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Personality disorders(PD) : Causes, Types, Symptoms, Diagnosis ,Treatment , Risk factors , Complications , Prevention

 What are personality disorders?

Personality is important to shaping who we have a tendency to be as individuals. It involves a novel mix of traits—including attitudes, thoughts, behaviors, associated moods—as well as however we specific these traits in our contacts with others and also the world around us. Some characteristics of an individual’s temperament are inherited, and a few are formed by life events and experiences. A psychological disorder will develop if sure personality traits become too rigid and inflexible.

individuals with personality disorders have long-standing patterns of thinking and acting that take issue from what society considers usual or normal. The inflexibility of their personality can cause nice distress, and may interfere with several areas of life, together with social and work functioning. individuals with temperament disorders typically even have poor brick skills and problems forming healthy relationships.

In contrast to people with anxiety disorders, who grasp they need a tangle however are unable to regulate it, people with personality disorders generally aren't aware that they have a problem and don't believe they have something to control. As a result of not believing they have a disorder, people with personality disorders typically do not look for treatment.


What are personality disorders?


Medical terms

Borderline psychological disorder may be a psychological state disorder that impacts the approach you're thinking that Associate in Nursing feel regarding yourself and others, inflicting issues functioning in everyday life. It includes self-image issues, problem managing emotions and behavior, and a pattern of unstable relationships.

With borderline temperament disorder, you've got an intense concern of abandonment or instability, and you will have difficulty tolerating being alone. Nonetheless, inappropriate anger, unthoughtfulness and frequent mood swings may push others away, even if you would like to possess caressing and lasting relationships.

Borderline personality disorder typically begins by early adulthood. The condition seems to be worse in young adulthood and should step by step bounce back with age.

If you've got borderline temperament disorder, don't get discouraged. Many of us with this disorder get better over time with treatment and might learn to measure satisfying lives.

  1. and mental disease psychological disorder (PD) may be a class of medical specialty identification that describes enduring maladaptive patterns of behavior noesis and inner expertise exhibited across several contexts and deviating markedly from those accepted by the individual' culture Such characteristics is also thought of as a comparatively permanent feature of their personality There are many distinct PDs; common options nevertheless embody difficulties with control feeling maintaining relationships and creating that means from life events once encountered in clinical settings they have a tendency to be distinguished from different issues with functioning by chronicity and intractableness the overall term psychological disorder is usually replaced with the precise diagnoses in current medical specialty

  2. Personality disorders are mental illnesses that cause individuals to have difficulty functioning in society. The primary features of these disorders are persistent and inflexible patterns of behavior and thinking that differ significantly from societal expectations. These symptoms can cause significant distress in the individual, as well as in their relationships with family and friends. Personality disorders can vary in severity, but they all require professional treatment to manage the symptoms and help the individual lead a healthier, more productive life.

  3. Personality disorders refer to lasting patterns of thought, emotion, and behavior that differ significantly from cultural norms, are pervasive and inflexible, and lead to distress or impaired functioning. These patterns of behavior have been noted in individuals since the time of Hippocrates and are now classified by the American Psychiatric Association as part of the larger group of mental health disorders. Personality disorders have an early onset in life, usually in adolescence or early adulthood, and remain stable over time unless someone seeks treatment. There are three clusters of personality disorders, divided into A, B and C, which are further subdivided into different conditions, such as paranoid, schizoid and histrionic personality disorders.

  1. Nervous system

The nervous system is the part of an animal's or human's body that coordinates its actions and transmits signals to and from different parts of its body. The nervous system detects environmental changes that impact the organism, then it works in tandem with the endocrine system to respond to these changes. Nervous tissue first originated in wormlike animals about 550 to 600 million years ago. In vertebrates it consists of two main parts, the central nervous system (CNS) and the peripheral nervous system (PNS).

  1. Brain

  2. Cerebral hemispheres

  3. Diencephalon or interbrain

  4. Thalamus

  5. Hypothalamus

  6. Midbrain

  7. Cerebellum

  8. Pons

  9. Medulla oblongata

  10. The spinal cord

  11. The ventricular system

  12. Choroid plexus

  1. Peripheral nervous system

The nervous system is an important part of the human body. It controls and coordinates all the activities of the body. The nervous system is divided into the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS includes the brain and the spinal cord.


  1. Nerves

  2. Cranial nerves

  3. Spinal nerves

  4. Ganglia

  5. Enteric nervous system

What are the types of personality disorders?

The Diagnostic and Applied Math Manual of Mental Disorders (DSM-5), that is the customary reference work for recognized mental illnesses, organizes temperament disorders into 3 main categories, with many sorts of personality disorders in every category.

Eccentric personality disorders

People with these disorders often appear odd or peculiar. The eccentric personality disorders include:

  • Paranoid personality disorder. Paranoia is the hallmark of this disorder. folks with paranoid folie have a relentless mistrust and suspicion of others. They believe that others try to demean, harm, or threaten them.

  • Schizoid personality disorder.People with this disorder are distant, detached, and indifferent to social relationships. they often are loners preferring solitary activities and infrequently specific robust feelings.

  • Schizotypal personality disorder. People with this disorder show uncommon thinking and behavior, moreover as appearance. folks with personality disorder disorder might need odd beliefs and infrequently are terribly superstitious.

Dramatic personality disorders

People with these disorders have intense, unstable emotions and a distorted self-image. They additionally typically tend to behave impulsively. These disorders include:

  • Antisocial personality disorder. People with this disorder are generally known as “sociopaths” or “psychopaths.” This disorder is characterized by rash, irresponsible, ANd aggressive behavior, which regularly is expressed by a disregard for others and an inability to abide by society’s rules. folks with this disorder often commit serious crimes and have an absence of ruefulness for his or her actions.

  • Borderline personality disorder. This disorder is characterized by unstable moods, poor self-image, chaotic relationships, and impulsive behavior (such as sexual promiscuity, substance abuse, excessive spending, and reckless driving).

  • Histrionic personality disorder. People with this disorder are shallow and perpetually get attention. They usually are terribly dramatic, presumably even childish, and excessively emotional.

  • Narcissistic personality disorder. This disorder is characterized by Associate in Nursing exaggerated sense of superiority, and a preoccupation with success and power. However, this preoccupation is burning by a fragile self-esteem. folks with this disorder are terribly self-centered, tend to lack empathy, and need constant attention and admiration.

Anxious personality disorders

People with these disorders often are nervous or fearful. These disorders include:

  • Avoidant personality disorder. People with this disorder tend to avoid social contacts. This behavior isn't the result of a want to be alone however thanks to excessive concern over being embarrassed or raspingly judged. They typically miss out on several valuable social experiences owing to their concern of being rejected.

  • Dependent personality disorder. This disorder is marked by dependency associated with degreed submissiveness, a necessity for constant reassurance, feelings of helplessness, and an inability to form decisions. folks with dependent psychological disorder typically become terribly on the point of another individual and pay nice effort attempting to please that person. they have a tendency to show passive and clinging behavior, and have a worry of separation.

Obsessive-compulsive personality disorder. This disorder is characterized by a pattern of disposition and inflexibility, management and orderliness, with a powerful worry of constructing mistakes. This fear usually leads to an inability to create decisions, issue finishing tasks, and a preoccupation with details.

individuals might need mixed symptoms of over one mental disorder.

  • If you have got borderline temperament disorder don’t lose hope many folks with this disorder recuperate over time and a few will learn to measure fulfilling lives

Symptoms Personality disorders(PD)

Borderline personality disorder is a mental illness that affects how you feel about yourself how you relate to others and your other behaviors

Signs and symptoms may include:

  • Extreme fear of abandonment may go to extreme measures to avoid real or imagined separation or rejection

  • You can have stable relationships that are intense such as idealizing someone one moment and then suddenly believing they don't care enough or are cruel

  • Rapid changes in self-identity and self-image that include shifting goals values and seeing yourself as bad or not existing at all

  • Periods of stress-related paranoia and loss of contact with reality lasting a few minutes to a few hours

  • Impulsive and risky behavior such as gambling reckless driving unsafe sex spending sprees binge eating or drug abuse or sabotaging success by suddenly quitting a good job or ending a positive relationship

  • Suicidal threats or behavior or self-injury are often a response to separation and rejection

  • Mood swings that can last a few hours to a couple of days and be associated with intense happiness irritability or shame

  • Ongoing feelings of emptiness

  • Frequent intense anger such as frequently losing your temper being sarcastic or bitter or having physical fights

When to see a doctor

If you have any of these signs or symptoms talk to your doctor or a mental health provider:

If you have suicidal thoughts

If you have suicidal thoughts or fantasies get help right away by taking one of these actions:

  • Call 911 or your local emergency number immediately

  • Call a suicide hotline number in the U.S Call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) any time of day Use that same number and press 1 to reach the Veterans Crisis Line

  • If you have a mental health problem find a qualified mental health professional or primary care provider who can help

  • Reach out to a close friend you trust your trusted peer or co-worker

  • Contact your faith community

If you notice signs or symptoms in a family member or friend talk to that person about seeing a doctor or mental health provider But you can’t force someone to see a doctor if the relationship causes you significant stress You may find it helpful to see a therapist yourself

Causes Personality disorders(PD)

Environmental factors such as a history of abuse or neglect may contribute to the development of borderline personality disorder In addition people with borderline personality disorder are often:

  • Genetics.Some studies of twins and families suggest that personality disorders are inherited or strongly associated with other mental health disorders in family members

  • Brain abnormalities.Some research has shown changes in certain areas of the brain that are involved in emotion regulation impulsivity and aggression Other research has found that certain brain chemicals help regulate mood such as serotonin do not function properly

Risk factors Personality disorders(PD)

There are some factors related to personality development that increase the risk of developing BPD These include:

  • Hereditary predisposition.If you have a close relative with the same or similar disorder you may be at a higher risk of developing this disorder

  • Stressful childhood. Many people with the disorder report being abused or neglected as a child Some people have lost or were separated from a parent or close caregiver when they were young some had parents with substance misuse and there are problems in other families and communities For some people this was not the case; others may have been abused by someone else (e.g. as an adult) Abuse can include many forms of abuse such as sexual assault physical assault neglect or exposure to violence like witnessing they were exposed to hostile conflict and unstable family relationships

Complications Personality disorders(PD)

Borderline personality disorder can cause considerable damage to several areas of your life It can negatively affect intimate relationships jobs school and social activities resulting in feelings of emptiness depression self-loathing and intense anger

  • Repeated job changes or losses

  • Not completing an education

  • Multiple legal issues, such as jail time

  • Conflicting relationships are stressful or divorce

  • Self-injury such as cutting or burning and frequent hospitalizations

  • Involvement in abusive relationships

  • Unplanned pregnancies sexually transmitted diseases motor vehicle accidents and physical fights can be caused by impulsive behavior and risky behavior

  • Attempted or completed suicide

In addition to having other mental health issues you may have:

  • Depression

  • Alcohol or other substance misuse

  • Anxiety disorders

  • Eating disorders

  • Bipolar disorder

  • Post-traumatic stress disorder (PTSD)

  • Attention-deficit/hyperactivity disorder (ADHD) is a common and treatable condition that affects children and adults

  • Other personality disorders

personality disorders test

Personality disorders test is a method of determining whether an individual has a personality disorder The general purpose for the test is to determine if an individual is fit for a job or to determine fitness for military service An important aspect of these tests is that they are not designed to diagnose personality disorders but rather to identify traits and behaviors that resemble those identified in people with specific types of personality disorders.

personality disorders in children

Almost all children will display some type of behavior problem at some point in their childhood. While most of these behaviors are normal for a child there are times when the behavior may be cause for concern. When this happens parents should take steps to ensure that it does not become a permanent and debilitating way of life.

personality disorders examples

Personality disorders are a class of mental disorders characterized by inflexible and maladaptive thinking and behavior that usually begin in adolescence or early adulthood It is estimated that about 1% of the general population suffers from personality disorder making it more common than schizophrenia but less common than mood disorders Because many people often have trouble identifying if they are suffering from this kind of disorder it may go undiagnosed for extended periods of time The illness can seriously impair daily functioning including social relationships and work performance.

Is anxiety a personality disorder?

Anxiety disorders are the most common form of mental illness in the U.S. affecting 18 percent of Americans While people with anxiety may feel a variety of different emotions like fear and panic they struggle to control these feelings and thoughts Panic disorder is a type of anxiety that involves recurring episodes of intense fear or terror often accompanied by physical symptoms such as heart palpitations or dizziness People who suffer from this disorder may also experience situations where they think they are losing control or going crazy This can lead to avoidance behaviors (such as refusing to ride an elevator) which actually reinforces the condition.

Is bipolar disorder a personality disorder?

Bipolar disorder is a mental illness that has effects similar to bipolar and depression It causes mood swings from mania (high activity increased energy and euphoria) to depression (lethargy and hopelessness) The person's internal self-talk and judgment are not the same during periods of mania as they are during depressive episodes Someone with bipolar disorder may experience symptoms such as racing thoughts mood swings paranoia or delusions Some people suffering from this condition may also show rapid speech patterns irritability and agitation Is Bipolar Disorder a Personality Disorder? A new report suggests that in some people.

Diagnosis Personality disorders(PD)

Personality disorders include a wide range of disorders including the borderline personality disorder Borderline personality disorder is diagnosed based on a variety of criteria that can be found in DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders 5th edition) These criteria are used to diagnose clinical depression and other mental health conditions

  • A detailed interview with your doctor or mental health provider

  • Psychological evaluation that may include completing questionnaires and a review of records

  • Medical history and exam

  • Discussion of your signs and symptoms

A diagnosis of borderline personality disorder is usually made in adults That's because what appear to be signs and symptoms of borderline personality disorder may go away as children get older and become more mature

  1. Stages of disease diagnosis

Treatment Personality disorders(PD)

Borderline personality disorder is usually treated with psychotherapy but medication may be added Your doctor also may recommend hospitalization if your safety is at risk

Treatment can help you get better at dealing with your condition by learning to manage and cope with it It is also necessary to get treated for any other mental health conditions that often occur along with borderline personality disorder such as depression or substance misuse With treatment you can feel better about yourself and learn skills that will help you continue to improve A stable and rewarding life is one that you can live for yourself and not for others

Psychotherapy

Psychotherapy — also called talk therapy — is a fundamental treatment approach for Borderline Personality Disorder Your therapist may adapt the type of therapy to best meet your needs The goals of psychotherapy are to help you:

  • Focus on your current ability to function

  • Learn to manage feelings that feel uncomfortable

  • You can reduce your impulsiveness by helping you observe feelings rather than acting on them

  • Improve relationships by being aware of your feelings and those of others

  • Learn about BPD

Therapies that have been found to be effective include:

  • Dialectical behavior therapy (DBT).DBT is a skills-based approach that teaches you how to manage your emotions tolerate distress and improve relationships DBT uses a skills-based approach to teach you how to manage your emotions tolerate distress and improve relationships

  • Schema-focused therapy. Schema-focused therapy can be done individually or in a group It can help you identify unmet needs that have led to negative life patterns which at some point may have been useful for survival but as an adult are hurtful in many areas of your life Therapy focuses on helping you get your needs met To promote healthy life patterns

  • Mentalization-based therapy (MBT).MBT is an intervention that helps you identify your own thoughts and feelings at any given moment and create an alternate perspective on the situation MBT emphasizes thinking before reacting

  • Systems training for emotional predictability and problem-solving (STEPPS)STEPPS is a 20-week treatment that involves working in groups that include your family members caregivers friends or significant others STEPPS is used in addition to other types of psychotherapy

  • Transference-focused psychotherapy (TFP) is a psychoanalysis technique that focuses on the impact of unconscious emotions thoughts and memories on relationship conflicts TFP breaks down these unconscious patterns and can be used to resolve conflict between people who are in an emotionally committed relationshipAlso called psychodynamic therapy TFP aims to help you understand your emotions and interpersonal difficulties by developing a relationship with your therapist Next it helps you apply these insights to current situations

  • Good psychiatric management. This treatment approach depends on case management and the expectation that a person can be involved in their own recovery It focuses on making sense of emotionally difficult moments by considering the interpersonal context for feelings It might include medication family education and engagement in community activity or work individual therapy

Medications

Although there are no drugs that have been approved by the Food and Drug Administration for the treatment of Borderline Personality Disorder certain medications may help with symptoms or co-occurring problems such as depression impulsiveness aggression or anxiety Medications may include antidepressants antihistamines antipsychotics mood stabilizers beta blockers anticonvulsants and others Antidepressant antipsychotic or mood-stabilizing drugs

Ask your doctor about the benefits and side effects of medications

Hospitalization

In some cases you may need more intense treatment at a psychiatric hospital or clinic Hospitalization may also keep you safe from self-injury or address suicidal thoughts or behaviors

Recovery takes time

It takes time to learn how to manage your emotions thoughts and behaviors Most people improve considerably with treatment but you may always struggle with some symptoms of borderline personality disorder You may experience times when your symptoms are better or worse but treatment can improve your ability to function However it will help you to feel better about yourself

You have the best chance for success when you consult a mental health provider who has experience treating borderline personality disorder

Coping and support

Borderline personality disorder is highly stressful and challenging to a person who suffers from it You may be aware that your emotions thoughts and behaviors are self-destructive or damaging yet you feel unable to control them

You can also help manage and cope with your condition if you:

  • Know more about the disorder so that you can understand its causes and treatments

  • Learn to recognize the triggers that may trigger angry outbursts or impulsive behavior

  • Be committed to your treatment plan Attend all therapy sessions and take medications as directed by your doctor

  • Talk with your mental health provider about what to do the next time a crisis occurs

  • If you have a problem with substance abuse and need help you can get help

  • Consider involving people close to you in your treatment or involve someone who can help them understand and support you

  • Manage intense emotions by practicing coping skills such as the use of breathing techniques and mindfulness meditation

  • Learn how to appropriately express emotions in a manner that doesn't push others away or trigger abandonment and instability

  • Don’t make assumptions about what people are feeling or thinking about you

  • Reach out to others with the disorder to share insights and experiences

  • A support system of people who can understand and respect you is very important

  • Keep up a healthy lifestyle such as eating a nutritious diet being physically active and engaging in social activities

  • Don't blame yourself for the disorder but recognize your responsibility to get it treated

Preparing for your appointment

You may start by seeing your primary care doctor If you have no other health problems your doctor may refer you to a mental health provider who can help you cope with the changes in your life that are associated with aging Here's some information for preparing for an appointment

What you can do

Before your appointment, make a list of:

  • Symptoms that you or people close to you have noticed and for how long

  • Key personal information,Traumatic events may include any trauma in your past and any current major stressors

  • Your medical information,including other physical or mental health conditions such as diabetes asthma heart disease and cancer

  • All medications you take,Vitamins and other supplements including prescription medications and over-the-counter medications should be taken in the correct dose

  • Questions you want to ask your doctor so that you can make the most of your appointment

Take a family or friend along if possible Someone who has known you for a long time might be able to share important information with the doctor or mental health provider with your permission

Basic questions to ask your doctor include:

  • What is the likely cause of my symptoms?

  • Are there any other possible causes?

  • Which treatments are most likely to be effective for me?

  • After treatment how much will my symptoms improve?

  • How often will I need therapy sessions? How long will they last?

  • Are there medications that can help?

  • What are the possible side effects of the medication you may prescribe?

  • Do I need to take any precautions or follow any restrictions?

  • If I develop any other health conditions how can I best manage them together?

  • How can my family and close friends help me in my treatment?

  • Can you show me some of your papers? What websites do you recommend for students to cite?

Don’t hesitate to ask questions during your appointment

What to expect from your doctor

A doctor or mental health provider will ask you a number of questions Be ready to answer them to save time for topics you want to focus on Possible questions include:

  • What are your symptoms? When did you first notice them?

  • How are these symptoms affecting your life including your personal relationships and work?

  • How often do you experience mood swings or changes in your mood?

  • How often have you felt betrayed or victimized? Why do you think that happened?

  • How well do you manage anger?

  • How well do you manage being alone?

  • How do you feel about yourself?

  • Have you ever felt bad or even evil?

  • Have you had any problems with self-destructive or risky behavior?

  • Have you ever thought of or tried to harm yourself or attempted suicide?

  • How often do you use alcohol and/or recreational drugs? Do you abuse prescription drugs?

  • How would you describe your childhood including how you were treated by your parents or caregivers?

  • If you were physically or sexually abused or were neglected as a child I strongly encourage you to seek professional help

  • Have any of your close relatives or caregivers been diagnosed with a mental health disorder such as a personality disorder?

  • Have you ever been treated for any other mental health problems? If yes, what diagnoses were made and what treatments were most effective?

  • Are you currently being treated for any other medical conditions?

General summary

  • People with personality disorders are especially resistant to therapy and change Because they don’t see anything wrong with themselves they have little motivation to try to change Personality-disordered patients also tend to be angry and may express their anger in an abusive or threatening manner They are also very good at playing the victim Because of these traits it can be hard for families and loved ones of people with personality disorders to maintain relationships because they feel frustrated manipulated and intimidated by their actions or threats of actions.

  • in palliative and end-of-life care There is growing evidence that personality disorders are a major source of distress for dying patients their families and the professionals caring for them Yet palliative medicine clinicians often lack knowledge about this common and serious problem The column illustrates how to identify different personality types in late stage terminal illness and provides some key tips on how to manage these challenging cases Importantly it also reminds us why beyond symptom control (which may be an unrealistic goal) we need to focus on meaningful interventions that aim to improve the patient’s quality of life This includes empowering patients with decision making power.

  • Personality disorders can be broadly classified into three categories: Cluster A Cluster B and Cluster C Although these categories are similar to the traditional clinical grouping (referred to as "Axis II") in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) there are some differences between them The main difference lies in how personality disorder symptoms are assessed—namely through semi-structured interviews with a clinician or self-report questionnaires completed by the person diagnosed with a personality disorder.

Personality disorders(PD)  : Causes, Types, Symptoms, Diagnosis ,Treatment , Risk factors  , Complications , Prevention

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