Personality Disorder

What are the different types of personality disorder?

Personality disorders are usually grouped into three clusters A, B, and C

Cluster A 

Patients with cluster A Personality Disorders often find it hard to relate to others. Behaviours may seem odd and eccentric 

Paranoid Personality Disorder – Patients may feel very suspicious of others without reason, others actions can be interpreted as attacking even when the evidence is unfounded, patients often feel easily rejected.

Schizoid Personality Disorder – Patients with Schizoid Personality Disorder often have few social relationships and are often isolated and withdrawn. Close relationships are often avoided, including family and loved ones. Patients can present as emotionally cold and lacking empathy.

Schizotypal Personality Disorder – Schizotypal Personality Disorder is often associated with interpersonal conflictual relationships with others, there may be odd or strange thoughts, behaviours and appearance. Emotions may be expressed inappropriately.

Cluster B 

Cluster B Personality Disorders often make it hard for patients to control their emotions, they may seem erratic and unstable to others.

Antisocial Personality Disorder – Impulsivity and recklessness are often associated with antisocial Personality Disorder and patients are usually unaware of how their behaviours affect others. Aggression, hostility and displays of violence are often displayed and patients act without shame and guilt often seeking to make other responsible for their actions.

Borderline Personality Disorder (BPD) also known as Emotionally Unstable Personality Disorder – This disorder is associated with extreme mood swings and emotional instability, moods may fluctuate from moment to moment, patients are often in a state of anxiety and distress. There are often problems with how patients feel about themselves and their identity. Self-Harm, alcohol and drug use are often used as a way to manage the intensity of feelings.

Histrionic Personality Disorder – Histrionic Personality Disorder patients often need to be the centre of attention, they may feel anxious about being ignored and patients compensate by displays of energetic bids and displays for attention. Patients can become easily bored and worry about not being noticed or ignored.

Narcissistic Personality Disorder – Patients with Narcissistic Personality Disorder are often inflated and have a sense of self importance, there is often an intense need for attention, admiration and success. There is often a sense of entitlement and that others are there to be used and exploited. There is a lack of empathy towards others.

Cluster C 

Cluster C Personality Disorders are associated with intense fear and anxiety.

Dependent Personality Disorder – Patients with Dependent Personality Disorder often allow other people to take responsibility for their choices and life direction, self-confidence is low and patients are often unable to tolerate being alone. Others needs are valued above the patients needs and there is often an intense fear of abandonment.

Avoidant Personality Disorder – Patients with Avoidant Personality Disorder have a fear of being judged and criticised, they are unable to hear feedback and they can often feel exposed and vulnerable in social situations. Low self-esteem and self-image often sets up these patients to worry and ruminate about being rejected by others.

Obsessive Compulsive Personality Disorder – Patients are often anxious about things that seem unorganised, dirty or messy, perfectionism and the need to right and the avoidance of risk are key features of this personality type. Patients are often experienced as controlling and riged in their thinking. Obsessive Compulsive Personality Disorder is different to Obsessive Compulsive Disorder patients, patients with OCD often have insight into their condition whereas patients with OCPD often feel that their actions are justified and appropriate.