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Chapter 16 Personality Disorders

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Chapter 16 Personality Disorders. F. Menu. Mental health continuum for personality disorders. (Fig. 16-1). 16-2. B. F. Menu. Personality Disorders. Cluster B Dramatic, Emotional, Erratic Borderline Antisocial Histrionic Narcissistic. Cluster C Anxious, Fearful Dependent - PowerPoint PPT Presentation
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Copyright © 2002 by W. B. Saunders Company. All rights reserved. Chapter 16 Personality Disorders Menu F
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Page 1: Chapter 16 Personality Disorders

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Chapter 16

Personality Disorders

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Page 2: Chapter 16 Personality Disorders

Slide

Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Mental health continuum for personality disorders

16-2 (Fig. 16-1)

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Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Personality Disorders

Cluster CAnxious, Fearful

Dependent Avoidant Obsessive Compulsive

Cluster B Dramatic, Emotional,

Erratic Borderline Antisocial Histrionic Narcissistic

Cluster AOdd or

Eccentric Schizotypal Paranoid Schizoid

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Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Limits: clear, consistent, enforceableTeam: aware of limits, need for consistency

Communicate expectations to client Be realistic re: which behaviors to limit Clear consequences of exceeding limits Follow through with consequences in non-punitive

manner Assist client to limit own behavior Assess insight and motivation to change Avoid power struggles

Limit Setting

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Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Identify antecedent needs and feelings Discuss current/previous impulsive acts Explore impact on self and others Recognize cues to impulsive behavior Refer or teach needed coping skills Discuss alternatives to impulsive behavior Role play new skills Provide feedback Support new skills Identify strengths and effective communication

Impulsive Behavior: Interventions

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Be aware of client isolation, suspiciousness Avoid being “too nice,” overly friendly Use neutral, kind approach Clear, straightforward explanations Simple, clear language Give warning about changes, reasons for delay,

medication side effects

Cluster A Clients: Interventions

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Set clear, realistic goals Be aware of manipulative behaviors Clear, consistent boundaries/limits For behavioral problems, review therapeutic goals

and treatment boundaries Avoid rejecting, rescuing Assess for suicidal, self-mutilating behavior

Borderline Personality Disorder: Interventions

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Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Set clear, realistic limits on specific behavior All limits adhered to by all staff Document objective physical signs of manipulation

or aggression Provide clear boundaries, consequences Guard against letting client make you feel guilty Guard against being manipulated

Antisocial Personality Disorder: Interventions

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Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Stay neutral, avoid power struggles Don’t be defensive when disparaged Convey unassuming self-confidence

Narcissistic Personality Disorder: Interventions

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Copyright © 2002 by W. B. Saunders Company. All rights reserved.

Understand seductive behavior as a response to stress

Keep relationship professional Encourage/model use of concrete descriptive

language Teach and model assertiveness

Histrionic Personality Disorder: Interventions

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