Personality Disorders DSM Axis II A Definitions Personality enduring pervasive pattern of behaviors thoughts and feelings Personality Disorder personality causes significant functional impairment and or distress B Characteristics Onset by late adolescence Prevalence 10 15 of population 30 40 of treatment Axis I cases People almost never seek treatment for Axis II disorder itself Personality disorders are dimensional not categorical thus most people have at least some non diagnosable Axis II characteristics C Personality Disorder Clusters Cluster A odd eccentric schizotypal paranoid schizoid Cluster B dramatic impulsive histrionic narcissistic borderline antisocial Cluster C anxious neurotic avoidant obsessive compulsive dependent Cluster A 1 Schizotypal odd perceptions beliefs social discomfort residual schizophrenia 2 Paranoid looks like mild version of delusional disorder hostile suspicious 3 Schizoid looks like Asperger s syndrome reclusive little desire for social interaction Cluster B 1 Histrionic crave attention loud dress provocatively drama queens extreme but shallow emotional reactions 2 Narcissistic sense of entitlement think they deserve special treatment self absorbed crave admiration grandiosity 3 Borderline self mutilation extreme black and white thinking love hate relationships intense fear of abandonment impulsive confused selfimage 4 Anti social violate others rights violent behavior lack of remorse empathy violate social norms impulsive Cluster C 1 Obsessive Compulsive perfectionistic overly high standards can t delegate anal big time procrastinators 2 Dependent feel like can t live or function without significant other clingy often in abusive relationships extremely poor self image 3 Avoidant look like low grade social phobics anxious about negative evaluation by others in social situations feel like they re ugly uninteresting undesirable intensely shy unwilling to open up unless certain of being liked
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