personality disorders

ego-syntonic

individual not troubled by behavior even if maladaptive to others

alloplastic

individual tries to adapt by changing environment rather than self

A cluster personalities of the DSM-5-TR

behaviors described as odd or eccentric (paranoid, schizoid, schizotypal)

B cluster personalities of the DSM-5-TR

behaviors described as dramatic, emotional, or erratic (antisocial, histrionic, narcissistic, borderline personality)

C cluster personalities of the DSM-5-TR

behaviors described as anxious or fearful (avoidant, dependent, obsessive compulsive)

is paranoid personality disorder more common in men or women? what time in life does it begin?

men; early adulthood

schizoid personality disorder

profound defect in ability to form personal relationships; cold, aloof, indifferent, isolated, unsociable, withdrawn/anxious/uneasy in social situations, blunt affect, little/no spontaneity in behavior/conversation

schizotypal personality disorder

NO psychosis but odd and eccentric behavior; aloof, isolated, bland/apathetic, magical thinking, illusions, depersonalization, bizarre speech patterns, unable to orient thoughts logically

antisocial personality disorder

pattern of socially irresponsible, exploitative, and guiltless behavior; disregard for rights of others, hard time sustaining relationships/employment, projection, devaluing, denial, justification for malicious behavior, prevalent in substance use

borderline personality disorder (and common gender/age)

intensive and chaotic relationships, affective instability/emotional dysregulation, impulsive, self-destructive, unable to be alone, splitting, clinging and distancing, manipulation; young women

histrionic personality disorder

colorful/dramatic/extroverted behavior, difficulty maintaining long lasting relationships, requires constant affirmation and approval, attention seeking, easily influenced, manipulative, misinterpret relationships as more intimate

avoidant personality disorder

extreme sensitivity to rejection, socially withdrawn, uncomfortable in social situations, timid/withdrawn/cold/strange, slow/hesitant/fragmented speech, lonely, feel unwanted, view others as critical and betraying, equally common in men and women

obsessive-compulsive personality disorder

NO obsessions or compulsions but overly disciplined, perfectionist, concerned with organization and efficacy, rigid/unbending about rules, rank-conscious and contrast superiors and inferiors, socially polite and formal, rationalization, more common in men/oldest children

for BPD, consider assigning staff on… and encourage them to channel anger through

one to one basis; large motor activities

with antisocial personality, help the patient to increase the ability to…

delay gratification

good therapy for antisocial personality

milieu/group therapy

dialectical behavior therapy

talk therapy: group skills training, individual psychotherapy, telephone contact with therapist/consultation