Sociopathic Case Study

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Antisocial/Sociopathic
Definition
• A personality disorder in which a person shows no regard for right or wrong and ignores the rights and feelings of others. According to: www.mayoclinic.org/diseases-conditions/antisocial-personality-disorder/home/ovc-2019875
Cause
• Unknown
Risk Factors
• Family history of mental illnesses
• Childhood abuse or neglect
• Genetics
• Environmental
• Unstable childhood
Signs and Symptoms
• Impulsiveness
• Sense of extreme entitlement
• Manipulative
• Arrogant
• Angry
• Irresponsible
• Lack of empathy for others
• Risk taking behaviors
• Deceitfulness
• Substance abuse
• Break law repeatedly
• Disregard for the safety of self or others
• No remorse about harming others
• Persistent lying to exploit others
Treatment
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Nursing Interventions
• Provide a safe environment.
Rationale: Ensure safety of client and others.
• Establish a trusting relationship.
Rationale: Provides comfort and decrease stress level.
• Work closely with client to develop appropriate educational tools that address client’s needs.
Rationale: Educational level may affect client’s ability to process information.
• Encourage client to express feelings.
Rationale: Help client deal with issues of concern.
• Encourage client to use positive self-talks and positive thoughts.
Rationale: Replacing negativity with positive thoughts help decrease anxiety.
• Educate/Demonstrate positive coping strategies.
Rationale: Decrease feelings of anxiety in social environment.
• Encourage family support and participation in group therapy.
Rationale: Provides comfort and sense of security.
• Administer Lithium per physician’s order.
Rationale: Help stabilize mood. o Assess mental status before and during use of Lithium o Monitor I&Os o Assess for signs and symptoms of Lithium toxicity (vomiting, diarrhea, slurred speech, decreased coordination, drowsiness, muscle weakness or