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Therapy for Clients with Antisocial Personality Disorder

THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS: ANTISOCIAL PERSONALITY DISORDER
Select one of the personality disorders from the DSM-5-TR antisocia personality disorder… — Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.
THE ASSIGNMENT:
Succinctly, in 2 pages, address the following:

Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. — ANTISOCIAL PERSONALITY DISORDER
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.

DSM-5 CRITERIA— Diagnostic Criteria

F60.2

A. A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following:

  1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.
  2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
  3. Impulsivity or failure to plan ahead.
  4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
  5. Reckless disregard for safety of self or others.
  6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
  7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

B. The individual is at least age 18 years.

C. There is evidence of conduct disorder with onset before age 15 years.

D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder.

Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nursesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw
Symptom Media. (2020). Histrionic disorder NP mental health continuing educationLinks to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=GJVRGofeV-w
Symptom Media. (2020). Narcissistic personality disorder online LPN CE credit CEU unit classesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es
OutcomeSuccinctly, in 2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. — The response includes an accurate and concise description of the personality disorder, 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.— The response includes an accurate and concise explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder…. The response includes a concise explanation of why the approach and modality were selected, with strong justification for why they are appropriate for the disorder.

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. — 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.

  Therapy for Clients with Antisocial Personality Disorder Antisocial Personality Disorder (ASPD) is a challenging personality disorder characterized by a pervasive pattern of disregard for and violation of the rights of others. According to the DSM-5 diagnostic criteria, individuals with ASPD exhibit behaviors such as failure to conform to social norms, deceitfulness, impulsivity, irritability, aggressiveness, reckless disregard for safety, consistent irresponsibility, and lack of remorse. The onset of these behaviors is typically before the age of 15, with the individual being at least 18 years old. Therapeutic Approach and Modality For treating clients with Antisocial Personality Disorder, a therapeutic approach that has shown efficacy is Dialectical Behavior Therapy (DBT). DBT is a form of cognitive-behavioral therapy that focuses on helping individuals regulate their emotions, improve interpersonal relationships, and develop distress tolerance skills. This approach is suitable for ASPD as it addresses impulsive behaviors, emotional dysregulation, and difficulties in interpersonal interactions commonly seen in individuals with this disorder. In terms of the therapy modality, an individual approach would be most appropriate for treating clients with ASPD. Individual therapy allows for a personalized treatment plan tailored to the specific needs and challenges of the client. It provides a safe and confidential space for the client to explore their thoughts and behaviors without judgment. Additionally, individual therapy allows the therapist to establish a strong therapeutic alliance with the client, which is crucial for treatment success. Therapeutic Relationship in Psychiatry A therapeutic relationship in psychiatry refers to the collaborative and trusting relationship between a therapist and a client that forms the foundation of effective therapy. It involves empathy, genuineness, respect, and unconditional positive regard from the therapist towards the client. In sharing a diagnosis of Antisocial Personality Disorder with a client, it is essential to approach the conversation with sensitivity and empathy to avoid damaging the therapeutic relationship. When sharing the diagnosis with an individual client, the therapist should focus on providing clear and factual information about the disorder while emphasizing that the diagnosis does not define the individual. It is crucial to discuss treatment options and goals collaboratively to empower the client in their recovery journey. In a family session, sharing the diagnosis of ASPD may involve educating family members about the disorder, setting boundaries for behavior management, and promoting open communication within the family unit. Family therapy can help address dynamics that may contribute to or exacerbate the client's symptoms and provide support for both the individual with ASPD and their family members. In a group session, sharing the diagnosis of ASPD requires sensitivity to the diverse perspectives and experiences of group members. The therapist should maintain confidentiality while fostering a supportive environment where individuals can share their thoughts and feelings about the diagnosis. Group therapy can offer validation, peer support, and diverse perspectives that may enhance the client's understanding of their disorder and promote personal growth. In conclusion, treating clients with Antisocial Personality Disorder requires a comprehensive therapeutic approach such as Dialectical Behavior Therapy delivered through an individual modality. Establishing a strong therapeutic relationship based on trust and empathy is essential in navigating the complexities of sharing the diagnosis with clients in individual, family, or group settings while ensuring that the therapeutic alliance remains intact throughout the treatment process.        

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