Personality Disorders

paranoid personality disorder:

distrusts and suspects others motives

common behaviors of PPD:

• hypervigilance

• grudges

• interprets harmless remarks as threats

nursing considerations for paranoid personality disorder:

• be honest and consistent

• avoid whispering or joking

schizoid personality disorder:

detached from relationships and emotions

common behaviors of schizoid:

• prefers isolation

• limited emotional expression

• little interest in social activities

• prefers animals

nursing considerations for schizoid:

• respect need for personal space

• avoid forcing socialization

• build trust gradually

schizotypal personality disordder:

eccentric behavior and unusual beliefs

common behaviors for schizotypal:

• magical thinking

• odd speech

• strange dress

• social anxiety

nursing considerations for schizotypal behavior:

• use clear communication

• avoid arguing about unusual beliefs

• focus in reality based interactions

antisocial personality disorder:

disregard for rights of others

common behaviors for APD:

• manipulation

• deceit

• impulsivity

• criminal behavior

• lack of remorse

nursing considerations:

• set firm limits

• maintain consistency

• avoid power struggles

borderline personality disorder:

instability in relationships. self image, and emotions

common behaviors for BPD:

• self harm

• fear of abandonment

• splitting

• impulsiveness

nursing considerations for BPD:

• maintain boundaries

• assess SI risk

• use consistent staff

histrionic personality disorder:

excessive emotionally and attention seeking

common behaviors of histrionic:

• dramatic behavior

• seductive behavior

• exaggerated emotions

nursing considerations for histrionic:

• focus on facts

• promote independence

• avoid reinforcing attention seeking behaviors

narcissistic personality disorder:

grandiosity and need for admiration

common behaviors for NPD:

• entitlement

• arrogance

• lack of empathy

• fantasies of success

• need for admiration from others

nursing considerations for NPD:

• remain professional

• avoid challenging self esteem

• encourage realistic expectations

avoidant personality disorder:

social inhibition and feelings of inadequacy

common behaviors of AvPD:

• avoids relationships due to fear of rejection

• lonely

• slow speech

nursing considerations for AvPD:

• provide positive feedback

• encourage gradual socialization

• build self esteem

dependent personality disorder:

excessive need to be cared for

common behaviors for DPD:

• difficulty making decisions

• clingy behaviors

• fear of being alone

• tolerate mistreatment by others

nursing considerations for DPD:

• encourage independence and decision making skills

obsessive compulsive disorder:

preoccupied with orderliness, perfectionism, and control

common behaviors of OCPD:

• ridged schedules

• excessive devotion to work

• difficulty delegating

nursing considerations OCPD:

• offer structure while encouraging flexibility and realistic expectations