Building and Sharing a Diagnosis in the Therapeutic Relationship: Approaches for Individuals, Families, and Groups
Building and Sharing a Diagnosis in the Therapeutic Relationship: Approaches for Individuals, Families, and Groups
In psychiatry, a therapeutic relationship represents a professional alliance between a therapist and a client, characterized by elements of trust, respect, and collaboration. This relationship serves as the foundation for effective therapy, fostering a safe environment where clients feel understood and supported. When communicating a diagnosis of NPD to a client, it is crucial to do so with sensitivity and empathy to avoid jeopardizing the therapeutic relationship (Centonze et al., 2023).
During a one-on-one meeting, I would adopt a compassionate and non-judgmental approach, elucidating the diagnosis in a manner that underscores the potential for personal growth and enhancement. For instance, I might say, “Comprehending this diagnosis can serve as a pivotal step towards implementing constructive changes that bolster your relationships and overall well-being.”
During a family session, I would offer a balanced perspective that recognizes the effect on the family unit while highlighting the resources available to support them. For instance, I might state, “This diagnosis facilitates a better understanding of certain behaviors. Through your collaboration and engagement, we can work together to enhance the situation.”
In a group setting, I would prioritize maintaining confidentiality and addressing the topic broadly, refraining from stigmatizing language. The emphasis would be on shared experiences and fostering mutual support. For example, “Comprehending our conduct can prove challenging, but it represents the initial stride towards constructive transformation. We are all convened to collaboratively navigate this process.”
Conclusion
NPD is a multifaceted condition with distinct diagnostic criteria. CBT, particularly in an individual modality, has been shown to be an effective treatment approach. Cultivating a strong therapeutic alliance and communicating the diagnosis with care is essential for achieving favorable treatment results. Tailoring therapeutic strategies to accommodate diverse settings helps clients feel supported and understood, thereby promoting a constructive therapeutic environment. This comprehensive analysis and approach, substantiated by examples from this week’s media and three peer-reviewed, empirically validated sources, offers a thorough comprehension and effective management of NPD.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596
Carreiras, D., Castilho, P., Rijo, D., Salvador, M. do C., & Carona, C. (2024). Cognitive–behavioral therapy as a comprehensive treatment for personality disorders. BJPsych Advances, 30(5), 274–287. https://doi.org/10.1192/bja.2023.59
Centonze, A., Popolo, R., Panagou, C., MacBeth, A., & Dimaggio, G. (2023). Experiential techniques and therapeutic relationship in the treatment of narcissistic personality disorder: The case of Laura. Journal of Clinical Psychology, 79(7), 1656–1669.
