Personality Cluster B

Histrionic: Definition

Wanting to be the center of attention

Regina George

Histrionic: Behavioral cues

PRAISE ME (5/8)

__**P**__rovocative or sexually seductive behavior

__**R**__elationships considered more intimate than they are

Uncomfortable when not the center of __**A**__ttention

__**I**__nfluenced easily

Impressionistic __**S**__tyle of speech, lacks detail

Rapidly shifting and shallow __**E**__motions

__**M**__ade up (physical appearance used to draw attention to self)

Theatrical & exaggerated __**E**__motions

Histrionic: Therapeutic Approach

Be professional

Narcissistic: Definition

Donald Trump or Elon Musk

Narcissistic: Behavioral cues

SPEEECIAL (5/9)

Believes the patient is __**S**__pecial & unique

__**P**__reoccupied with fantasies of unlimited success, power, brilliance, beauty, ideal love, physical image

__**E**__nvious

__**E**__ntitlement

__**E**__xcessive admiration/attention required

__**C**__onceited & grandiose sense of self-importance

__**I**__nterpersonal exploitation, self-centered interpersonal relations

__**A**__rrogant or haughty behaviors/attitudes, excessively critical to others

__**L**__acks empathy

Narcissistic: Therapeutic Approach

Matter-of-fact & consistent approach

Antisocial: Definition

May be charming and resourceful, opportunistic relationships, easily detect others’ vulnerabilities & very skilled at exploiting, deceiving, intimidating others, emotionally shallow, troublesome childhood, self as victims

The Joker

Antisocial: Behavioral cues

CORRUPT (3/7)

Failure to __**C**__onform with social norms & respect to lawful behaviors

__**O**__bligation ignored

__**R**__eckless disregard for safety or others

__**R**__emorse lacking despite heightened sense of reality testing and being impressive observers

__**U**__nderhanded (deceitful, lies, cons others)

Impulsive & insufficient __**P**__lanning- lives in the present with no concerns about consequences

__**T**__emper (irritability, aggressiveness)

\*\*Individuals at least age 18

Antisocial: Therapeutic Approach

Matter-of-fact & consistent approach

Borderline: Definition

Instability of interpersonal relationships, self-image, and emotions, along w/impulsivity across a wide range of situation

Borderline: Behavioral cues

__**Impaired relatedness**__ 

A pattern of unstable and intense interpersonal relationships characterized by alternating extremes of idealization & devaluation

Identify disturbance

Chronic feelings of emptiness

__**Affective dysregulation- most sensitive & specific manifestation**__

Disordered, unstable affect owing to a marked reactivity of mood

Inappropriate, intense rage or difficulty controlling anger

Frantic efforts to avoid real or imagined abandonment & rejection

__**Behavior dysregulation**__

Recurrent suicidal behavior

Self-injurious behavior

Impulsivity

Borderline: Therapeutic Approach

Empathy while maintaining clear boundaries

Maintain consistent behavioral care among staff