Passive-Aggressive Disorder

Passive-Aggressive Disorder Passive-aggressive personality disorder is a psychological condition in which a person may seem willing to carry out a request, but actually reacts negatively and resists passively. The client who is passive aggressive is often cynical, feels under-appreciated, and may be resentful of the demands of others.
Causes
The exact cause of passive aggressive behavior is unknown. However, the following factors are thought to play a role:
Genetics
Environmental Factors
Risk Factors
Abuse or neglect during childhood
Severe punishment
Frequently taken advantage of
Signs and Symptoms
Behavioral
Forgetfulness
Easily offended
Impatient
Suppressed hostility
Stubborn
Resentful
Physical
Intentional procrastination
Deliberate inefficiency
Argumentative
Constantly blames others
Treatment
Educate the client about their condition and allow them to ask questions. Rationale: The more educated the client is about their condition, the more likely they are to seek help.
2. Use therapeutic communication techniques while interacting with the client. Rationale: Using therapeutic communication can help develop a trusting relationship between the client and nurse.
3. Help the client identify what triggers their passive-aggressive behavior. Rationale: Identifying triggers is one of the first interventions when undergoing therapy.
4. Administer Diazepam (Valium) per order for symptoms of anxiety. Rationale: Anxiety often is a side effect of passive aggressive disorder. A) Monitor for therapeutic effects. Rationale: Expect maximum effect in 1-2 weeks. B) Monitor for sedation and hypotension. Rationale: Common side effects of Diazepam (Valium).
5. Encourage client to seek professional counseling. Rationale: A therapist can develop a more detailed, long term plan of care and prescribe medications if