Transtornos de personalidade em um centro de atenção psicossocial.

Abstract

Personality disorders represent a persistent pattern that causes significant distress and impairment in social, professional, or other important areas of functioning. They have a prevalence of around 6% and 13% of the general population, representing a frequent comorbidity. They affect up to 50% of users of mental health services. Objective: To outline the sociodemographic and clinical profile of users of a Psychosocial Care Center diagnosed with personality disorders, as well as to describe information related to the classification, comorbidities and the therapy used with regard to users diagnosed with personality disorders in a CAPS. Method: Study with a quantitative-qualitative approach, with mixed methods, with a retrospective approach, being documentary, exploratory and descriptive. The research was divided into two phases, the first will be through the documentary analysis of the medical records of the users inserted in the service and the second phase will be through the interview with the professionals working in the health establishment. The collection of documentary data will be done from a script and the collection of empirical material with the professionals will be carried out in the service itself (CAPS) through a semi-structured interview. Results and Discussion: Through the materials collected and analyzed for this study, it was possible to verify that of the 562 records, only 13 records corresponded to the objective of the study. Regarding the variable of the classification of the most present type of personality disorders, two disorders were highlighted during the study: TP Borderline with 30.8% and antisocial PD with 30.8%. The drug classes most present in the medical records of users diagnosed with PD were antipsychotics with 23.7%, followed by anticonvulsants with 18.4% and finally anxiolytics with 15.8%. Regarding the professionals' perception, difficulties and challenges were found, and among the difficulties listed, there is the non-acceptance of the disorder by the user and the performance in an interprofessional way and not in a collaborative way between professionals. And among the perceived challenges, there was the fact that the family member most of the time does not accept that their family member has a diagnosis related to mental health and the work overload existing in the mental health service, especially when talking about nursing professionals. And another problem found during the research was about the fragility and integration of the psychosocial care network, we noticed that no professional interviewed mentioned the Family Health Strategy as co-responsible for this care. Because mild disorders such as Personality Disorders could be monitored in the FHS. Final considerations: In this way, we can conclude the importance of the performance of public policies aiming at the understanding and necessary care in the spectrum of personality disorders so that there is knowledge on the part of the user and his family about the course of his health problem.