Splitting is when the client will try to turn one staff member against the other or split them, or will categorize some as better or worse than others. And we need to acknowledge splitting when it occurs. You should be genuine in all of your interactions with these clients. We also need to make sure we communicate our expectations and manage theirs - they need to know what we expect them to do, and they need to know what we will and won’t be doing for them. We do want to promote Independence whenever appropriate but we still need to be consistent with our limits and boundaries. We assess for self-harm and possibly create a written contract with them stating that they won’t harm themselves or anyone else while they’re in our care. So, that being said - safety is ALWAYS our #1 priority. We also see that many clients with personality disorders tend to deal with their emotions with a physical response, like becoming agitated or violent. They also tend to be very excitable, making it hard to focus or having jumpy or excessive responses to light or sound, as well as poor impulse control. All of this makes it very difficult to maintain relationships, and many of these clients become expert manipulators. So, some defining characteristics - clients with personality disorders tend to have a preoccupation with sex, religion, or themselves and a distorted view of themselves, whether excessively high or excessively low. Everything is about them and they cannot possibly understand why you would be upset about something they did because in their minds it doesn’t affect you. This is especially true in narcissistic personality disorder. It is very difficult and in some cases next to impossible for them to make the connection that there is even any kind of impact on the other person. There is a disconnect between their actions and the possible impact on other people. Clients with personality disorder tend to believe that their actions only impact themselves. Now, let's say this is someone with personality disorder, and this is someone close to them. I recognize that everything I do has the potential to impact you and your life especially if you're someone who is close to me. The biggest issue we have with personality disorders is that they cannot see or predict the consequences of their actions and they can't see the impact of their actions on others. But with personality disorder distort reality but they never actually fully break from it. They will go in and out based on their hallucinations and delusions and what specific type of schizophrenia they have. Remember that patients with schizophrenia tend to have breaks with reality. The first thing to know about personality disorders is that it involves a distortion of reality. If you check out the care plan attached to this lesson, it defines a few of these in more specifics. For the purposes of this lesson we aren't going to go into too much detail about the specific personality disorders, but we will talk about the general characteristics of all personality disorders. And cluster C is anxious and fearful and It involves obsessive-compulsive, avoidant, and dependent personality disorders. Cluster B is over-emotional and erratic and it includes histrionic, narcissistic, antisocial, and borderline personality disorders. Cluster a is odd and eccentric which includes schizoid, schizotypical, and paranoid personality disorders. There are three clusters of personality disorders. So we can't interact with others in a way that is functional and manageable. So what the heck does that mean? Basically the behaviors and thought processes that make up our personality and make us who we are become distorted. Personality disorders are a group of maladaptive Behavior earns of behavior cognition and inner culture that make maintaining relationships and functioning very difficult. Promote discussing feelings rather than taking actionĪll right in this lesson we're going to talk about personality disorders.Limits, boundaries, communication about expectations is essential.Be consistent with your response regarding inappropriate behavior.Written contract for self-harm, suicide, and hurting others may be necessary.Maintain safety of the patient and others – always!.Distorted view of themselves (love or hate themselves).Distortion of reality (but still in it).Unable to see how their actions (or lack of actions) affect others around them.Impaired judgment, unable to see/predict consequences of actions.Preoccupation with sex, religion, or themselves.Can potentially progress to psychosis if it becomes severe.VERY difficult to maintain positive relationships.Typically unable to see the consequences of their behaviors.Patients do NOT experience breaks in reality.Definition: a group of maladaptive patterns of behavior, cognition, and inner culture that make maintaining relationships and functioning very difficult.
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