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What's New in Treating Inpatients With Personality Disorders?: Dialectical Behavior Therapy and Old-Fashioned, Good

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    Psychiatric inpatients with personality disorders like borderline and antisocial types pose challenges. Nurses can use dialectical behavior therapy and communication skills to manage disruptive behaviors and maintain a therapeutic milieu.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Nursing

    Background:

    • Inpatient psychiatric units frequently encounter patients with serious mental illnesses and co-occurring personality disorders.
    • While mental illnesses often respond to treatment, personality disorders typically do not, posing unique challenges.
    • Borderline personality disorder and antisocial personality disorder are particularly common and can disrupt the therapeutic environment.

    Purpose of the Study:

    • To examine the disruptive behaviors associated with personality disorders in psychiatric inpatients.
    • To explore effective therapeutic responses by nurses when managing these challenging behaviors.
    • To identify strategies for nurses to interact therapeutically with patients with personality disorders and maintain a stable milieu.

    Main Methods:

    • Review of challenging patient behaviors on psychiatric inpatient units.
    • Analysis of nursing interventions and therapeutic responses.
    • Examination of the application of dialectical behavior therapy techniques and communication skills.

    Main Results:

    • Personality disorders, specifically borderline and antisocial types, can destabilize the inpatient psychiatric milieu.
    • Nurses face challenges in managing disruptive behaviors stemming from these personality disorders.
    • Dialectical behavior therapy and effective communication are identified as key strategies for nurses.

    Conclusions:

    • Nurses can effectively manage patients with personality disorders using specific therapeutic techniques.
    • Dialectical behavior therapy and strong communication skills are crucial for nurses to interact therapeutically and protect the milieu.
    • These approaches help maintain a safe and therapeutic environment for all patients on psychiatric units.