She is a Protestant Christian and regularly goes to Church for her prayers. She visits Church every Sunday for morning service. She feels that going to church makes her feel better. She also participates in Church choirs. She donates 10% of her income in the church and for the education of the orphaned children. She does not have family members to celebrate festivals, but she sometimes takes part in community based cultural activities.
Personality assessment of the patient displays that she is extrovert and has a dominating behaviour. She does not display empathetic behaviour towards others and does not like to be in control. She believes that she is the best and she should always be praised by others. She feels that she is “unique” and “special” and she expects better treatment from others. She also displays arrogant behaviour towards other people.
According to the social, family and medical history obtained from the patient, it has been found that she is aware of her condition, but not able to feel differently. She is very strong and good at her work, but she believes that her lack of empathy makes her unacceptable for others. According to the mental health examination, it can be said that she will require the psychological and occupational rehabilitation with different kind of therapies. Before that she will require the detox from drugs and alcohol in a comfortable setting. Medical maintenance is also important for preventing relapses. The behavioural, psychological and cognitive therapies are very important for the patient. The therapies are important for reducing the symptoms of Narcissistic Personality Disorder, as well as the problem of co-occurring substance abuse problem. Therapies will help patient in preventing negative thoughts, behaviour and feelings. Therapies can also help patient to learn healthy coping skills. Patient can be referred to the group counselling sessions, as it can help to learn how to interact with others.
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