Psychiatric Mental Health

• 1. Paranoid personality disorder
• 2. Schizoid personality disorder
• 3. Schizotypal personality disorder

• 1. Antisocial personality disorder
• 2. Borderline personality disorder
• 3. Histrionic personality disorder
• 4. Narcissistic personality disoder

• 1. Avoidant personality disorder
• 2. Dependent personality disorder
• 3. Obsessive-compulsive personality disorder

• 1. Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him.
• 2. Persistently bears grudges
• 3. doubts loyalty & trustworthiness of friends

is characterized primarily by a profound defect in the ability to form personal relationships. Display a lifelong pattern of social withdrawal & discomfort with human interaction is apparent.

are aloof & isolated & behave in a bland & apathetic manner. They become lost in personal irrelevancies & in tangential asides that seem vague,digressive,& not pertinent to the topic at hand.

a pattern of socially irresponsible,exploitative,&guiltless behavior that reflects a disreguard for the rights of others.

pattern of intense and chaotic relationships,with affective instability & fluctuating attitudes toward other people. Are impulsive, directly & indirectly self-destructive & lack a clear sense of identity

Colorful,dramatic & extroverted behavior in excitable,emotional people.Have difficult maintaing long-lasting relationships,although they require constant affirmation of approval or acceptance from others(demand attn)

exaggerated sense of self-worth.They lack empathy & are hypersensitive to the evaluation of others.They believe that they have the inalienable right to receive special consideration & that their desire is sufficient justification for possessing whatever they seek.

extremely sensitive to rejection & because of this may lead a very socially withdrawn life.Equally common in men & women

pervasive & excessive need to be taken care of that leads to submissive & clinging behavior & fears of separation. More common in women & children

very serious & formal & have difficulty expressing emotions.They are overly disciplined,perfectionistic,& preoccupied with rules.Inflexible,intense fear of making mistakes.

pervasive pattern of negativistic attitudes.Feels cheated & unappreciated.They believe life has been unkind to them,envy & resent others.

an ongoing process that continues for as long as the nurse & client have interactions directed toward change in the client's physical or behavioral responses.

is responsible for negotiating with multiple healthcare providers to obtain a variety of services for the client.

• S=subjective data
• O=objective date
• A=assesment
• P=Plan
• I=intervention
• E=evaluation

• 1.Socialization
• 2.Support
• 3.Task completion
• 4.Camaraderie
• 5.Informational
• 6.Normative
• 7.Empowerment
• 8.Governance

• 1. Task Groups
• 2. Teaching Groups
• 3. Supportive/Therapeutic Groups
• 4. Self-Help Groups

to accomplish a specific outcome or task.The focus is solving problems & making decisions to achieve this outcome.

teaching participants effective ways of dealing with emotional stress arising from situational or developmental crises.

allowing clients to talk about their fears & relieve feelings of isolation, while receiving comfort and advice from others undergoing similar experiences.

• 1. Seating
• 2. Size
• 3. Membership

• Phase 1- Initial or Orientation
• Phase 2- Middle or Working Phase
• Phase 3-Final or Termination

milieu is French for "middle" "environment"The goal is to manipulate the environment so that all aspects of the client's hospital experience are considered "therapeutic"