PERSONALITY DISORDERS

Personality Disorder is an enduring pattern of inner experience, and behavior that deviates markedly from the expectations of the person’s culture, is pervasive and inflexible, is stable over time, and leads to distress or impairment.

Onset Occurs typically in

adolescence or early adulthood. The enduring personality pattern is evident across a broad range of personal and social situations.

The disorder is manifested in at least two of the following areas:

cognitionaffect Interpersonal

functioningOr impulse control

Personality Traits

Personality Traits are enduring patterns of perceiving, relating to, and thinking about the environment and oneself that are exhibited in a wide range of context.

Personality Traits Only when personality traits are

inflexible and maladaptive do they constitute Personality Disorders.

BOTH Disorders and Traits are listed on AXIS 2

Personality Disorders are often co-morbid with another Personality Disorder and with Mood.

Depression Anxiety And Substance use Disorders.

Diagnosis The diagnosis of a Personality

Disorder requires and evaluation of the person’s long-term patterns of functioning.

Personality disorders and traits are “clustered” into 3 similar types

Cluster (A)

This is the “oddest”

cluster

The personality group is

Paranoid Personality Disorder

Schizoid personality Disorder

Schizotypal Personality Disorder

Cluster AThese cannot be diagnosed if the

pattern occurs exclusively during the course of

Schizophrenia A Mood Disorder with Psychotic

Features or during a Substance induced

paranoia, substance induce psychosis etc……….

Paranoid Personality disorder

Pattern of distrust Suspiciousness Begins in early adulthood and that is

present in a variety of context Others are exploiting or harming him Preoccupied with unjustified doubts about

the trustworthiness of others Reads’ hidden meanings into benign

remarks

Schizoid personality Disorder

Pervasive pattern of detachment from social relationships and a restricted range of emotions.

does not enjoy close relations No pleasure in activities Indifferent to praise or criticism Seems very cold and detached.

Schizotypal A pervasive pattern of social

and interpersonal deficits Acute discomfort or reduced

capacity for close relationships Cognitive or perceptual

distortions and eccentricities Examples next slide…………

Schizotypal examples Ideas of references Odd beliefs Magical thinking Unusual perceptual experiences Odd thinking and speech Suspicious or paranoid Odd or eccentric behaviors or

appearance

CLUSTER (B) Antisocial personality Disorder A pervasive pattern of disregard for and

violation of the rights of others as manifest byRepeated acts that are grounds for arrestDeceitfulnessImpulsivity, aggressivenessConsistent irresponsibilityLACK OF REMORSE

Antisocial personality Disorder

CANNOT DIAGNOSIS ANYONE UNDER THE AGE OF 18 WITH ANTISOCIAL PERSONALITY DISORDER

NOT ALL CRIMINALS ARE ANTI-SOCIAL MANY PEOPLE HAVE ANTISOCIAL

TRAITS…BUT NOT DISORDER

Borderline Personality Disorder

Sexual abuse and trauma Instability of interpersonal relationships EXTREME impulsiveness---------self

harmful behaviors (like you would never believe!)

Very anxiety driven Very poor self image Often very difficult to work with

Histrionic Personality Disorder not a typical one to see without other

problems

Narcissistic Personality Disoder

Extremely GRANDIOUS Must be admired Center of the Universe, Arrogant Interpersonally exploitative Very envious

CLUSTER (C) AVOIDANT PERSONALITY

DISORDER A pervasive pattern of social

inhibition Feelings of inadequacy

AVOIDANT PERSONALITY DISORDER

Hypersensitivity to negative evaluations

As displayed as Avoidance of occupational activities that

involve interpersonal contact, unwillingness to get involved with people, restraint within relationships because of fear of being shamed, preoccupation with criticism.

Belief that one is inept or inferior

DEPENDENT PERSONALITY

OH GOD…….PLEASE SOMEONE TAKE CARE OF ME!!!!! I CAN’T DO IT MYSELF…..I CAN’T BE ALONE…….I WILL DO ANTHING TO MAKE YOU LOVE ME………..

OBSESSIVE-COMPULSIVE PERSONALITY DISORDER

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COMPULSIVE PERSONALITY DISORDER DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY OBSESSIVE-

COMPULSIVE PERSONALITY DISORDER DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY

DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDER OBSESSIVE-COMPULSIVE PERSONALITYOBSESSIVE-COMPULSIVE PERSONALITY DISORDER

DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER

DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER

DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE

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