forgotten stuff Flashcards
A
paranoid PD nsg interventions
- Need to use therapeutic communication technique such as acceptance, confrontation, and reflection, etc.
- Clear and straightforward explanations – being too friendly or joyful may be interpreted as being suspicious.
- gently confront through ‘reality checks’ the use of unhealthy defence mechanisms.
- Setting clear boundaries when threatening behaviours are present
schizoid PD interventions
- Do not encourage social interactions; instead work on discussing topics related to anxiety and coping.
- Realistic outcomes may be as simple as increasing the patient’s satisfaction with solitary activities
- Milieu therapy: Protect the patient against being ridiculed/intimidated
schizotypical PD interventions
- Respect and be aware that bizarre beliefs / associations with cults/groups may be an integral part of a person’s life
BPD interventions
- important to clearly state the day, time, duration of each contact with the client and remain consistent in those expectations.
- When setting limits (behavioural plan), discuss their purpose for the therapeutic relationship.
- Five sense exercise – find new ways to create feelings of comfort.
- Breathing exercise .
- Enhance regular sleep-wake cycles
- Moderate exercise (3-4 hours before sleep).
histronic PD interventions
interventions
- Help develop a sense of self without validation of others
- Seductive behaviours are linked to distress
- Use clear, descriptive and concrete explanations rather than abstract language.
narcasistic PD interventions
nsg interventions
- Remain neutral and recognize low self-esteem and fear of shame in persons with narcissistic personality disorders
- Set realistic expectations and support the patient through healthy processing of criticisms or failures
antisocial PD interventions
- Milieu interventions (providing a structured environment with rules that are consistently applied).
- Establish clear boundaries during the development phase of the therapeutic relationship.
- persons with Antisocial Personality Disorders are typically involuntarily admitted to inpatient units (forensic and correctional settings) – priority is the safety of the staff and other patients
avoidant PD interventions
- Reassurance, acceptance and assertiveness
- Refrain from pushing persons with avoidant personality disorders in fear provoking social environments (severe anxiety)
- Focus on refraining negative criticism.
- Explore previous achievements of success.
dependant PD interventions
- Support these individuals to make their own decisions - autonomy
- Help with coping mechanisms targeting anxiety
- Beware of counter-transference linked to the numerous demands /crisis management needs of persons with dependant personality
disorder
OCPD interventions
- Support patients with obsessive compulsive personality disorder with changes and transitions to maintain control
- Provide structure in the milieu – leaving enough time for persons to complete the actions they need to complete
- Help change perfectionist coping mechanisms for more effective coping techniques