2.  Personality Traits: inflexible and maladaptive that cause significant impairment and distress  Stable pattern of long duration must be able to trace back to adolescence or early adulthood  May be applied to children in RARE instances when patterns are pervasive, persistent, and not related to developmental state (excluding Antisocial PD)

3.  Enduring pattern of behavior that deviates markedly from expectations of individuals culture.  Manifested in two of the following: cognition, affect, interpersonal functioning, impulse control  Pattern is inflexible and pervasive  Pattern leads to distress or impairment  Stable pattern over a long duration

4. The following often have odd/eccentric behavior:  Paranoid Personality Disorder  Schizoid Personality Disorder  Schizotypal Personality Disorder

5. The following often have dramatic, emotional and/or erratic behavior:  Antisocial Personality Disorder: some criterion changes on parenting style and failure to maintain a monogamous relationship  Borderline Personality Disorder: some new criterion DSM-IV-TR, prognosis with treatment is GOOD  Narcissistic Personality Disorder  Histrionic Personality Disorder

6. The following have anxious or fearful behavior:  Avoidant Personality Disorder  Dependent Personality Disorder  Obsessive Compulsive Personality Disorder: want to maintain a sense of control in all areas of their life, hoarding is not extreme or dangerous; DSM-IV-TR further clarifies relationship between OCD and OCPD

7.  A differentiation is made between personality traits and having a disorder, as severe traits can exist without a disorder  Each category must have SIGNIFICANT problems with self- identity and interpersonal functioning  Impaired functioning is linked directly to an extreme personality trait  Adaptive failure is manifested in one or both of the following: Failure to develop a sense of self-identity Failure to develop effective interpersonal functioning

8.  Antisocial  Obsessive compulsive  Avoidant  Borderline  Schizotypal Specify the traits that stand out (six traits that can be made more specific) Does the client meet the threshold for having a PD?

9.  Assess level of functioning (0-no impairment to 4-extreme impairment)  Match five personality types from the narrative description (antisocial, obsessive compulsive, avoidant, borderline, schizotypal)  Assess for trait profiles for any type of PD and list all moderate or extreme traits  Cumulate totals and decide if the client meets the criteria for a diagnosis of PD