Recognize Personality Disorders

23 07 2009

Personality disorders (PD) are long-term chronic patterns of erratic behavior that most likely will require a lifetime of care.  Common behavioral attributes of PD:  Relationships tend to swing viciously from love to hate; avoid real, or imaged abandonment and view themselves as victims taking very little responsibility for their problems, or themselves.  PD is very susceptible to self harm through drug and alcohol abuse which tends to complicate the disorders exponentially.  Studies show a PD connection to child abuse and neglect; but need not be abused to develop PD.  Personalities of children growing into adulthood diagnosed with personality disorder display antisocial, obsessive, detached, hostile or needy behaviors.  Symptoms:  Crisis is handled through wrist cutting, over dosing, inappropriate anger, binge eating, shoplifting, impulse spending, substance abuse, sexual relationships, unable to be alone, emptiness and boredom.  Recognize PD and seek mental health.

There are currently ten classified Personality Disorder (PD) types within 3 clusters:  1)  Obsessive-Compulsive (OCPD) “Focused on order and perfection, lack flexibility which interferes with getting things done; Avoidant (APD) social anxiety, self-conscious, social avoidance, rejection hypersensitive; Dependent (DPD) neediness, cling to others, fear of rejection, or suicidal with disintegrating relationships.  2) Histrionic (HPD) melodramatic and over the top, constant emotional storms, seek attention and approval, negative attention is better than no attention; Narcissistic (NPD) feel need to be center of attention, lack empathy, egocentric behavior, feel entitled, misperceive others speech and actions, negative personal interactions; Borderline (BPD) inability to regulate emotion, abrupt mood changes, impulsivity, unpredictable outbursts, highly sensitive to rejection, fear of abandonment, suicide threats and attempts; and Antisocial (APD, or ASPD) manipulative behaviors, lack of empathy, or conscious, adept at cold-calculating manipulation, self-gratification not caring of others.  3) Schizotypal – Odd thought, perception and belief, eccentric looking with speech that is difficult to follow and can become disabling if the disorder becomes persistent; and Schizoid – Detached from social relationships, week social skills, loners (do not wish to be socially outgoing).

References,

1) Moore DP, Jefferson JW. Borderline personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry.  2nd ed. Philadelphia, PA: Mosby Elsevier; 2004: chap 138. 

2)  Montandon M, Feldman MD. Borderline personality disorder. In: Ferri FF, ed. Ferri’s Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008. 

World Wide Web References:
3)  (http://personalitydisorders.suite101.com/article.cfm/what is a personality disorder)
4)  http://assets.aarp.org/external_sites/adam/html/1/000935.html?CMP=KNC-360i-YAHOO-HEA&HBX_OU=51&HBX_PK=borderline_personality_disorderPD has a poor outlook because people that go through treatment often do not comply with treatment.  Recommendation:  On-going Group and one-on-one therapy and medication.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.

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