Personality Disorders

The concept Enduring subjective experiences and :behaviour that .Deviate from cultural standard.Rigidly pervasiveBegin early in life.Stable through timeLead to problems to self or others-

Epidemiology Prevalence is estimated between 10 and 20.percent in general population Approximately one half of all psychiatric. patients have personality disorder Frequently comorbid with other psychiatric.illness

Objectives • Understand the concept • Why should we know them • State prevalence • Describe common types • Outline principles of their treatment

Personality disorders

Paranoid personality disorder • Sensitivity to criticism • Bear grudges • suspiciousness • Jealous

Schizoid personality disorder • • • •

Detachment Restricted emotional expression prefer fantasy Eccentric, isolated or lonely.

Schizotypal personality disorder • • • • •

Magical thinking Peculiar ideas Ideas of reference Illusion Derealisation

(I believe in séances

)

Histrionic personality disorder • Excessive superficaial emotional expression • Attention seeking behavior • Dramatization • Craving to be centre of attraction • Suggestibility

Borderline personality disorder • Impulsive • Unstable mood • suicidal behavior • Emptiness & boredom (chronic) Abandonment (fear of) • Emotionally charged • Identity disturbance

!Guess who

Antisocial • Cold and callous • Low frustration tolerance • Tendency to violence • Absence of guilt • Relationships unstable

Management • Identify strengths • Manipulate environment • Set limits • Group therapy • Low dose AP’s