Personality Disorders
Personality disorder is a general term for a type
of mental illness in which your ways of thinking,
perceiving situations and relating to others are
dysfunctional. There are many specific types of
personality disorders.
In general, having a personality disorder means
you have a rigid and potentially self-destructive or
self-denigrating pattern of thinking and behaving no
matter what the situation. This leads to distress in
your life or impairment of your ability to go about
routine functions at work, school or social
situations. In some cases, you may not realize that
you have a personality disorder because your way of
thinking and behaving seems natural to you, and you
may blame others for your circumstances
Symptoms
General symptoms of a personality
disorder
General signs and symptoms that may indicate a
personality disorder include:
- Frequent mood swings
- Stormy relationships
- Social isolation
- Angry outbursts
- Suspicion and mistrust of others
- Difficulty making friends
- A need for instant gratification
- Poor impulse control
- Alcohol or substance abuse
Specific types of personality disorders
The specific types of personality disorders are
grouped into three clusters based on similar
characteristics and symptoms.
Cluster A. These are personality
disorders characterized by odd, eccentric thinking
or behavior and include:
Paranoid personality disorder
- Distrust and suspicion of others
- Believing that others are trying to harm you
- Emotional detachment
- Hostility
Schizoid personality disorder
- Lack of interest in social relationships
- Limited range of emotional expression
- Inability to pick up normal social cues
- Appearing dull or indifferent to others
Schizotypal personality disorder
- Peculiar dress, thinking, beliefs or behavior
- Perceptual alterations, such as those
affecting touch
- Discomfort in close relationships
- Flat emotions or inappropriate emotional
responses
- Indifference to others
- "Magical thinking" — believing you
can influence people and events with your
thoughts
- Believing that messages are hidden for you in
public speeches or displays
Cluster B. These are personality
disorders characterized by dramatic, overly
emotional thinking or behavior and include:
Antisocial (formerly, sociopathic)
personality disorder
- Disregard for others
- Persistent lying or stealing
- Recurring difficulties with the law
- Repeatedly violating the rights of others
- Aggressive, often violent behavior
- Disregard for the safety of self or others
Borderline personality disorder
- Impulsive and risky behavior
- Volatile relationships
- Unstable mood
- Suicidal behavior
- Fear of being alone
Histrionic personality disorder
- Constantly seeking attention
- Excessively emotional
- Extreme sensitivity to others' approval
- Unstable mood
- Excessive concern with physical appearance
Narcissistic personality disorder
- Believing that you're better than others
- Fantasizing about power, success and
attractiveness
- Exaggerating your achievements or talents
- Expecting constant praise and admiration
- Failing to recognize other people's emotions
and feelings
Cluster C. These are personality
disorders characterized by anxious, fearful thinking
or behavior and include:
Avoidant personality disorder
- Hypersensitivity to criticism or rejection
- Feeling inadequate
- Social isolation
- Extreme shyness in social situations
- Timidity
Dependent personality disorder
- Excessive dependence on others
- Submissiveness toward others
- A desire to be taken care of
- Tolerance of poor or abusive treatment
- Urgent need to start a new relationship when
one has ended
Obsessive-compulsive personality disorder
- Preoccupation with orderliness and rules
- Extreme perfectionism
- Desire to be in control of situations
- Inability to discard broken or worthless
objects
- Inflexibility
Obsessive-compulsive personality disorder isn't
the same as obsessive-compulsive disorder, a type of
anxiety disorder.
When to see a doctor
If you have any signs or symptoms of a personality
disorder, see your doctor, mental health provider or
other health care professional. If untreated,
personality disorders can cause significant problems
in your life, and they may get worse.
Helping a loved one
If you have a loved one who you think may have
symptoms of a personality disorder, have an open and
honest discussion about your concerns. You may not
be able to force someone to seek professional care,
but you can offer encouragement and support. You can
also help your loved one find a qualified doctor or
mental health provider and make an appointment. You
may even be able to go to an appointment with him or
her. If you have a loved one who has harmed himself
or herself, or is seriously considering doing so,
take him or her to the hospital or call for
emergency help
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