Personality Disorders

Personality disorders are characterized by long-lasting patterns of thoughts, behaviours, and emotions that deviate significantly from the expectations of an individual’s culture. These patterns can lead to significant distress or impairment in functioning. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) categorizes various personality disorders, each with distinct characteristics and symptoms.

  • Paranoid Personality Disorder is marked by a pervasive distrust and suspicion of others, often interpreting their actions as threatening or malicious.

    Symptoms:

    • A constant suspicion that others are exploiting, harming, or deceiving them.

    • Unwarranted doubts about the loyalty or trustworthiness of friends or associates.

    • A reluctance to confide in others due to fear that information will be used against them.

    • Reading hidden, threatening meanings into benign remarks or events.

    • Persistent grudges, and an inability to forgive perceived insults or slights.

    • A tendency to react with anger or hostility when trust is questioned.

    • A belief that others are plotting against them.

  • Schizoid Personality Disorder involves detachment from social relationships and a limited range of emotional expression.

    Symptoms:

    • A lack of interest in social or personal relationships.

    • Preferring solitary activities, often engaging in them intensely.

    • Limited emotional expression, appearing indifferent to others.

    • Little or no desire for sexual experiences with others.

    • No close friends aside from family members.

    • Indifference to praise or criticism from others.

    • Emotional coldness or detachment in interpersonal situations.

  • Schizotypal Personality Disorder is characterized by acute discomfort with close relationships, along with eccentric behaviours and cognitive distortions.

    Symptoms:

    • Odd beliefs or magical thinking that influence behaviour, inconsistent with cultural norms.

    • Unusual perceptual experiences, including illusions.

    • Odd thinking and speech, which may be vague or overly elaborate.

    • Paranoia or suspiciousness of others.

    • Inappropriate or constricted affect.

    • Lack of close friends or confidants, aside from immediate family.

    • Social anxiety associated with paranoid fears rather than negative judgments about oneself.

  • Antisocial Personality Disorder is marked by a pattern of disregard for others' rights, often accompanied by deceit, manipulation, and criminal behaviour.

    Symptoms:

    • A consistent disregard for the rights of others, often resulting in legal problems.

    • Chronic deceitfulness, such as lying, using aliases, or manipulating others for personal gain.

    • Impulsivity or failure to plan ahead.

    • Irritability and aggressiveness, often leading to physical confrontations.

    • Recklessness with disregard for safety.

    • Repeated failure to meet financial or work obligations.

    • Lack of remorse for actions that harm others.

  • Borderline Personality Disorder is characterized by instability in relationships, self-image, and emotions, often with marked impulsivity.

    Symptoms:

    • Extreme fear of abandonment or rejection, leading to frantic efforts to avoid real or imagined separation.

    • Unstable interpersonal relationships, oscillating between idealization and devaluation.

    • A distorted self-image or sense of self.

    • Impulsive behaviors, such as spending sprees, unsafe sexual behaviors, or substance abuse.

    • Recurrent suicidal behaviour or self-harming behaviours like cutting.

    • Intense mood swings, lasting a few hours to a few days, including feelings of emptiness.

    • Difficulty controlling anger, leading to irritability or violent outbursts.

  • Histrionic Personality Disorder involves excessive emotionality and attention-seeking behaviour.

    Symptoms:

    • Discomfort in situations where they are not the center of attention.

    • Inappropriate seductive or provocative behavior.

    • Rapidly shifting and shallow emotional expressions.

    • Using physical appearance to draw attention to oneself.

    • Speech that is excessively impressionistic and lacks detail.

    • Excessive dramatization of events.

    • Easily influenced by others, viewing relationships as more intimate than they actually are.

  • Narcissistic Personality Disorder is characterized by grandiosity, a need for admiration, and a lack of empathy for others.

    Symptoms:

    • A grandiose sense of self-importance, exaggerating achievements and talents.

    • Preoccupation with fantasies of success, power, brilliance, or beauty.

    • Believing they are unique and can only be understood by high-status individuals.

    • A need for excessive admiration or validation.

    • A sense of entitlement, expecting special treatment or compliance from others.

    • Exploitative behavior, using others for personal gain.

    • A lack of empathy and difficulty recognizing or identifying with the feelings of others.

  • Avoidant Personality Disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

    Symptoms:

    • Avoidance of work or social activities that involve significant interpersonal contact due to fear of criticism, disapproval, or rejection.

    • Reluctance to get involved with people unless certain they will be liked.

    • A preoccupation with fears of being criticized or rejected in social situations.

    • Reluctance to try new things, fearing embarrassment or failure.

    • A sense of inadequacy, leading to feelings of inferiority.

    • Avoidance of intimacy due to fear of ridicule or rejection.

    • An excessive need for reassurance and approval from others.

  • Dependent Personality Disorder involves an excessive need to be cared for, resulting in submissive and clinging behaviours.

    Symptoms:

    • Difficulty making decisions without excessive advice and reassurance from others.

    • A need for others to take responsibility for most major areas of their life.

    • Difficulty expressing disagreement with others, for fear of losing support or approval.

    • A lack of self-confidence, leading to strong reliance on others for guidance.

    • Feeling helpless or uncomfortable when alone, fearing an inability to care for oneself.

    • Preoccupation with fears of being abandoned or left to care for oneself.

    • Difficulty initiating projects or doing things independently.

  • Obsessive-Compulsive Personality Disorder is characterized by a preoccupation with orderliness, perfectionism, and control.

    Symptoms:

    • A preoccupation with rules, order, and details that interferes with task completion.

    • Perfectionism that causes dissatisfaction and prevents progress.

    • Excessive devotion to work and productivity, at the expense of leisure and relationships.

    • Rigidity and stubbornness regarding rules, morals, ethics, or values.

    • Reluctance to delegate tasks to others unless they comply with their exact standards.

    • A tendency to be miserly with money, both for themselves and others.

    • Difficulty discarding worn-out or worthless objects, even when they have no sentimental value.

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