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Personality Disorders

Personality disorders are a group of mental health conditions that affect how a person thinks, feels, and behaves. These disorders can influence relationships, work, and daily life. Fortunately, there is help available.

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What Are Personality Disorders?

Personality disorders are mental health conditions that involve enduring patterns of behavior, cognition, and inner experience that differ from cultural expectations. These patterns can lead to problems in relationships, work, and everyday functioning. According to the American Psychiatric Association, personality disorders typically begin in adolescence or early adulthood and can be difficult to change (American Psychiatric Association).

Symptoms of Personality Disorders

Symptoms of personality disorders can vary widely depending on the specific disorder, but common signs include:

  • Difficulty with Relationships: Struggling to maintain healthy relationships with others.

  • Distorted Self-Image: Having an unstable or distorted view of oneself.

  • Emotional Instability: Experiencing intense emotions that can change rapidly.

  • Impulsive Behavior: Acting without thinking about the consequences.

  • Difficulty Coping with Stress: Having trouble managing stress or adapting to change (National Institute of Mental Health).

Recognizing these symptoms is the first step in understanding the disorder.

Types of Personality Disorders

There are several types of personality disorders, grouped into three clusters:

  • Cluster A (Odd or Eccentric):

    • Paranoid Personality Disorder: Distrust and suspicion of others.

    • Schizoid Personality Disorder: Lack of interest in social relationships.

    • Schizotypal Personality Disorder: Discomfort in close relationships, along with eccentric behavior.

  • Cluster B (Dramatic or Erratic):

    • Antisocial Personality Disorder: Disregard for the rights of others; may engage in deceitful or manipulative behavior.

    • Borderline Personality Disorder: Intense emotional instability and difficulties in relationships.

    • Histrionic Personality Disorder: Excessive attention-seeking behavior and emotionality.

    • Narcissistic Personality Disorder: Grandiosity and a lack of empathy for others.

  • Cluster C (Anxious or Fearful):

    • Avoidant Personality Disorder: Extreme shyness and fear of rejection.

    • Dependent Personality Disorder: Excessive need for care and fear of separation.

    • Obsessive-Compulsive Personality Disorder: Preoccupation with orderliness, perfectionism, and control (Mayo Clinic).

Understanding these clusters can help in recognizing specific personality disorders.

​Causes of Personality Disorders

The exact cause of personality disorders is not fully understood, but several factors may contribute:

  • Genetics: Family history can play a role, as personality disorders can run in families.

  • Environmental Factors: Childhood experiences, such as trauma, neglect, or abuse, can influence the development of personality disorders.

  • Brain Structure and Function: Differences in brain structure and function may be linked to certain personality disorders (National Institute of Mental Health).

Recognizing these factors can help in seeking appropriate treatment.

How to Help Someone with a Personality Disorder

If you know someone who may be dealing with a personality disorder, here are some ways you can help:

  • Listen: Offer a supportive ear without judgment. Let them express their feelings.

  • Encourage Professional Help: Suggest that they talk to a mental health professional for guidance.

  • Be Patient: Recovery can take time. Understand that changing long-standing patterns can be difficult.

  • Avoid Conflict: Try to remain calm and avoid escalating tensions during discussions (National Alliance on Mental Illness).

Your support can play a vital role in their healing process.

How to Deal with a Personality Disorder

If you or someone you know is struggling with a personality disorder, here are some strategies that can help:

  • Talk About It: Sharing experiences with trusted friends, family, or a counselor can be helpful.

  • Practice Self-Care: Engage in activities that promote relaxation and well-being, such as exercise, art, or hobbies.

  • Establish a Routine: Keeping a daily schedule can provide a sense of stability.

  • Mindfulness and Relaxation Techniques: Practices like meditation, yoga, or deep breathing can help manage stress and anxiety (American Psychological Association).

Seeking help and using coping strategies can make a significant difference.

How Are Personality Disorders Diagnosed?

Diagnosing personality disorders can be complex. Mental health professionals typically use a combination of interviews, questionnaires, and observation to assess symptoms. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides guidelines for diagnosing personality disorders (American Psychiatric Association).

It’s important for individuals to seek evaluation from qualified professionals if they suspect they have a personality disorder.

Treatment Options for Personality Disorders

There are several treatment options available for personality disorders. These may include:

  • Psychotherapy: Also known as talk therapy, it can help individuals understand their thoughts and behaviors and learn healthier coping strategies.

  • Cognitive Behavioral Therapy (CBT): This therapy focuses on changing negative thought patterns and behaviors.

  • Medication: While there are no specific medications for personality disorders, some medications may help manage symptoms like anxiety or depression (Mayo Clinic).

  • Support Groups: Joining a group where individuals share their experiences can provide understanding and reduce feelings of isolation.

Finding the right treatment can vary for each person, so it’s essential to explore different options.

Signs of Personality Disorders in Children and Teens

Personality disorders can also be present in children and teenagers. Here are some signs to watch for:

  • Difficulty with Peer Relationships: Struggling to make and keep friends.

  • Intense Emotional Reactions: Experiencing strong emotions that seem out of proportion to the situation.

  • Impulsive Behavior: Acting without thinking or considering consequences.

  • Inconsistent Self-Image: Having a fluctuating sense of self (American Academy of Child & Adolescent Psychiatry).

If you notice these signs in a child or teenager, it may be important to seek professional help.

How to Support Someone with a Personality Disorder

Supporting someone with a personality disorder can be challenging, but it’s essential. Here are some ways to help:

  • Check In Regularly: Send a text or call to see how they’re doing.

  • Encourage Activities: Invite them to engage in calming or enjoyable activities together.

  • Educate Yourself: Learn more about personality disorders to better understand their experience.

  • Be There: Sometimes just being present is enough. Let them know they are not alone (National Alliance on Mental Illness).

Your kindness and understanding can make a significant difference in their journey toward recovery.

Conclusion

Personality disorders are complex mental health conditions that can significantly impact a person’s life. Understanding their symptoms, causes, and treatment options can help create a supportive environment for those affected. If you or someone you know is struggling, remember that help is available. Reaching out for support is a brave first step. With the right treatment and understanding, individuals with personality disorders can lead fulfilling lives. We can help.

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