Bill is a married man with two children, but, he is angered by what people do. Bill is having a hard time with his children which lead him to throw them out of the house. He (bill) does not feel welcomed by the fact that his children want to help him recover. The wife is also afraid to share some of the details that she encounters while with Bill.
Clinical Impression
The new information provided by the family can place Bill with the diagnosis of being a Narcissistic Personality Disorder 301.81 (F60.81) (American Psychiatric Association. 2013). This is because Bill does not value the good intentions that his family members have for him. Bill feels that the family is trying to pull him down and not acknowledging his success. Therefore, his anger and resentment are affecting the family emotionally and psychologically.
Decision-making process
Having read the new information presented by the family, a thorough analysis was done on the characteristic of Bill. Additionally, Bill is not satisfied nor happy with the request made by his daughter for him to secure a job with the father-in-law. Bill is agitated and resents the action of his son defending the sister and the wife, commenting on how is he is fairing.
Difficulties with the correct diagnosis for personality disorders
Among the traits that are difficult to diagnose are personality disorders since they have the same traits. Thereby, it can be drenching to make the right and accurate diagnosis of the patient as per their signs and symptoms.
Challenges in obtaining Information.
As seen in the excerpts, Bill has anger issues and thus, getting information from him may cause unreliability. He is also not able to accurately give information that might be helpful since he views himself as a normal person without problems.
Recommendations
The recommendation that can help solve bills Narcissistic disorder is cognitive-behavioral therapy (Matusiewicz et al.,2010). CBT is known to be an effective therapy that aids in behavioral and emotional changes.
Questions
Some of the question to be asked may include:
Why do you resent the actions of your children?
Do you feel that they are invading your life?