The concept

Enduring subjective experiences and

:behaviour that
.Deviate from cultural standard-
.Rigidly pervasive-
Begin early in life-
.Stable through time-
Lead 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