12 Personality Disorders PDF

Personality
Disorders
Cherry B. Banilad
Faculty, College of Nursing
Outline for Discussion
01 Causes of 02 Clinical
Personality Manifestations
Disorders
03 Classification of 04 Treatment &

Personality Management
Disorders
PERSONALITY
DISODERS
 are a group of mental illnesses
 involve long-term patterns of thoughts
and behaviors that are unhealthy and
inflexible
 The behaviors cause serious problems
with relationships and work
 People with personality disorders have
trouble dealing with everyday stresses
and problems.
CAUSES OF PERSONALITY
DISORDERS
O Early experiences
O Biological
O Genetic
O environment
DIAGNOSIS OF PERSONALITY
DISORDERS
 Patterns of behavior must be chronic and
pervasive
 must exhibit symptoms that affect 2 or

more of the following areas: thought,
emotions, interpersonal functioning and
impulse control
 Pattern of behavior must be stable
overtime
 The behavior cannot be explained
3 CLUSTERS OF PERSONALITY
DISORDERS
CLASSIFICATION PERSONALITY
ODD/ECCENTRIC Paranoid, Schizoid,
Schizotypal
DRAMATIC/ERRATIC Borderline, Antisocial,

Histrionic, Narcissistic
ANXIOUS/INHIBITED Dependent, Avoidant,

Obsessive Compulsive
A. ODD/ECCENTRIC
PARANOID PERSONALITY DISORDER
 Men
 Suspicious and distrusting
 Argumentative
 Hostile aloofness
 controlling of others
 Prefer to sit near the door
SCHIZOID PERSONALITY DISORDER
O Introvert, cold and distant

O Lacking close friends
O Prefers solitary activities
O Aloof and indifferent
O Restricted expression of emotions
O Lack of interest in others
SCHIZOTYPAL PERSONALITY
DISORDER
O Suspicious, paranoia, ideas of

reference
O Distorts reality
O Magical thinking
O Reports feelings of being
“different “or “not fitting in”
B. DRAMATIC/ERRATIC
BORDERLINE PERSONALITY
DISORDER
O Young women
O Instability in interpersonal relationships,
mood & self-image
O History of abuse
O Denial, splitting, projection
O Unclear gender identity, impulsive,
unpredictable
ANTISOCIAL PERSONALITY DISORDER
O Failure to conform to social norms
O Lack superego
O Poor work history, financially unstable, history of divorce &
separation
O Pattern of fighting, stealing, criminal record
O Manipulative & narcissistic behavior
O Perceives the world as hostile
O Tolerate frustration poorly
HISTRIONIC PERSONALITY DISORDER
O Conspicuously seek attention
O Vain and overly conscious of appearance
O Express exaggerated emotions in response to minor
stimuli
O Sexually seductive and provocative
O Childish
O Superficial
O Bores easily
O Controlling of partner
O Consider recent acquaintances as dear friends
NARCISSISTIC PERSONALITY DISORDER
O Require constant admiration
O Sensitive to criticism, failure or defeat
O Expect favors
O Exaggerated sense of self-importance
O Overestimates abilities
O Lacks empathy & sensitivity to needs of others
O Preoccupied with fantasies & unlimited success
O High achievers
C. ANXIOUS/INHIBITED
DEPENDENT PERSONALITY DISORDER
O Has difficulty making everyday decisions
O Needs others to assume responsibility
O Has difficulty expressing disagreement
O Has difficulty initiating projects
O Goes to excessive lengths to obtain nurturance & support
from others
O Urgently seeks another relationship
O Unrealistically preoccupied
AVOIDANT PERSONALITY DISORDER
O Feelings of inadequacy, anger, depression

O Hypersensitivity
O Social phobia
OBSSESSIVE COMPULSIVE DISORDER
O Overly preoccupied with rules and regulations
O Obsession with details in their work
O Trouble finishing tasks
O Lacks leisure activities
O Hoards worthless objects
O Perfectionist
O Over devotion to work, reliable
O Inflexible to change
O Difficulty forming warm & close human relationship
TREATMENT AND MANAGEMENT
1. PHARMACOLOGIC TREATMENT
- Cluster A : low dose of antipsychotics
- Cluster B : lithium, anticonvulsants, mood
stabilizers, benzodiazepines
- Cluster C : low dose neuroleptics
2. INDIVIDUAL & GROUP PSYCHOTHERAPY
3. COGNITIVE BEHAVIORAL THERAPY
TREATMENT AND MANAGEMENT
4. Anxiety reducing techniques

5. Allow client to be independent
6. Inform client that harm to self, others & property
is unacceptable
7. Develop a written contract
8. Keep a journal
9. Recognize characteristics of manipulative
behavior
10. Social skills training
THANK YOU FOR
LISTENING!

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Personality

03 Classification of 04 Treatment &

 must exhibit symptoms that affect 2 or

DRAMATIC/ERRATIC Borderline, Antisocial,

ANXIOUS/INHIBITED Dependent, Avoidant,

O Introvert, cold and distant

O Suspicious, paranoia, ideas of

O Feelings of inadequacy, anger, depression

4. Anxiety reducing techniques

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