Pharmacological Treatment Plans Paper

Severe mood disorders along with delusions are diagnosed as a form of borderline personality disorder (BPD). The symptoms are extremely hard to detect as people often display emotional stressors that creates mental insecurities, on how they relate to others and on how they behave. These conditions if not treated can lead to illnesses that will develop into serious health and mental conditions. Many BPD clients experience images within their minds where they feel worthless and flawed that their self-image and sense of self often rapidly changes.Pharmacological Treatment Plans Paper One symptom others will notice is angry dispositions as being impulsivity with frequent mood swings, which hinder relationships by pushing others away. However, BPD with proper treatment clients can live happier and peaceful lives. This hypothetical case study and treatment plan is pertaining to the client’s mood swings and anxiety experiences. It will define and described from the DSM-IV-TR psychologist diagnosis book the types of circumstances defining their psychological conditions.

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Introduction

This paper presents a hypothetical case of a male adult that is suffering from mood swings, obsessive anger as Borderline Personality Disorder (BPD) that proposes a treatment plan for this mental disorder. Borderline personality disorder is a mental ailment that involves prolonged disturbance of an individual’s personality function, and is usually found in persons over eighteen years of age, although it can also occur in adolescence.Pharmacological Treatment Plans Paper Borderline personality disorder is characterized by deep and varying moods, and involves unusual levels of instability in mood; black and white thinking, or splitting; the disorder often manifests itself in idealization and devaluation episodes, as well as chaotic and unstable interpersonal relationships, self-image, identity, and behavior; as well as a disturbance in the individual’s sense of self (American Psychiatric Association, 2000).

Studies indicate that people with Borderline personality disorder tend to experience frequent, strong and long-lasting states of aversive tension, often triggered by perceived rejection, being alone or perceived failure. In extreme cases, this disturbance in the sense of self can lead to periods of dissociation. Patients may also experience temperamental sensitivity to emotive stimuli (American Psychiatric Association, 2000).

Narrative Case Description

The client is a divorced male who is currently unemployed with a history of mood instability. The John Doe client has a career history of working in the field of liquidations with a successful managerial career of supervising others. However, displays high turnover in staffing due to his outrageous behavior. He received a new district manager who re-evaluated his high turnover of people reporting to him. Management after long thought and consideration decided that his services were not in the best interest of the company objectives. He was dismissed with a six month pay to support his needs until he was able to find work.Pharmacological Treatment Plans Paper However, this client also suppressed but suffers with episodes of severe idealization and devaluation, which has led to unstable and chaotic interpersonal relationships where he seems to be disturbed about his sense of self. He is fearful of being alone, shows impulsive and risky behaviors. The client has high levels of drastic and rapid shifts from one emotion to another.

Therefore, this patient clinician is finding it challenging with the use of the word ‘borderline’ in describing this illness. Although there have been numerous articles written about the diagnosis of borderline personality disorder, and there is still little known about the nature of the illness, based on empirical research, there have been some studies carried out which suggest that people with borderline personality disorder frequently experience strong, sustained periods of aversive tension, which are usually set off when the patient perceives that he or she is being rejected, or due to perceived failure. Individuals with borderline personality disorder may fluctuate between anger and anxiety or between depression and anxiety and temperamental sensitivity to emotive stimuli (Koenigsberg et al., 2002).

As the assigned therapist it is possible that this client would eventually self-harm himself where suicidal behavior is a major diagnostic criterion in DSM-IV-TR, and after diagnosis, managing an illness of this nature and recovery can be a very challenging experience.Pharmacological Treatment Plans Paper Diagnosis of borderline personality is based on a clinical assessment of the case by qualified mental health professionals and assessing such a case will incorporate the self-reported experiences of the patient, and the observations of the mental health professional. Although the client has episodes of hostility, impulsive behaviors which has hindered relationships, the client is seeking treatment with this therapist on his own free will.

Treatment Plan

In reviewing the DSM-IV-TR for a diagnosis on patient the proposed treatment plan for this client will be based on psychotherapy, with medications playing a lesser role in the treatment. The individual case presentation here will form the foundation of the treatment plan. Although a number of techniques including interpersonal, psychodynamic and cognitive behavioral therapy have been studied for the treatment of borderline personality disorder, evidence suggests that medications like mood stabilizers, omega-3, fatty acids, anti-depressants and anti-psychotics will however, be utilized for treating depression and other co-morbid symptoms of this mental illness.

This proposed treatment plan consists of medication to contain the more stubborn affective symptoms, combined with some form of long-term psychotherapeutic intervention. Psychological treatment will be based on theories of personality, learning and interpersonal communication.

One possible course of therapy is Dialectical Behavioral Therapy (DBT). Dialectical Behavioral Therapy is a modern variant of cognitive therapy that was developed for treatment of mental ailments like Borderline personality disorder. This treatment plan appears to be as helpful in treatment as any other standard cognitive behavioral therapy.Pharmacological Treatment Plans Paper

The therapy part of the treatment will also include schema therapy, which is an integrative psychotherapy. Schema therapy is based on a cognitive schema model that is aimed at identification and adjustment of dysfunctional modes and schemas through cognitive, experiential and behavioral pathways the schema therapy has been specifically developed for patients with personality disorders (Linehan & Marsh, 1993). Although the effectiveness of this treatment has been demonstrated in controlled random trials, it has not been extensively evaluated in regular mental healthcare settings.

Identifying Information

The most widely used criteria for the diagnosis of borderline personality disorder, as well as for classifying mental disorders involves the International Classification of Diseases produced by the World Health Organization (WHO), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) which is produced by the American Psychiatric Association (APA).Pharmacological Treatment Plans Paper Both list categories of disorder and provide standardized criteria for diagnosis. They have deliberately united their codes in recent revisions so that the manuals are often broadly comparable, although significant differences remain. Other classification schemes may be used in non-western cultures (Koehler, 2005). The identifying information of the patient, his name is John Doe, who is 56 years of age, Caucasian male, has a college degree in mathematics. The initial start date for this treatment plan will start immediately March 28, 2011up to four months. Then based on successful treatment responses other treatment plans will be determined at that time. The name of the assigned clinician providing treatment is Cynthia A Johnson.Pharmacological Treatment Plans Paper

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