personality disorders

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1 Personality Disorders Students Name Institutional Affiliation Course Instructor Date

2 Personality Disorders Working with people who suffer from personality disorders can be difficult for a number of reasons. Establishing a trusting therapeutic relationship may be one of the most significant challenges therapists face. Individuals with personality disorders may be resistant to treatment because of long-standing habits of thought and feeling that make it difficult to break old habits and embrace new ones (Ekselius, 2018). This can make it hard to connect with a patient and keep the therapeutic relationship going strong. It can be difficult for therapists to remain engaged while listening to a Narcissist drone on and on about how better they are. Long, self-absorbed monologues about one's accomplishments and significance are a common symptom of narcissistic personality disorder (Cohen & Hulsey, 2022). Narcissistic patients require therapists who can maintain interest in the conversation without becoming judgmental and indifferent through the use of patience, empathy and active listening skills. Strategies for addressing this issue include gently refocusing the dialogue toward relevant therapeutic aims and encouraging self-reflection. Another difficulty therapists may have is untangling the web of seduction when dealing with patients who exhibit histrionic or amorous personality qualities. The individuals frequently manipulate others or look for attention by charming or flirtatious behavior or through exaggerated displays of emotion. In order to avoid any moral or private problems, therapists need to set firm limits and keep their composure at all times. Maintaining therapeutic focus can be aided by establishing fundamental guidelines for the therapeutic interaction and steering conversations back on track.

3 Patients with avoidant or schizotypal personality features provide an increased risk that must be carefully considered when treating them. Because avoidant personality disorder is characterized by excessive shyness and withdrawal from social situations, it is essential for therapists to foster an accepting and accepting atmosphere where individuals can gradually overcome their inhibitions and begin to open up (Ekselius, 2018). Therapists working with patients diagnosed with schizotypal personality disorder must strike a delicate balance between accommodating patients' unique perspectives and preventing or alleviating any suffering or psychosis that may be a result of their condition. To maintain the well-being and patient's safety, it may be important to conduct risk assessments on a regular basis and work in tandem with other mental health specialists. Personality disorder patients present distinct obstacles that must be understood and accommodated for in order to provide effective care. In order to give the greatest care possible, therapists need to be ready to deal with challenges including resistance, manipulation, boredom, and increased risk, all while keeping their professional boundaries intact and keeping their attention on the therapeutic goals.

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4 References Cohen, C. T., & Hulsey, T. L. (2022). Object relations-focused psychoanalytic psychotherapy in the treatment of narcissistic personality disorder. Clinical Case Studies, 21(5), 474-491. https://www.researchgate.net/publication/360388218_Object_Relations- Focused_Psychoanalytic_Psychotherapy_in_the_Treatment_of_Narcissistic_Personality_ Disorder Ekselius L. (2018). Personality disorder: a disease in disguise. Upsala journal of medical sciences, 123(4), 194–204. https://doi.org/10.1080/03009734.2018.1526235

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