This document discusses histrionic and narcissistic personality disorders. It notes that they are classified as personality disorders rather than mental illnesses. Both disorders are grouped in cluster B, along with borderline personality disorder and antisocial personality disorder. Histrionic personality disorder is characterized by attention-seeking behaviors and an excessive desire for approval. Narcissistic personality disorder involves arrogance, lack of empathy, and an obsession with one's own importance. Treatment for both focuses on psychotherapy to change maladaptive behavior patterns and promote personal growth.
This document discusses histrionic and narcissistic personality disorders. It notes that they are classified as personality disorders rather than mental illnesses. Both disorders are grouped in cluster B, along with borderline personality disorder and antisocial personality disorder. Histrionic personality disorder is characterized by attention-seeking behaviors and an excessive desire for approval. Narcissistic personality disorder involves arrogance, lack of empathy, and an obsession with one's own importance. Treatment for both focuses on psychotherapy to change maladaptive behavior patterns and promote personal growth.
This document discusses histrionic and narcissistic personality disorders. It notes that they are classified as personality disorders rather than mental illnesses. Both disorders are grouped in cluster B, along with borderline personality disorder and antisocial personality disorder. Histrionic personality disorder is characterized by attention-seeking behaviors and an excessive desire for approval. Narcissistic personality disorder involves arrogance, lack of empathy, and an obsession with one's own importance. Treatment for both focuses on psychotherapy to change maladaptive behavior patterns and promote personal growth.
This document discusses histrionic and narcissistic personality disorders. It notes that they are classified as personality disorders rather than mental illnesses. Both disorders are grouped in cluster B, along with borderline personality disorder and antisocial personality disorder. Histrionic personality disorder is characterized by attention-seeking behaviors and an excessive desire for approval. Narcissistic personality disorder involves arrogance, lack of empathy, and an obsession with one's own importance. Treatment for both focuses on psychotherapy to change maladaptive behavior patterns and promote personal growth.
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Notes for presentation
Histrionic and narcissistic personalities come under the
mental health banner however it is a personality disorder not a mental illness. They are 2 very similar disorders displaying some of the same traits A personality disorder is who they are, it a delayed development of their personality. There 3 classifications of personality disorders, these are A, B & C Histrionic and Narcissistic are grouped in cluster B Cluster A, which is known as an odd personality, generally individuals in this cluster prefer to live along, they believe in what’s not real, a fantasy world, eg star trek in real along with aliens etc Cluster B - Behavioural, which is anti-social, histrionic, narcissistic and borderline personality disorders Cluster C – is the worrier, these individuals tend to over obsess about cleanliness and perfection Cluster B – anti-social these individuals have a long pattern of manipulation, exploiting and violating the rights of other, often these individuals are criminals They have no regard for other people or their property, These people may appear to be witty or charming; they may have problems with substances abuse (Alcohol, or drugs), they may lie, steal and fight with no remorse or guilt, regarding their actions towards other. Histrionic - likes being the centre of attention (we will talk more about this in a min) Narcissistic – self-gratification Borderline – these individuals generally have feelings of abandonment, they can be very unpredictable, they can display dangerous impulsive behaviour, (EG excessive spending, dangerous driving, risky unprotected sex with multiple partners, substance abuse, shoplifting and binge eating) They may also display sign of physical self-destruction such as self-harm and/ or suicide attempts. We were given Histrionic and narcissistic personality disorder we will talk firstly about histrionic personality disorder –
Histrionic – this is classed as a mental health condition
however it is actually a personality disorder Individuals with HPD consciously or un-consciously draw attention to themselves over dramatize situations, They may show signs of being emotionally disconnected, however they may appear lively, interesting, and dramatic and they crave to be the centre of attention, they may role play as either being a victim as in someone is out to harm them or picking on them, on the other hand they may be totally opposite, and play the princess role as in everything has to be perfect, dress, hair, shoes, make-up their whole appearance and their lives, down to perfect husband/ children These individuals have difficulties in maintain employment, because they start a new job, its new, it’s exciting, and stimulating, but soon they lose interest and quit and find a new job and they cycle starts again, this is also applied to the relationships, both romantically and sexually, however they may become highly dependent on their partners, and act more childlike where the partner has to act more like a parent than a partner, as long as they are being the centre of attention they are happy, they crave the stimulation (as long as it’s about them) and the novelty of new experiences however, what they don’t cope with is not being the centre of attention, feelings of being plain and boring, can often lead to depression, self-harm suicidal thoughts until they get the attention again. Diagnoses of HDP HDP is diagnosed on a psychological evaluation this is done by a doctor or a mental health provider. They will discuss your feelings, thoughts, relationships, behavioural patterns, they will also discuss your symptoms they will ask questions like; when did the symptoms start, the duration, an similar episodes in the past and how they are effecting the normal living activities, including the personal appearance. They will also ask questions regarding self-harm and suicidal thoughts Like all personality disorders one has to be 18 years of age to be properly diagnosed, 2-3% of the population is affected by this disorder but is unaware, because it’s not a problem to them. It is usually picked up due to an underlying medical condition (e.g. in hospital due to needing surgery,) Treatments The treatment for HDP is mainly psychotherapy, which is a large number of specific different methods used to treat mental and emotional disorders. Your treated as an individual as well as attending group therapy sessions. A few of the methods used can include persuasion, suggestions, reassurance, abreaction (reliving a painful memory from the past) and support These methods are used to help change maladaptive behaviour patterns (not be able to adjust to change /stressors in the external world), interpersonal relationships, and inner conflicts this helps the individual to promote personal growth and to lead a more meaningful and fulfilling existence. Some medications will assist in treating the symptoms however they will not treat the disorder, most medications help relieve the signs of anxiety and depression that some may be experiencing. Narcissistic This can be a result of extreme child rearing, where parents have pampered the child to extremes or being obsessed with being perfect for their own self- gratification, or on the other hand the child could have been neglected or abused his whole life and develops a need to be wanted and loved. NPD is a focus on one self, and self-admiration to an extreme level, It can be characterised by love of oneself, feelings of superiority, delusional, preoccupation with success, and power, preoccupied with fantasies, beauty, or ideal love and brilliance, However the can show arrogance, lack empathy towards other, they are uncaring to what other feel and need ( e.g. this is when a women has not met her husband’s expectations, or has not meet her husband’s self- gratification needs. The husband beats his wife, as well as belittling her, as a way of punishing her for not fulfilling his needs. Then the husbands tends to go out and buy flowers and apologise for his actions, she thinks its and apology however he has done this to make himself look good and feel better, for what he has done) A Narcissist is like a 2 year old, who hasn’t learnt or do not want to accept the world doesn’t revolve around him/her. These behaviours most likely be a concealment of insecurities and a fragile self-esteem, Diagnosis A definitive diagnose is the same as the diagnoses of a histrionic personality disorder as the both have very similar traits. treatments are the same as well, most people can either have one or both of these personality disorders with one being a little more dominant that the other. Men are more likely to be Narcissistic where women are more likely to have a histrionic personality disorder. Nursing implementations Nurses listen, observer, non, judgemental, empathetic, honest, support, advocate, promote independence and educate as well as preforming the basic observations such as bp, wound management (if needed) pulse, temperature, respirations, With a patient who has this disorder it is important to note, not to do the ADLS for them but to assist them, as a feeling of dependence can develop and inhibit the recovery process (only assist when patients absolutely cannot do it for themselves) A nurse should always encourage their patients to perform and complete task for themselves (where ever possible) e.g. showering, dressing, and basic hygiene. Thank you for listen and any questions.