Mayo Clinic Case Study

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Narcissistic Personality Disorder

1. Definition According to Mayo Clinic
This is a mental disorder where people feel that they are more important than others. They expect respect from others but yet they show a lack of empathy toward others. Behind what they show on the outside, the individual has this huge ego there lies a sensitive self-esteem that is vulnerable to any kind of criticism.

2. Causes and Risk Factors According to Mayo Clinic

• Having confusion between parent-child relationships with showing too much kindness/too much criticism.
• Family History
• Connection between brain and behavior and the way of thinking
• Poor self-esteem

3. Physical Signs and Symptoms According to Medscape

• Thoughts of suicide

Behavioral Signs
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• Group therapy-gives the client the opportunity to discuss feelings and understand how they are not alone and others go through this same process.
• Family Therapy-this gives the loved ones the opportunity to address how they feel and so the individual suffering with narcissistic behavior affects others around them. 5. Medications
Classifications of Medications Examples What they do Side effects of the drugs
Selective serotonin reuptake inhibitors (SSRIs) • Citalopram (Celexa)
• Fluoxetine (Prozac) Increases serotonin levels in the brain. Nausea, vomiting, dizziness, Headache, weight gain/loss, and dry mouth.
Anti-psychotics • Risperidone (Resperidal) Interferes with the production of certain neurotransmitters that may stimulate local nerves. Drowsiness, weight gain, dry mouth, constipation and blurred vision.
Mood Stabilizers • Lamotrigine (Lamictal)
• Valproic acid (Depakote) Helps GABA to bind to postsynaptic neuron surfaces in the CNS. Drowsiness, weakness, tremors, excessive thirst, abdominal pain, nausea, and vertigo.

6. Goals of
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Rationale: if the client is aware of techniques that are healthy to use rather than acting out in a negative manner this may help avoid creating a scene.
• Help client to come up with problem solving techniques (advantages/disadvantages) Rationale: this will help the client to work on issues of hope.
• Assist client to identify an action plan interacting socially with others. Rationale: this allows the client an opportunity to accept some responsibility for thoughts, feelings and behavior and possible consequences for their actions.
• Provide client with information about disorder. Rationale: this will provide client with time to process the information of what is going on if they are reading the material.
• Don’t praise client unless he/she has really done something to deserve such a praise. Rationale: by doing this it allows the client to not receive credit without earning credit due. Teaches the value of accomplishment rather than entitlement.
• Assess participation of client during group or psychotherapy. Rationale: keeping up with treatment will determine whether or not the current plan is effective or not or if it needs to be

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