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Personality disorders are grouped into clusters according to their traits. Paranoid personality disorder belongs to a cluster A group whose traits are said to be odd or eccentric (Hayward, 2007). According to Mohr in the book Psychiatric Mental Health Nursing, paranoid personality disorder is indicated by at least four of the following:
The typical symptoms of paranoid schizophrenia include hallucinations and delusions that have no connection with reality. The ability to think and function normally is affected and though paranoid schizophrenia is a milder form of the disorder it can have lifelong ramifications and can even result in suicidal behavior and other complications.
Swartz et al., (1988), also advised to be aware when doing a risk assessment on a patient exhibiting non compliance with medication and substance abuse that the patient may have some underlying personality traits that may need testing for.
Psychiatric nursing, also known as mental health nursing is a role that specialises in mental health, and cares for people of all ages experiencing mental illnesses or distress. These can include: schizophrenia, schizoaffective disorder, mood disorders, anxiety disorders, personality disorders, eating disorders etc. Related Articles
Paranoid Schizophrenia and Nursing Interventions in a Community Mental Health setting. Schizophrenia is a severe mental illness in which individuals loose the ability to discriminate between reality and imagination, characterized by disturbances to their thoughts, behavior and feelings.
No evidence of trichotillomania (hair-pulling disorder), excoriation (skin picking), or hoarding behaviour. Other compulsive-like behaviors. Andrea does not appear to display other addictive behaviours that are considered ”compulsive,” such as unhealthy sexual behavior, gambling, and substance use. Obsessive-compulsive personality disorder.
In the case of Jim, the nurse had spent considerable time establishing a therapeutic relationship. This was important as it enabled the nurse to communicate effectively with Jim regarding his condition which is essential within the assessment stage of the nursing process as it allows the nurse the chance to assess and react to patients’ physical, social and psychological needs, which ensures that the needs of patients are prioritised as outlined by the Nursing and Midwifery Council (NMC).
Bulimia is a more common disorder than anorexia and in contrast to the strict self-control of eating regulated by anorexics, bulimia can occur as a result of a lack of control over eating. Bulimics do not starve themselves, instead will binge massive amounts of food (often secretly), and with some cases reported as ingesting as much as 15,000 calories in 1 – 2 hours.
As a matter of fact, the American Psychiatric Association added introverted personality disorder to their Diagnostic and Statistical Manual (DSM) more than 30 years ago. For decades, the World Health Organization has also been including introverted personality in its manual, the International Statistical Classification of Diseases and Related Health Problems (ICD-9 CM).
If an individual has immediate family with the disorder, they are ten times more likely to have it (Tikovsky, 2017). The genetic effects of schizophrenia are complicated, but recently it has been discovered that compliment component 4 (C4) plays a role as a pathway for the disorder. C4 is involved in marking synapses in the brain for removal.