Paranoid personality disorder: Treatment of Schizoid, Histrionic, Narcissistic, Emotionally unstable: For the treatment of personality disorders, psychotherapeutic methods and procedures are of utmost importance. For every disorder, there are certain therapy concepts that take the respective circumstances into account. For some personality disorders, there are now tailor-made treatment concepts that are very effective.
This is particularly the case for borderline disorder, dissocial personality disorder, and self-uncertain (anxiety-avoiding) personality disorder. For the therapy, it is decisive in which situation the affected person is at the time of treatment. Is the patient in an (emotional) crisis situation or even suicidal? trends, the course of therapy will be different than in a relatively stable patient.
If there are other (mental) illnesses ( depression , anxiety disorders , post-traumatic stress disorder ), these are also treated. Depending on the type and severity of the disease, psychotherapeutic as well as medicinal therapies may be considered.
Paranoid personality disorder
Paranoid personalities rarely seek help because they blame their environment as the cause of their problems. A psychotherapy you are looking for only when they get into an emotional crisis that they can not handle alone. The main therapeutic goal is to reduce distrust of others and improve social skills.
The inner assumptions that a paranoid person makes for himself must be broken down into behavioral analyzes and compared with reality. So it can be learned that the other person in many situations is not a danger, but friendly and well-intentioned.
A group therapy can be useful to work on the strong desire to retreat and the lack of interpersonal conflict. In role-playing games, people can learn that they have positive skills, such as a good sense of observation, and can use them to solve the problem and understand their opponent.
Schizoid personality disorder
Schizoid personalities usually do not consider themselves in need of treatment. Since they do not suffer from the lack of social contacts, there is usually no desire to change anything. However, the need to work in a team at work or depression, anxiety disorders or psychotic disorders can lead to a schizoid person seeking help.
Psychotherapy can only be successful if it succeeds in establishing a good relationship with the therapist. Since schizoid people find it difficult to trust other people, building relationships are critical and usually takes a long time. The goal of the therapy is to activate the emotional processes and to intensify or even facilitate social interaction with fellow human beings. For schizoid personalities, individual therapy is preferable to group therapy as a stable relationship with the therapist is more promising.
Histrionic personality disorder
The main goal of psychotherapy to treat histrionic personality disorder is to promote autonomous, authentic interaction with others and to stabilize self-esteem. It should be learned to recognize feelings, to name them, to look at them in a differentiated way and finally to communicate appropriately. Promising is the work with feeling protocols, therapy diaries or self-observation sheets.
In the course of therapy, the patient learns how his behaviors and behavior relate to his personal life experience. As histrionic people define themselves as others, part of the therapy is learning to perform activities and activities on their own.
Narcissistic personality disorder
For narcissistic personalities, a stable relationship with the therapist is extremely important in psychotherapy . Patients often come into therapy only when they are in an existential crisis or have attempted suicide. Since these people are very sensitive to criticism, the therapist has to find an appropriate balance between appreciation and critical feedback.
The main goals of the therapy are a reduction of the excessive self-image, an improved critique and the promotion of empathy . Group therapy can help people understand other people’s perceptions and empathy in role-playing games.
Emotionally unstable personality disorder (borderline type)
Specific psychotherapy is the most important and central component of the treatment of borderline disorder. Likewise, a supplementary drug therapy is possible.
More detailed information can be found in the article Borderline Disruption .
In the case of dissocial personality disorder, a package of different psychotherapeutic therapy methods is required in order to be successful (eg the Reasoning Rehabilitation Program, R & R Program). The aim of the R & R program is to improve self-control, social skills, problem-solving abilities, the development of values and the assumption of responsibility for one’s own actions, and thus of features that are closely related to their deviant (and deviant) and criminal behavior.
Dissocial personalities often do not go into therapy themselves. Rather, there are requirements of the court, the youth welfare office or demands of the partner, which lead these people to the therapist.
If there are other illnesses such as depression or anxiety disorders in addition to the personality disorder , these must also be treated. If necessary, anti-Aging drugs are used.
Self-uncertain personality disorder
The self-uncertain personality disorder is treated with psychotherapy . For a shy, sensitive person, a trusting relationship with the therapist that conveys safety is of particular importance. The focus of treatment is on reducing social anxiety.
At the beginning of therapy, the patient is informed about his personality and behavioral style. Together we work out how it came into being and how the thoughts, feelings and effects are related to each other. As the therapy progresses, current behaviors are associated with the patient’s life history. This allows the patient to understand why certain behaviors have developed. The goal is to break through the negative loop of thought in which the patient is trapped and “reprogram” it to beneficial, positive thoughts.
As self-confident patients avoid unpleasant situations, they try to slowly and gradually suspend them from similar situations previously analyzed. Group therapy has proven to be particularly useful, as the group situation in itself already represents a confrontation with the unpleasant situation. Here, the patient learns gradually that he is not inferior, but has quite capabilities and resources.
In addition, relaxation techniques such as progressive muscle relaxation can beuseful, which help to control the strong physical restlessness and arousal.
Dependent personality disorder
The dependent personality disorder is treated with psychotherapy . The main goal of the therapy is to strengthen the independence and autonomy of the patient. In order to do this, you have to learn to recognize your own wishes and needs and to work towards them on the outside. As patients adapt easily, the therapist must pay particular attention to the fact that alleged advances due to a high level of cooperation also lead to inner development and not just a re-adaptation process.
In detailed discussions and analyzes, the influence of current behavior on private and professional relationships is worked out and how people react to it. Group therapy has proven to be particularly effective as the patient can practice new courses of action and confident behavior in a safe environment. Positive experiences lead to a reinforcement of the patient on the chosen path.
Anankastic (compulsive) personality disorder
Many people with compulsive personality disorder get along well in everyday life. They usually only come into therapy when they are unable to calm down due to changes in the environment since an adaptation due to the lack of flexibility does not succeed. As a result, depression or anxiety disorders can occur. The primary goal of the therapy is the development of more emotional orientation, spontaneity, and risk-taking. With the help of psychotherapy can this succeed.
Educating and explaining the positive and negative aspects of extreme conscientiousness helps to reflect upon, reconsider, and possibly develop new perspectives. The therapist, together with the patient, tries to discover that problems can be solved with interpersonal interactions and that it is not absolutely necessary to adhere to rules and norms. For the patients, it is important that the ability to enjoy is also promoted. This is possible with the euthymia therapy.