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Personality Disorders

Personality Disorders are categorized differently than many other psychiatric disorders. Unlike mood disorders and anxiety disorders, for example, personality disorders are viewed as problems with a person's personality traits. These problems are considered life long and enduring, things that are not easily changed through therapy. However, there are those who disagree with the whole category of personality disorders to begin with. Some researchers and therapists feel that personality disorders may be extensions of already existing disorders, but in more severe forms. For example, some see borderline personality disorder as an extension of post traumatic stress disorder, as people diagnosed with borderline personality disorder for the most part have undergone some type of serious trauma.

Personality disorders are diagnosed on a different axis in the DSM IV(2000) than other disorders because of people's life long, inflexible personality traits. These disorders often develop in late adolescence and early adulthood and continue for the rest of the person's life. They also cause impairment and stress for the person in most areas of life, including cognition, mood, social functioning, and impulse control.

Personality disorders are clustered based on there common traits. Those diagnosed with Cluster A disorders are usually viewed as odd or eccentric. Those with Cluster B disorders are dramatic and unreasonable. Those with Cluster C disorders have problems with anxiety.

Bullet Mini Globe Cluster A


  • Paranoid Personality Disorder


Bullet Mini Globe Cluster B

  • Antisocial Personality Disorder
  • Borderline Personality Disorder
  • Histrionic Personality Disorder
  • Narcissistic Personality Disorder


Bullet Mini Globe Cluster C

  • Avoidant Personality Disorder
  • Dependent Personality Disorder
  • Obsessive-Compulsive Personality Disorder


  1. Believes, without good basis, that others are harming or deceiving him/her
  2. Concerned with unverified doubts about the loyalty of others
  3. Does not easily confide in others for belief that the information will be used against him/her
  4. Sees hidden harmful meanings into benevolent events
  5. Continuously bears grudges
  6. Views attacks on his/her character that are not readily present and reacts quickly
  7. Constant suspicions of partner

The second disorder under this cluster is Schizoid Personality Disorder. In this disorder, there is a lack of social relationships and a limited range of affect. Some of the other symptoms include the following:

  1. Does not want or enjoy close relationships, including family relationships
  2. Chooses solitary activities
  3. Does not have interest in sexual relationships
  4. Does not enjoy many activities
  5. Does not have close friendships except for relatives
  6. Not affected by praise or criticism of others
  7. Is emotionally flat and detached

The third disorder under this cluster is Schizotypal Personality Disorder. In this disorder, there are difficulties with social relationships, and odd, eccentric beliefs and behaviors. Some of the more specific symptoms include the following:

  1. Odd beliefs and thinking that is not consistent with social norms, such as beliefs in telepathy, clairvoyance, and sixth sense
  2. Strange perceptual experiences
  3. Strange thinking and speech, such as elaborate and metaphorical
  4. Suspicious and paranoid beliefs
  5. Inappropriate affect
  6. Odd or strange appearance and behavior
  7. Few close friends except for relatives
  8. Extreme social anxiety that stems from paranoid beliefs

The first disorder under the Cluster B Personality Disorders is Antisocial Personality Disorder. This disorder is characterized by the abuse of the rights of others. In most cases those diagnosed with Antisocial Personality Disorder were diagnosed with Conduct Disorder as a teenager. Specific symptoms of this disorder include the following:

  1. Failure to follow social norms with regards to lawful behaviors that often results in arrest
  2. Deceitfulness for pleasure
  3. Impulsivity and lack of planning
  4. Agitation and aggression indicated by frequent fights
  5. Ignorance of safety of self and others
  6. Irresponsibility as shown by failure to work and meet financial obligations
  7. No remorse as shown by indifference to hurting others

The second disorder under this cluster is Borderline Personality Disorder. Those diagnosed with this disorder often have an extensive history of trauma in their childhood. They usually have unstable relationships, self-image, and emotional response. More specific symptoms of this disorder include the following:

  1. Extreme attempts to avoid real or perceived abandonment
  2. Unstable relationships characterized by devaluation and idealization
  3. Unstable self-image
  4. Impulsivity that is self-harmful in areas that include spending, sex, driving, and substance use
  5. Suicidal behavior and threats, and self-mutilation
  6. Emotional instability as indicated by unstable mood
  7. Feelings of emptiness
  8. Inappropriate anger, difficulty managing anger
  9. Situational related paranoid beliefs and dissociation
  10. The following is a list of alternatives to self-injury that those diagnosed with Borderline Personality Disorder might find helpful:

    1. Snapping a rubberband on one's wrist
    2. Holding an ice cube
    3. Running one's hands under water
    4. Washing dishes
    5. Exercising
    6. Punching a punching bag
    7. Punching pillows
    8. Taking a shower or a bath
    9. Lighting a candle
    10. Listening to music
    11. Wrapping yourself up in a blanket
    12. Going to your safe place
    13. Getting a massage
    14. Shredding paper
    15. Listening to nature sounds
    16. Doing deep breathing
    17. Reading a book
    18. Calling a friend/therapist
    19. Watch a movie
    20. Journal
    21. Play computer games

    The third disorder in this cluster is Histrionic Personality Disorder. This is characterized by extreme emotional liability and attention seeking behavior. More specific symptoms of this disorder include the following:

    1. Discomfort in situations where he/she is not receiving attention
    2. Inappropriate seductive and sexual behavior with others
    3. Rapidly changing and superficial emotions
    4. Uses physical appearance to get attention
    5. Impressionistic style of speech
    6. Dramatizes and exaggerates emotions
    7. Easily suggestible
    8. Perceives relationships as closer than they are

    The last disorder under this cluster is Narcissistic Personality Disorder. This is characterized by grandiosity, a need for admiration, and a lack of empathy. Some of the other symptoms in this disorder include:

    1. An exaggerated sense of self
    2. Concerned with fantasies of power and success
    3. Belief that he/she is special and should only associate with other special people
    4. Requires unwarranted admiration
    5. Sense of entitlement
    6. Takes advantage of others to achieve own goals
    7. Lacks empathy
    8. Jealous of others and believes others are jealous of him/her
    9. Is arrogant toward others

    The last cluster of personality disorders is the Cluster C Disorders. The first disorder under this cluster is Avoidant Personality Disorder. This is characterized by feelings of inadequacy, sensitivity to negativity in social situations, and inhibition in social relationships. Other symptoms of this disorder are:

    1. Keeps away from occupational activities that involve personal contact due to fear of criticism
    2. Will not get involved with others unless sure of being liked
    3. Shows moderation in relationships due to fear of being shamed
    4. Is inhibited in new social situations due to feelings of inadequacy
    5. Concerned with being criticized and rejected in social situations
    6. Sees self as inferior to others
    7. Reluctant to take risks or partake in new activities due to fear of embarrassment

    The second disorder under this cluster is Dependent Personality Disorder. This is characterized by a need to be taken care of which leads to clinging behavior and fears of being alone. Some of the more specific symptoms include the following:

    1. Has problems making decisions without help from others
    2. Needs others to take care all areas of life
    3. Has problems disagreeing with others for fear of being alone
    4. Has problems starting activities and doing things alone
    5. Goes to extremes to obtain support from others
    6. Feels afraid when alone because of beliefs of being unable to care for self
    7. Seeks another relationship as soon as one ends for support
    8. Has unrealistic fears of being left to take care of self alone

    Obsessive Compulsive Personality Disorder is the last disorder in this cluster. It is important to note this is not the same as obsessive compulsive disorder. This disorder is characterized by an extreme need for orderliness and perfection at the expense of being open and flexible. Other symptoms in this disorder include:

    1. Concerned with details, rules, orders so that the point of the activity is lost
    2. Displays perfectionism that holds up other activities
    3. Committed to work to the point of losing leisure activities
    4. Inflexible about morals, ethics, and values
    5. Cannot throw out worthless items
    6. Reluctant to give work to others unless they follow his/her exact rules
    7. Stingy and hoards money
    8. Is very rigid and stubborn
    9. Inflexible about morals, ethics, and values
     

     


 
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