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CHALLENGING BEHAVIORS IN THE CLC: Personality Disorder and Mental Illness

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Title: CHALLENGING BEHAVIORS IN THE CLC: Personality Disorder and Mental Illness


1
CHALLENGING BEHAVIORS IN THE CLC Personality
Disorder and Mental Illness
  • Rebecca Fromme, Ph.D.
  • McGuire VAMC
  • Geriatrics and Extended Care

2
(No Transcript)
3
WHAT IS PERSONALITY?
  • A set of stable and enduring traits and ways of
    thinking about ourselves and the world which
    influences how we relate to others
  • It is formed by our early life experiences with
    the world, our families, our friends, and the
    overall environment
  • Genetics may also play a role in personality
    formation
  • These traits dictate how we react to the world,
    how we interpret the actions of others, and our
    overall world view

4
HOW DOES PERSONALITY AFFECT BEHAVIOR?
  • Most people have a repertoire of coping skills
    that allow them to be flexible in handling
    stressful situations
  • People with personality disorders tend to have an
    extremely LIMITED set of skills that are
    inflexible and not always appropriate to the
    situation
  • Their world is experienced through a filter of
    either suspicion, anger, or judgment
  • The most common responses to stress are
    anger/hostility, emotional dysregulation, and/or
    dependency (or a combination of these)
  • The most common trigger is LACK OF CONTROL

5
DSM-IV PERSONALITY DISORDERS
  • an enduring pattern of inner experience and
    behavior that deviates markedly from the
    expectations of the culture of the individual who
    exhibits it
  • Antisocial, Borderline, Narcissistic, Histrionic,
    Dependent.
  • Disorder vs. Traits

6
Chronic Mental Illnesses
  • Schizophrenia
  • Schizoaffective Disorder
  • Bipolar Disorder

7
Common Characteristics
  • Self-centeredness
  • Lack of individual accountability
  • Lack of perspective-taking and empathy
  • Manipulative and exploitive behavior
  • Unhappiness
  • Distorted understanding of events
  • Socially maladaptive

8
Are there times that these disordered methods
work?
  • YES!

9
How can we work with these patients in a
productive way?
  • Understand that you are a human being and you are
    allowed to have negative feelings toward patients
    (and accept them!)
  • Understand that in most cases, their response is
    not really about you, its about the situation
    and their own turmoil and inability to cope with
    it
  • Understand that we CANNOT change them, we can
    only change OURSELVES and the ENVIRONMENT
  • Understand that some situations cannot be fixed
  • Consult with your local Psychologist or
    Psychiatrist to assist with treatment planning
    and behavior management
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