Friday, January 21, 2011

Personality disorders

How do you deal with certain clients who have personality disorders?

Narcissistic, paranoid, borderline.......perhaps all 3 at the same time?

What do you do when you have no choice but to *try* to work with them, but they tend to make it downright impossible?

I had a meeting with someone like this earlier this week and it's tough........really, really tough.

The word rotten in fact comes to my mind over and over when I think of this individual.


  1. You have my sympathies. My first social work practicum involved case managing clients with personality disorders. I know nothing about personality disorders at the time, and they basically ate me alive.

    Since then, I've done a lot of studying and a lot of reading. I still don't believe anyone has 100% of the answers on dealing with these individuals, but the most common advice that seems to come up involves boundaries.

    When I have to deal with a personality-disordered client, I make sure they know right from the start what I will and what I won't do. Then I stick to it, no matter how they try to test--and believe me, they do!

    But even if I keep my boundaries, interactions with these clients can be exhausting, and they do sometimes feel futile. I think that's just the nature of the beast.

    Good luck!

    Debra Stang
    Alliant Professional Networking Specialist
    A Great Source for Online CE

  2. I have yet to come across a PD (other than past friends), it's definitely tough. Wish I had some words of wisdom.