What are some characteristics of the following clusters of personality disorders?
Odd & Ecentric
Dramatic, Eratic, Emotional
Anxious, Fearful, Insecure
What assessments would you see with Schizoid (Cluster A) Personality Disorder individuals?
Attached to objects or animals
Want relationships but unable to get them
What are some interventions for Schizoid (Cluster A) individuals?
What are some interventions for Borderline Personality Disorder (Cluster B)?
Be careful about how they are manipulative
Don't talk about you and your life
(The more they know the less safe they are/Could be stalkers)
No suicide contract
One on One observations
Keep in line of vision
They can learn from Group Therapy with others with same disorder, they can see it in others
What are some assessments for Borderline Personality Disorder (Cluster B)?
Splitting - Common defense mechanism
Don't have much insight
Trouble maintaining relationships
THREATEN SUICIDE OFTEN
Attention seeking - Better than emotional pain
Self Destructive/Self Mutilators
What are some Nursing Diagnosis Borderline Personality Disorder (Cluster B)?
Impaired social interaction
Risk for self harm
Interrupted Family Processes
What are some Evalutaions for Borderline Personality Disorder (Cluster B)?
Are they safe?
Can they interract with peers appropriately?
What are some assessments for Histrionic (Cluster B)?
They see themselves as everyone's best friend
Do not do well in relationships
Must be center of attention
What are some interventions for Histrionic (Cluster B)?
Don't talk about yourself too much
What are some Nursing Diagnosis for Histrionic (Cluster B)?
Ineffective Social Interactions
Interrupted Family Processes
What are some assessments for Narcissistic (Cluster B) personality disorder?
Believe they deserve special treatment
Fantasy about fame
Disappointed or depressed if expectations not met
Lack of Empathy for others (Impairs relationships)
Sensitive to criticism
Need for consistent admiration
What are some interventions for Narcissistic (Cluster B) personality disorder?
Same as Histrionic and Borderline
What are some assessments for Avoidant (Cluster C) personality disorder?
High levels of anxiety
Chronic Low Self-Esteem
(But hesistant due to fear of rejection)
What are some Interventions for Avoidant (Cluster C) personality disorder?
Give Anti-anxiety as ordered
Buspar or Beta Blockers (Masks discomforts of physical signs like sweating, heart palpations)
Teach Coping skills
Desensitation - Expose small amounts at a time and work up. Small group, teaching group, bigger group
Explore positive self Characteristics
What are some assessments for Dependent (Cluster C) personality disorder?
45 Year Olds that haven't left Mommy :)
Do nothing on their own
Can't manage anything in their life
Suffocate person in Relationships
Intense fear of being alone
Find a new mate as soon as one ends
Pleasing but helpless
Where nurse/therapist transfers back feelings b/c we feel sorry for them
What are some interventions for Dependent (Cluster C) personality disorder?
Same as Avoidant
Assist with doing their own daily functions
What are some assessments for Obsessive-Compulsive (Cluster C) personality ?
DO NOT PERFORM RITUALS LIKE OCD
Extreme Need for Oderliness
Rules and Regulations
Don't need or seek treatment usually
What are some interventions for Obsessive-Compulsive (Cluster C) personality ?
Role Play on situations
Teach relaxation techniques
(Don't let them take over)
What assessments do you see with Depressive Personality Disorder?
Not in a cluster - Lifetime of behavior
What assessments do you see with Passive-Aggressive personality disorder?
Talk about people behind their back
High Need for retribution
Not good communicators
Don't take responsibility
(Don't get mad get even)
What are some cultural considerations for personality disorders?
Be aware if there are culture issues
Asian: No eye contact, Males rule
What are some Alternative therapies for personality disorders?
What are some assessments you would see in Paranoid (Cluster A) personality disorder?
Suspicious of people
Feel like they are being cheated
What are some interventions you would do for Paranoid (Cluster A) personality disorder?
Don't lie or make promises
Be very direct
Give the info that they need
What are some assessments for Schizotypal (Cluster A) personality disorders?
Look like schizophrenics
Lack friends but dont avoid people
They don't know their odd
What are some interventions for schizotypal (Cluster A) personality disorders?
Develop therapeutic relationship
What are some assessments for Anti-Social (Cluster B) personality disorders?
Disregard for law
Absence of remorse
Life of the Party
Very seldom show true colors
Usually end up in judicial system
What are some interventions for Anti-Social (Cluster B) personality disorders?
Calling their limits
Modeling their behavior