Nursing 3920A/B Chapter Notes - Chapter 13: Borderline Personality Disorder, Narcissistic Personality Disorder, Histrionic Personality Disorder
3 Apr 2018
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Goals: develop a critically informed perspective of borderline personality disorder (bpd), examine the origins of impulsive and self-mutilating behaviours. Identify interprofessional therapeutic approaches and nursing interventions for helping someone with bpd. Personality disorders (pd: personality - traits which make us unique. Instability in emotional regulation: unstable interpersonal relationships. Identity/self-image distortions; feelings of emptiness: negative affect - moods extreme, & alternate rapidly. Impulsivity: fear of separation, rejection, splitting - adoring then devaluing people, antagonism - hostility/anger/irritability in relationships. Treatment: dialectic/behaviour therapies (individual/group, mindfulness, tolerance, emotional regulation, interpersonal effectiveness, more assertive, showing self-respect, encourage client to practice self-compassion, set realistic goals, be aware of manipulative behaviours, assess for suicidal & self-mutilating behaviours. 3: boundary setting, use clear & straightforward communication, antidepressants, mood stabilizers, antipsychotics, drugs often are not very helpful, very challenging clients! Narcissistic personality disorder: excessively preoccupied with personal adequacy, power, prestige and vanity, approx.
