1. Personality Disorders

2. Personality Disorder is an enduring pattern of inner experience, and behavior that deviates markedly from the expectations of the person’s culture, is pervasive and inflexible, is stable over time, and leads to distress or impairment.

3. Onset
Occurs typically in adolescence or early adulthood. The enduring personality pattern is evident across a broad range of personal and social situations.

4. Interpersonal functioning Or impulse control
The disorder is manifested in at least two of the following areas:
cognition
affect
Interpersonal functioning
Or impulse control

5. Personality Traits
Personality Traits are enduring patterns of perceiving, relating to, and thinking about the environment and oneself that are exhibited in a wide range of context.

6. BOTH Disorders and Traits are listed on AXIS 2
Personality Traits
Only when personality traits are inflexible and maladaptive do they constitute Personality Disorders.
BOTH Disorders and Traits are listed on AXIS 2

7. Personality Disorders are often co-morbid with another Personality Disorder and with Mood.
Depression
Anxiety
And Substance use Disorders.

8. Diagnosis
The diagnosis of a Personality Disorder requires and evaluation of the person’s long-term patterns of functioning.
Personality disorders and traits are “clustered” into 3 similar types

9. This is the “oddest” cluster
Cluster (A)
This is the “oddest” cluster
The personality group is
Paranoid Personality Disorder
Schizoid personality Disorder
Schizotypal Personality Disorder

10. Cluster A
These cannot be diagnosed if the pattern occurs exclusively during the course of
Schizophrenia
A Mood Disorder with Psychotic Features
or during a Substance induced paranoia, substance induce psychosis etc……….

11. Paranoid Personality disorder
Pattern of distrust
Suspiciousness
Begins in early adulthood and that is present in a variety of context
Others are exploiting or harming him
Preoccupied with unjustified doubts about the trustworthiness of others
Reads’ hidden meanings into benign remarks

12. Schizoid personality Disorder
Pervasive pattern of detachment from social relationships and a restricted range of emotions.
does not enjoy close relations
No pleasure in activities
Indifferent to praise or criticism
Seems very cold and detached.

13. Schizotypal A pervasive pattern of social and interpersonal deficits
Acute discomfort or reduced capacity for close relationships
Cognitive or perceptual distortions and eccentricities
Examples next slide…………

14. Schizotypal examples Ideas of references Odd beliefs Magical thinking
Unusual perceptual experiences
Odd thinking and speech
Suspicious or paranoid
Odd or eccentric behaviors or appearance

15. CLUSTER (B) Antisocial personality Disorder LACK OF REMORSE
A pervasive pattern of disregard for and violation of the rights of others as manifest by
Repeated acts that are grounds for arrest
Deceitfulness
Impulsivity, aggressiveness
Consistent irresponsibility
LACK OF REMORSE

16. Antisocial personality Disorder
CANNOT DIAGNOSIS ANYONE UNDER THE AGE OF 18 WITH ANTISOCIAL PERSONALITY DISORDER
NOT ALL CRIMINALS ARE ANTI-SOCIAL
MANY PEOPLE HAVE ANTISOCIAL TRAITS…BUT NOT DISORDER

17. Borderline Personality Disorder
Sexual abuse and trauma
Instability of interpersonal relationships
EXTREME impulsiveness self harmful behaviors (like you would never believe!)
Very anxiety driven
Very poor self image
Often very difficult to work with

18. Histrionic Personality Disorder
not a typical one to see without other problems

19. Narcissistic Personality Disoder
Extremely GRANDIOUS
Must be admired
Center of the Universe,
Arrogant
Interpersonally exploitative
Very envious

20. CLUSTER (C) AVOIDANT PERSONALITY DISORDER
A pervasive pattern of social inhibition
Feelings of inadequacy

21. AVOIDANT PERSONALITY DISORDER
Hypersensitivity to negative evaluations
As displayed as
Avoidance of occupational activities that involve interpersonal contact, unwillingness to get involved with people, restraint within relationships because of fear of being shamed, preoccupation with criticism.
Belief that one is inept or inferior

22. DEPENDENT PERSONALITY
OH GOD…….PLEASE SOMEONE TAKE CARE OF ME!!!!! I CAN’T DO IT MYSELF…..I CAN’T BE ALONE…….I WILL DO ANTHING TO MAKE YOU LOVE ME………..

23. OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
OBSESSIVE-COMPULSIVE PERSONALITYOBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDER OBSESSIVE-COMPULSIVE PERSONALITYOBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
GET THE IDEA??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

24. AND THAT’S ALL FOLKES!