Discussion: Therapy for Clients With Personality Disorders NRNP 6640-14

Discussion: Therapy for Clients With Personality Disorders NRNP 6640-14

Discussion: Therapy for Clients With Personality Disorders
Clients with personality disorders often find it difficult to overcome their problems and
function in daily life. Even when these clients are aware that they have a dysfunction with
their personality and are open to counseling, treatment can be challenging for both the
client and the therapist. For this Discussion, as you examine personality disorders, consider
therapeutic approaches you might use with clients.
Learning Objectives
Students will:
 Analyze therapeutic approaches to treating clients with personality disorders
To prepare:
 Review this week’s Learning Resources and reflect on the insights they provide.

 Select one of the personality disorders from the DSM-5.
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!
By Day 3
Post a description of the personality disorder you selected. Explain a therapeutic approach
(including psychotropic medications if appropriate) you might use to treat a client
presenting with this disorder, including how you would share your diagnosis of this
disorder to the client in order to avoid damaging the therapeutic relationship. Support
your approach with evidence-based literature.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by providing one alternative therapeutic
approach. Explain why you suggest this alternative and support your suggestion with
evidence-based literature and/or your own experiences with clients.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 11 Discussion Rubric
Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 11 Discussion

Exam: Final Exam
Learning Objectives
Students will:
 Assess knowledge of concepts, principles, and theories related to the psychotherapy
of individuals

This exam is a test of your knowledge in preparation for your certification exam. No
outside resources including books, notes, websites, or any other type of resource are to be
used to complete this exam. You are expected to comply with Walden University’s Code of
Conduct.
This exam will cover the following topics from the Wheeler textbook, which relate to
psychotherapy of individuals:
 Supportive and Psychodynamic Psychotherapy
 Interpersonal Psychotherapy
 Humanistic-Existential and Solution-Focused Approaches to Psychotherapy
 Psychotherapy With Children
 Psychotherapy With Older Adults
 Termination and Outcome Evaluation
By Day 7
Complete the Final Exam. Prior to starting the exam, you should review all of your
materials. There is a 2-hour time limit to complete this 76-question exam. You may only
attempt this exam once.
Submission
Submit Your Exam by Day 7

To submit your Exam:
Week 11 Exam

Congratulations! After you have finished all of the assignments for this week, you have
completed the course. Please submit your Course Evaluation by Day 7.

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Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and
standards of practice (2nd ed.). Washington, DC: Author.
 Standard 5H “Psychotherapy” (pages 63-64)
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.
 Chapter 20, “Termination and Outcome Evaluation” (Review pp. 693–712)

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

Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011). Psychotherapy for
personality disorders. International Review Of Psychiatry, 23(3), 282-302.
doi:10.3109/09540261.2011.586992

Lorentzen, S., Ruud, T., Fjeldstad, A., & Høglend, P. A. (2015). Personality disorder
moderates outcome in short- and long-term group analytic psychotherapy: A randomized
clinical trial. British Journal of Clinical Psychology, 54(2), 129-146. doi:10.1111/bjc.12065

Paris, J. (2004). Personality disorders over time: implications for psychotherapy. American
Journal Of Psychotherapy, 58(4), 420-429.

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it
occur? In Premature termination in psychotherapy: Strategies for engaging clients and
improving outcomes (pp. 11–31). Washington, DC: American Psychological Association.
doi:10.1037/14469-002

Optional Resources

Dorr, D. (1999). Approaching psychotherapy of the personality disorders from the Millon
perspective. Journal of Personality Assessment, 72(3), 407–425. PMID: 10491846

Bach, B., Lee, C., Mortensen, E. L., & Simonsen, E. (2016). How do DSM-5 personality
traits align with schema therapy constructs? Journal of Personality Disorders, 30(4),
502–529. doi:10.1521/pedi_2015_29_212