Psychotherapy for Narcissistic Personality Disorder Essay Example

Select one of the personality disorders from the DSM-5 (e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.
The Assignment:
Succinctly, in 1–2 pages, address the following:

Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria.
Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.
Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.  Psychotherapy for Narcissistic Personality Disorder Essay Example 

Psychotherapy for Narcissistic Personality Disorder (NPD)
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) offers 10 separate personality disorders in its fifth edition. A personality disorder is a pattern of conduct that differs significantly from the patient’s cultural expectations. It begins in youth or early adulthood and is ubiquitous and rigid. It normally remains steady over time. However it might cause distress or social impairment. One of the personality disorders is narcissistic personality disorder or NPD. The purpose of this paper is to present NPD, its DSM-5 diagnostic criteria, and the best psychotherapy for treating the condition.
Narcissistic Personality Disorder and the DSM-5 Diagnostic Criteria
Narcissistic personality disorder is one of the most common personality disorders seen by psychiatric-mental health nurse practitioners, or PMHNPs (NPD). In the DSM-5, the diagnostic code for NPD is 301.81[F60.81]. An exaggerated sense of self-worth or grandiosity, an excessive and unreasonable demand for adulation, and a lack of consideration for others characterize this personality disorder and reflect its DSM-5 criteria.
DSM-5 Diagnostic Criteria
The diagnostic criteria for NPD are grandiosity, preoccupation with power, beauty, success, and so on; perception that one is unique, an unreasonable and extreme demand for reverence, manipulation of others, a sense of entitlement, lack of empathy, pride, and a conviction that others are jealous of one are some of the characteristics that characterize NPD (APA, 2013). These are the DSM-5 diagnostic criteria.

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Therapeutic Modality for Managing Narcissistic Personality Disorder
Talk therapy or psychotherapy is the most common form of treatment for NPD. This is intended to assist the client in developing stronger interpersonal relationships as well as understanding why he exhibits the emotions that he does (Corey, 2017). However, there is currently no psychoactive medicine that can be used to treat NPD. However, because people with NPD frequently suffer from despair and anxiety, drugs designed to treat these diseases can be beneficial (Stahl, 2017). Individual psychotherapy, which is essentially psychoanalytic psychotherapy, is the most popular therapeutic treatment for NPD (Yakeley, 2018). Psychotherapy for Narcissistic Personality Disorder Essay Example  This entails a one-on-one treatment session with the therapist in order to trace the roots of the patient’s narcissistic features and counteract their harmful impact. It is favored since there is scholarly proof supporting its effectiveness (Yakeley, 2018). Cognitive behavioral therapy (CBT), family therapy, and group psychotherapy are some of the additional psychological treatments (Corey, 2017).

Therapeutic Relationship in Psychiatry
The close and continuous interaction that exists between the therapist and the client undergoing therapy is referred to as a therapeutic relationship (also known as a therapeutic alliance) (Corey, 2017). The delivery of the diagnosis to the client necessitates a great deal of subtlety and consideration. This is due to the fact that the patient already believes they are the smartest and know all. As a result, the therapist must gradually show the client that the conduct he shows is harmful to him and his interpersonal connections. Instead of informing the client that they are sick, which would jeopardize the therapeutic relationship, this should be the ideal option.
Sharing the diagnosis with an individual is much easier as you only need privacy between you two to deliver the news tactfully. For a family, one must consider sensitivities and it is therefore advisable to give the news to the authority figure in the family who can then divulge it later to the others. For group sessions it is even trickier as there is the ethical matter of maintaining confidentiality. The best way would be to call each group member individually and inform them of their diagnosis.  Psychotherapy for Narcissistic Personality Disorder Essay Example

Conclusion
Personality disorders affect the patient’s behavior and conduct. One of them is NDP. It is marked by feelings of superiority and grandiosity as well as lack of consideration for others. The best psychotherapeutic treatment for it is psychodynamic/ psychoanalytic therapy.
References
American Psychiatric Association [APA] (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th ed. Author.
Corey, G. (2017). Theory and practice of counseling and psychotherapy, 10th ed. Cengage Learning.
Stahl, S.M. (2017). Stahl’s essential psychopharmacology: Prescriber’s guide, 6th ed. Cambridge University Press.
Yakeley, J. (2018). Current understanding of narcissism and narcissistic personality disorder. BJPsych Advances, 24(05), 305–315. https://doi.org/10.1192/bja.2018.20

Select one of the personality disorders from the DSM-5 (e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.

The Assignment:

Succinctly, in 1–2 pages, address the following:

Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria.

Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.

Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.  Psychotherapy for Narcissistic Personality Disorder Essay Example

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