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Therapy for Clients with Personality Disorders

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Therapy for Clients with Personality Disorders

Paranoid Personality Disorder (PPD), as stated by Kerrin Artemis Jacobs (2024), is defined as a pervading distrust and suspiciousness of others. It is suspected to start in the early adulthood period and presents in a variety of contexts. The diagnostic criteria in DSM-5-TR have been stated to include believing that others are out to exploit, deceive, or harm them, being reluctant to confide in people, and bearing grudges persistently (American Psychiatric Association, 2022): Therapy for Clients with Personality Disorders.

These are taken as threats from benign remarks, misinterpreted. It is associated with severe interpersonal and functional impairments due to the inability of an individual to let others develop trust in them.

Another quite effective method in the case of a client suffering from PPD is individual therapy using Cognitive Behavioral Therapy (CBT). CBT helps address maladaptive thought patterns and provides strategies for reframing suspicious thoughts. Notably, CBT itself is a form of treatment structured around making sure the client is aware of obvious therapeutic boundaries, which helps promote a sense of safety, as noted by Nakao et al. (2021).

This modality has been chosen because it focuses on the cognitive distortions central to PPD, which allow clients to develop healthier ways of interpreting social interactions. It also affords the therapist an opportunity to work one-on-one with the client, avoiding the heightened anxiety that might be provoked by group or family settings.

Subsequently, according to Steindl et al. (2023), a therapeutic relationship in psychiatry involves trust, respect, and empathy in a collaborative partnership between the therapist and the client. In the instance of sharing a diagnosis of PPD, great caution should be applied to ensure that this is done in a nonjudgmental and supportive way so as not to damage such a relationship. For instance, in the case of an individual client, the diagnosis needs to be presented in a way that explains the client’s problems, emphasizing strengths and the possibility of amelioration through therapy.

If this is a family, one would want to educate the family members about the disorder and the ways to be supportive. In the group environment, the diagnosis will need to be shared guardedly as a way of building empathy among the members without perpetuating stigma.

Explanations of Scholarly Sources

American Psychiatric Association (2022)

This source is the DSM-5-TR, a foundational, peer-reviewed manual used globally by mental health professionals. It provides standardized diagnostic criteria and is published by a reputable organization in psychiatry.

Kerrin Artemis Jacobs (2024)

This reference likely comes from a recent scholarly article, ensuring relevance and credibility. The author’s work is cited to support factual details about PPD, reinforcing evidence-based practice.

Nakao et al. (2021)

This peer-reviewed study provides empirical evidence for the efficacy of Cognitive Behavioral Therapy, making it a reliable and research-backed source.

Steindl et al. (2023)

This source discusses the therapeutic relationship, a central theme in psychiatry. Peer-reviewed journal articles like this are considered scholarly because they are based on rigorous research and contribute to professional practice.

References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.).

Kerrin Artemis Jacobs. (2024). Changes of intuition in paranoid personality disorder. Frontiers in Psychiatry, 14(2). https://doi.org/10.3389/fpsyt.2023.1307629

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial Medicine, 15(1), 1–4. https://doi.org/10.1186/s13030-021-00219-w

Steindl, S. R., Matos, M., & Dimaggio, G. (2023). The interplay between therapeutic relationship and therapeutic technique: The whole is more than the sum of its parts. Journal of Clinical Psychology, 79(7), 1686–1692. https://doi.org/10.1002/jclp.23519

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Question

Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.

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