NRNP 6635 Assignment: Therapy for Clients With Personality Disorders
NRNP 6645 Week 10 Assignment – Borderline Personality Disorder
Personality disorders refer to ways in which personality persistently causes problems for an individual or those around them. They are characterized by chronic patterns of inner experience and inflexible behaviors (Kulacaoglu & Kose, 2018). This paper seeks to describe Borderline personality disorder (BPD), including its DSM-5 diagnostic criteria, therapeutic approach to treat BPD, and discuss the therapeutic relationship in psychiatry.
Borderline Personality Disorder
BPD presents with a marked instability in functioning, mood, affect, interpersonal relationships, and, at times, reality testing. Persons with BPD exhibit intense emotional sensitivity and an inability to regulate intense emotional responses (Kulacaoglu & Kose, 2018). The DSM-5 diagnostic criterion is based on a persistent pattern of instability of interpersonal relationships, self-image, affect, and significant impulsivity. BPD is diagnosed if at least five of the following features are present: Desperate efforts to avoid real or imagined abandonment; A pattern of unstable and intense interpersonal relationships that alternate between extremes of idealization and devaluation; Markedly and persistently unstable self-image or sense of self (Cattane et al., 2017). In addition, there is: Impulsivity in at least two areas that are potentially self-damaging; Recurrent suicidal behavior or self-mutilating behavior; Affective instability due to a marked reactivity of mood; Chronic feelings of emptiness; Intense anger or difficulty controlling anger; Severe dissociative symptoms or transient, stress-related paranoid ideation.
NRNP 6645 Week 10 Assignment – Borderline Personality Disorder
Therapeutic Approach and Modality to Treat BPD
Dialectic behavior therapy (DBT) would be my preferred therapeutic approach to treat a patient with BPD. BPD is a modification of the standard cognitive-behavioral techniques designed to treat BPD (McMain et al., 2018). I selected DBT because it is currently the only evidence-supported treatment for BPD. Besides, DBT has been established to be useful and effective in the face of the challenges of patient regression, overwhelming affect, and impulsive behavior.DBT focuses on teaching BPD patients four primary skills: Mindfulness, Interpersonal effectiveness, Emotional regulation, and distress tolerance without impulsivity (McMain et al., 2018). DBT effectively alleviates suicidal and self-injurious behaviors, hospitalizations, treatment dropout, and self-reports of anger and anxious ruminations.
Therapeutic Relationship in Psychiatry
A therapeutic relationship is an interaction between two individuals, usually a caregiver and a care receiver. The input from both parties promotes a climate of healing, growth promotion, and disease prevention (Bolsinger et al., 2020). A therapeutic relationship is goal-oriented. The nurse and client decide the goal of the relationship. When informing a patient of their BPD diagnosis, I would create a rapport to avoid damaging the therapeutic relationship. I would demonstrate geniuses by being aware of what the client is experiencing internally and expressing the awareness in the therapeutic relationship (Bolsinger et al., 2020). I would also be empathetic to the client by remaining emotionally separate from the client. In an individual session, I would share the BPD diagnosis by explaining to the client of the assessment findings, the diagnosis, treatment options, and complications (Bolsinger et al., 2020). In a family session, I would inform the members of the identified problems, diagnosis, treatment options, and how the family can help the patient in their condition. In a group setting, I would wait until the end of the session and inform the client of the diagnosis to promote confidentiality.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
NRNP 6645 Week 10 Assignment – Borderline Personality Disorder
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- The is a great resource
Conclusion
BPD is characterized by a pervasive pattern of impulsiveness, emotional deregulation, an unstable sense of identity, and complicated interpersonal relationships. DBT is used in BPD to teach patients mindfulness, assertiveness, emotional regulation, and distress tolerance without impulsivity. The goal of a therapeutic relationship is learning and growth promotion to bring some form of change in the client’s life.
NRNP 6645 Week 10 Assignment – Borderline Personality Disorder
References
Bolsinger, J., Jaeger, M., Hoff, P., & Theodoridou, A. (2020). Challenges and opportunities in building and maintaining a good therapeutic relationship in acute psychiatric settings: A narrative review. Frontiers in psychiatry, 10, 965. https://doi.org/10.3389/fpsyt.2019.00965
Cattane, N., Rossi, R., Lanfredi, M., & Cattaneo, A. (2017). Borderline personality disorder and childhood trauma: exploring the affected biological systems and mechanisms. BMC psychiatry, 17(1), 1-14. https://doi.org/10.1186/s12888-017-1383-2
Kulacaoglu, F., & Kose, S. (2018). Borderline Personality Disorder (BPD): in the midst of vulnerability, Chaos, and Awe. Brain sciences, 8(11), 201. https://doi.org/10.3390/brainsci8110201
McMain, S. F., Chapman, A. L., Kuo, J. R., Guimond, T., Streiner, D. L., Dixon-Gordon, K. L., … & Hoch, J. S. (2018). The effectiveness of 6 versus 12-months of dialectical behavior therapy for borderline personality disorder: the feasibility of shorter treatment and evaluating responses (FASTER) trial protocol. BMC psychiatry, 18(1), 1-16. https://doi.org/10.1186/s12888-018-1802-z
Assignment: Therapy for Clients With Personality Disorders
Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.
Photo Credit: Getty Images/Blend Images
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.
- Select one of the personality disorders from the DSM-5 (e.g., paranoid, antisocial, narcissistic). 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 1–2 pages, address the following:
- Briefly describe the personality disorder you selected, including the DSM-5 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.
By Day 7
Submit your Assignment. Also attach and submit PDFs of the sources you used.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
- Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
- Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
- Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 10 Assignment Rubric
NRNP 6645 Week 10 Assignment – Borderline Personality Disorder
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To Participate in this Assignment:
Week 10 Assignment
Name: NRNP_6645_Week10_Assignment_Rubric
| Excellent
90%–100% |
Good
80%–89% |
Fair
70%–79% |
Poor
0%–69% |
|
|---|---|---|---|---|
| Succinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria. |
Points Range: 14 (14%) – 15 (15%)
The response includes an accurate and concise description of the personality disorder, including the DSM-5 diagnostic criteria.
|
Points Range: 12 (12%) – 13 (13%)
The response includes an accurate description of the personality disorder, including the DSM-5 diagnostic criteria.
|
Points Range: 11 (11%) – 11 (11%)
The response includes a somewhat vague or inaccurate description of the personality disorder, including the DSM-5 diagnostic criteria.
|
Points Range: 0 (0%) – 10 (10%)
The response includes a vague or inaccurate description of the personality disorder, including the DSM-5 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. |
Points Range: 23 (23%) – 25 (25%)
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. |
Points Range: 20 (20%) – 22 (22%)
The response includes an accurate explanation of both a therapeutic approach and a modality that could be used to treat a client presenting with this disorder. The response includes an explanation of why the approach and modality were selected, with adequate justification for why they are appropriate for the disorder. |
Points Range: 18 (18%) – 19 (19%)
The response includes a somewhat vague or inaccurate 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 vague or inaccurate explanation of why the approach and modality were selected, with a somewhat vague or inaccurate justification for why they are appropriate for the disorder. |
Points Range: 0 (0%) – 17 (17%)
The response includes a vague or inaccurate explanation of a therapeutic approach and a modality that could be used to treat a client presenting with this disorder. Or, response is missing. The response includes a vague or inaccurate explanation of why the approach and modality were selected, with poor justification for why they are appropriate for the disorder. Or, response is missing. |
| • 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. |
Points Range: 27 (27%) – 30 (30%)
The response includes an accurate and concise explanation of the therapeutic relationship in psychiatry. The response clearly and concisely explains an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions. |
Points Range: 24 (24%) – 26 (26%)
The response includes an accurate explanation of the therapeutic relationship in psychiatry. The response adequately explains an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions. |
Points Range: 21 (21%) – 23 (23%)
The response includes a somewhat vague or incomplete explanation of the therapeutic relationship in psychiatry. The response provides a somewhat vague or incomplete explanation of an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions. |
Points Range: 0 (0%) – 20 (20%)
The response includes a vague and inaccurate explanation of the therapeutic relationship in psychiatry. Or, response is missing. The response provides a vague or incomplete explanation of an approach for sharing the disorder diagnosis to avoid damaging the therapeutic relationship, and how this approach would be similar or different in individual, family, and group sessions. Or, response is missing. |
| · Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached. |
Points Range: 14 (14%) – 15 (15%)
The response is supported by specific examples from this week’s media and at least three peer-reviewed, evidence-based sources from the literature that provide strong support for the rationale provided. PDFs are attached.
|
Points Range: 12 (12%) – 13 (13%)
The response is supported by examples from this week’s media and three peer-reviewed, evidence-based sources from the literature that provide appropriate support for the rationale provided. PDFs are attached.
|
Points Range: 11 (11%) – 11 (11%)
The response is supported by examples from this week’s media and two or three peer-reviewed, evidence-based sources from the literature. Examples and resources selected may provide only weak support for the rationale provided. PDFs may not be attached.
|
Points Range: 0 (0%) – 10 (10%)
The response is supported by vague or inaccurate examples from the week’s media and/or evidence from the literature, or is missing.
|
| Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. |
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineates all required criteria. |
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. |
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic. |
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. |
| Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation |
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
|
Points Range: 4 (4%) – 4 (4%)
Contains 1 or 2 grammar, spelling, and punctuation errors.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains 3 or 4 grammar, spelling, and punctuation errors.
|
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
|
| Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. |
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
|
Points Range: 4 (4%) – 4 (4%)
Contains 1 or 2 APA format errors.
|
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains 3 or 4 APA format errors.
|
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
|
| Total Points: 100 |
|---|
Leave a Reply
Want to join the discussion?Feel free to contribute!