, J., Schulkens, J. E., Sobczak, S., & Van Alphen, S. P. (2019). A life span perspective on borderline personality disorder. Current Psychiatry Reports, 21, 1-8. https://doi.org/10.1007/s11920-019-1040-1 Therapy For Clients With Personality Disorders Assignment Discussion

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