"Manipulative" behavior - for example, where the person with the illness tells one person untrue stories

about mistreatment by the others who care for them. Establish whether the behavior is being used to get extra help and support. Try and involve the person in activities, which will make them feel less resentful towards others. Check out the stories before you react. Aggressive or violent behavior - this may be associated with psychotic symptoms or alcohol or drug abuse. Involve health professionals promptly. For aggressive behavior associated with extreme stress, try to develop an atmosphere that is open and relaxed. Paranoid Personality Characterized by long standing suspiciousness and mistrust of people in general. Signs and Symptoms Sysrematic persecutory delusion Auditory Hallucination Delusion Of Grandeur Anger & Violence Suspiscious Secretive Jealous distrustful Nursinng Intervention; Establish Rapport Maintain Eye contact Minimize risk of aggression and support adaptation Provide Personal Space Identify contributory factors Decrease environmental stimuli Monitor command hallucination Be alert to non verbal stimulation Assaultive behaviour is characterized by aggression from an individual or group, which is often destructive, turbulent and socially non-acceptable. Typically, assaultive behavior presents with prejudices, frustrations and hostility. Sign and Symptoms Restlessness Muscle tension Voice quality changes\ Finger tapping Threats Irritability

Lost of physical and emotional control Nursing Intervention: Provide and convey empathic support Encourage deep breathing Encourage verbalization of feelings Use clear, calm simple statement Facilitate problem solving and discuss alternative solution Provide a calm firm directions Provide Safe tension reduction measure PRN involuntary seclusion, restraints or medication as ordered

Sexually connotative
Persisitent impairement or disturbance of a normal desire pattern in any phase of sexual response cycle.

Signs and symptoms: Low sexual desire Aversion to genital sexual contact, arousal Orgasmic disturbances Premature Ejaculation Genital Pain during or after sexual sex May display negative attitude toward sexuality

Nursing Intervention Assist client to understand the nature of the behaviour (disorder/dysfunction) Encourage use of a acceptable methods for reduction of anxiety Help to recognize legal/interpersonal consequences of paraphillic behaviors Explore option for change Psychotheraphy May help to uncover developmental antecedents of Paraphilias and Paraphilia related disorders, reduce anxiety and depression, improve social adjustment. Self-help groups: Ex: Alcoholic Anonymous Cognitive Behavioural Theraphy Pharmacotheraphy Antidepressants Psychostimulants