Discuss 2 Pages On Personality Disorders From DSM-5

Discuss 2 Pages A Personality Disorders From Thedsm 5 Tr Narcissi

Discuss (2 pages) a personality disorder from the DSM-5-TR - Narcissistic. Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder above. 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. References x 3: American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). “Culture and Psychiatric Diagnosis” Paris, J. (2015). Psychotherapies. In A concise guide to personality disorders (pp. 119–135). American Psychological Association. Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing. Chapter 18, “Dialectical Behavior Therapy for Complex Trauma”

Paper For Above instruction

The DSM-5-TR provides detailed diagnostic criteria for personality disorders, emphasizing enduring patterns of inner experience and behavior that deviate markedly from cultural expectations. Among these, Narcissistic Personality Disorder (NPD) is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy. Individuals with NPD often exhibit an inflated sense of self-importance, exaggerated achievements, and a preoccupation with fantasies of success and power. According to the DSM-5-TR, the diagnosis requires at least five of nine specific criteria to be met, including a grandiose sense of self-importance, a need for excessive admiration, and a lack of empathy (American Psychiatric Association, 2022).

The core features of narcissistic personality disorder include a profound sense of entitlement, arrogance, and manipulative behaviors that serve to maintain their fragile self-esteem. Such individuals often have difficulty establishing and maintaining meaningful relationships because their interpersonal style is exploitative and dismissive of others' feelings (Paris, 2015). The etiology of NPD may involve genetic predispositions, early childhood experiences, and social-cultural influences that reinforce narcissistic traits. For instance, excessive pampering or criticism during childhood can contribute to the development of narcissistic features (Wheeler, 2020).

Given the challenges associated with NPD, psychotherapeutic intervention requires a nuanced approach. A common and evidence-based modality suitable for treating NPD is Dialectical Behavior Therapy (DBT), which emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness (Wheeler, 2020). However, for NPD, especially when comorbid with other personality disorders or mood disturbances, cognitive-behavioral therapy (CBT) tailored specifically to address narcissistic traits can also be effective. The therapist aims to foster self-awareness, empathy, and healthier interpersonal patterns. Group therapy can be particularly useful, as it offers clients real-time feedback about their social interactions and promotes insight into their impact on others.

I selected individual psychotherapy using CBT as the primary modality because it allows for focused, personalized exploration of maladaptive narcissistic behaviors and beliefs. CBT's structured approach helps clients recognize distorted thought patterns and develop healthier self-perceptions while improving empathy and interpersonal effectiveness. This modality is appropriate because it provides a safe environment for clients to confront vulnerabilities and work collaboratively with the therapist to develop healthier coping strategies. Group therapy, on the other hand, complements individual work by exposing clients to peer feedback, fostering social skills, and reducing isolation.

In psychiatry, the therapeutic relationship is a collaborative, trusting alliance between clinician and patient that provides the foundation for effective treatment. It involves empathy, respect, and mutual understanding, crucial for encouraging clients to share sensitive information and engage actively in therapy (Paris, 2015). When disclosing a diagnosis like NPD, it is essential to approach the conversation with sensitivity, emphasizing the goal of understanding and improvement rather than labeling or stigmatization.

When sharing the diagnosis with an individual client, I would frame NPD as a pattern of behaviors and thoughts that can be understood with compassionate insight. I would explain that these patterns are often rooted in early experiences and can be addressed through therapy to improve relationships and self-understanding. For example, I might say, “Many people with this pattern experience challenges in their relationships, but with support, they can develop healthier ways of connecting.”

In a family setting, I would involve family members carefully, explaining that the client's behaviors are part of a treatable pattern, emphasizing the importance of understanding and supporting recovery. I would avoid blame and stress that therapy aims to help the whole family improve communication. For example, “Understanding these traits can help everyone work together more effectively.”

During group sessions, I would focus on fostering a supportive atmosphere where clients can observe and learn from each other's experiences. Sharing diagnoses in such settings requires delicacy, ensuring confidentiality and emphasizing the collective goal of growth. I might introduce the diagnosis by describing how certain personality patterns can influence behavior, promoting empathy among group members and creating a nonjudgmental space for sharing and reflection.

References

• American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.).
• Paris, J. (2015). Psychotherapies. In A concise guide to personality disorders (pp. 119–135). American Psychological Association.
• Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.