Transcript Challenging behaviors in the clc: Personality disorder and

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”
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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
“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……….
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Disorder vs. Traits
 Schizophrenia
 Schizoaffective
 Bipolar
Disorder
Disorder
 Self-centeredness
 Lack
of individual accountability
 Lack of perspective-taking and
empathy
 Manipulative and exploitive behavior
 Unhappiness
 Distorted understanding of events
 Socially maladaptive
YES!
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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, it’s 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
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Understand that some situations cannot be “fixed”
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Consult with your local Psychologist or Psychiatrist
to assist with treatment planning and behavior
management