mental health

Cluster B Personality Disorders

Personality disorders characterized by dramatic, emotional, or erratic behavior, including Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders.

Antisocial Personality Disorder

A pervasive pattern of disregard for and violation of the rights of others, often manifesting as deceitfulness, impulsivity, and lack of remorse.

Borderline Personality Disorder (BPD)

Characterized by instability in relationships, self-image, and emotions, including fear of abandonment and impulsive behaviors.

Histrionic Personality Disorder

Marked by excessive emotionality and attention-seeking behavior, often involving seductive or provocative interactions.

Narcissistic Personality Disorder

Defined by a grandiose sense of self-importance, a need for excessive admiration, and a lack of empathy.

Firm Limit Setting

An essential nursing intervention for Cluster B disorders to manage maladaptive behaviors, prevent splitting, provide safety, and ensure accountability.

Splitting

A defense mechanism commonly seen in clients with Borderline and Antisocial Personality Disorders, where individuals see others as all good or all bad, leading to manipulation of staff.

Childhood Trauma and BPD

A strong predictor of BPD; includes experiences of physical abuse, sexual abuse, or severe neglect during developmental years.

Invalidating Environment

An environment where a child's emotional experiences are dismissed or punished, which can lead to emotional dysregulation.

OCPD vs. OCD

OCPD (Obsessive-Compulsive Personality Disorder) is ego-syntonic, while OCD (Obsessive-Compulsive Disorder) is ego-dystonic, causing distress to the individual.

Nursing Intervention for Avoidant Personality Disorder

Encourage independence and help clients practice social skills in a supportive environment.

Social Isolation in Schizoid and Schizotypal Disorders

Both disorders involve a preference for solitude, but Schizotypal includes odd behaviors and beliefs.

Key Symptoms of BPD

Fear of abandonment, splitting, recurrent self-harm, impulsivity, and chronic feelings of emptiness.