PERSONALITY DISORDERS Personality disorders Objectives Define personality and

PERSONALITY DISORDERS

Personality disorders Objectives � Define personality and personality disorders � Classify personality disorders � Recognize presenting features � Evaluate clinical significance � Plan management

Personality disorders Personality Enduring pattern of feeling thinking and behavior that make individual unique person

Personality disorders Elements of personality � Since early age � Consistent over time � Recognized by others � Stable in different situations

Personality disorders � Deeply ingrained maladaptive pattern � From adolescence � Person or society suffers � Extreme variation of trait not due to mental illness

Personality disorders Relation between mental illness and personality � all people with personality disorder have mental illness � personality disorders are mental illness � coincidental

Personality disorders Approach personality Type model clinical types Trait model dimensional approach

Personality disorders Clinical types • Four humors melancholic , cholerocholic , sanguinous phlegmatic • Body built Pyknic (endomorphic) , athletic (mesomorphic ) , phlegmatic (ectodermic) • Mental illness

Personality disorders Clinical types � Cluster A odd eccentric Paranoid, schizotypal � Cluster B dramatic antisocial (psychopathic), histrionic, borderline, impulsive, and narcissistic � Cluster C anxious Avoidant, obsessive, dependent

Personality disorders Cluster A Schizoid personality disorder � Distance from social relations, Few interests and pleasures, Emotionally cold Paranoid personality disorder � Sense of exploitation, Preoccupied with mistrust, No confidant � Sensitivity to insult Schizotypal personality disorder � Eccentric, Unusual believes, Speak vague circumstantial � Problems with close relations

Personality disorders Cluster B Antisocial personality disorder ( psychopathic )( dissocial) � Intolerance to frustration, Seek urgent satisfaction, Lack of guilt or remorse, Breaking rules and norms, Impulsive, Substance abuse Borderline personality disorder � Fear of abandonment, Feeling of emptiness � Suicidal and self harming, impulsive, Brief psychotic episodes, Childhood sexual abuse

Personality disorders Cluster B Histrionic personality disorder � Center of attention � Excessive display of emotions � Manipulative Narcissistic personality disorders � Inflated sense self importance � Cant see others non appreciation � Associate with important people as they see

Personality disorders Cluster C Avoidant personality disorder � Avoid situation criticism, Shy , Seek praise Obsessive compulsive personality disorder (anankastic) � Inflexible, One way to do things stubborn obstinate, Meticulous, Check rechecks , Indecisive Dependant personality disorder � Subordinate responsibility to others, Difficulty in making decision alone

Personality disorders Dimensional approach Eysenck Costa and Mc. Cair Clonninger Cattle

Personality disorders Eysenck Neuroticism – psychoticism Extraversion – Introversion Costa and Mc. Cairy OCEAN O openness C conscientiousness E extraversion A agreeability N neuroticism

Personality disorders Clonninger Novelty seeking Harm avoidance Reward dependence

Personality disorders � Note � personality change � affective personality disorders

Determinants of personality � genetic � family � society

Management � Presenting problem anxiety , depression , PTSD , � psychotherapy