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Diagnosing a Personality Disorder

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Give a summary of the primary (Axis I or II) diagnosis of an Antisocial personality disorder as well as a brief description of a treatment approach you would recommend. Then, explain how the diagnosis informs treatment planning.

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This solution discusses the diagnosis of a personality disorder based on DSM-IV-TR features on Axis II.

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Diagnosing a personality disorder

(1) Give a summary of the primary (Axis I or II) diagnosis of a personality disorder as well as a brief description of a treatment approach you would recommend.

Based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR [APA], 2000), for some patients the Axis II Personality Disorder may be the most important disorder to be treated. A personality disorder refers to 'an enduring pattern of inner experience and behavior that deviates markedly from the expectation of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time and leads to distress in impairment (P. 685). One example of a personality disorder is Borderline Personality Disorder (BPD). The DSM-IV-TR defines diagnostic features for BPD as 'a pervasive pattern of instability of interpersonal relationships, self-image and affects, and marked impairment that begins by early adulthood and is present in a variety of ...

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