[lisabeth]

What is the hardest Psychiatric disorder to work with? We are studying all of them right now, and I really am curious. I am sure each one has some very real challenges.

[ageless]

borderline...definately

[pacmrc]

i worked with several schizophrenic clients and it was exhausting for me- their meds were not controlling their delusions or hallucinations and it was very tiring trying to talk with them and keep them in reality.

[lisabeth]

Thanks. I can imagine both would be very difficult. We watched a film on Schizophrenia and that really shocked me. I think that is very sad. I could not believe the way they would be talking and nothing made any sense. I think it would take a long time to be able to say things like that that just made no sense at all. I imagine that disease would be totally devastating. I dont know much at all about borderline personalities. Our book discusses them, but not in great detail. Our teacher worked with outpatients, so she didnt get to see a lot of some of the situations.
I appriciate your replies.

[Thunderwolf]

Actually, in outpatient psych, you tend to see MORE not less of the different psychiatric illnesses. The exception could possibly be the outpatient offices strategically placed to cater mostly to the "walking worried", not inner city.

[MarkRN]

Originally Posted by TexasAngel

What is the hardest Psychiatric disorder to work with? We are studying all of them right now, and I really am curious. I am sure each one has some very real challenges.

From my experience, many nurses find patients with borderline personality dosorder, antisocial personality disorder, and substance abuse disorders the most difficult to work with.

[lisabeth]

Originally Posted by Thunderwolf

Actually, in outpatient psych, you tend to see MORE not less of the different psychiatric illnesses. The exception could possibly be the outpatient offices strategically placed to cater mostly to the "walking worried", not inner city.

I dont know. She probably saw a lot of most everything, but none of some things.

[karynfrances]

people with personality disorders are very challenging. sometimes working with schizophenia patients can be like walking into a party where everyone is drunk to some degree and you are the only sober one there!! manic patients can be extremely tiring, and if the ward is predominately filled with depressed patients one can go home very low.

[lisabeth]

Originally Posted by karynfrances

people with personality disorders are very challenging. sometimes working with schizophenia patients can be like walking into a party where everyone is drunk to some degree and you are the only sober one there!! manic patients can be extremely tiring, and if the ward is predominately filled with depressed patients one can go home very low.

All of the replies have helped answer my question. Thanks. I have always been interested in Psychology and trying to figure out what the different issues are. I know some people can be helped, and I guess that would be very rewarding to know you were able to help, but I guess it would be just as discouraging to see some who were unresponsive to your efforts.

[DREAM_KEENNA_RN]

Originally Posted by MarkRN

From my experience, many nurses find patients with borderline personality dosorder, antisocial personality disorder, and substance abuse disorders the most difficult to work with.

hi sir mark ... well, i was just wondering ... how'd u say that patients with bordeline disorded are one of the most diffucult cases to work with? im just curious coz i kinda have this disorder ... =)