Personality Disorders

pattern of inner experience and behavior that diverges from the cultural norm and is manifested through 2 or more areas:
Cognition
Affectivity
Interpersonal functioning
Impulse control
personality trait expression is stable across time and circumstance and long in duration

"odd or eccentric" PD
paranoid
schizoid
schizotypal

"Dramatic, Emotional, or Erratic" PD
Antisocial
Narcissistic
Histrionic
Borderline

"Anxious or Fearful" PD
Avoidant
Dependent
Obsessive-compulsive

Pervasive mistrust and suspiciousness of others

Pervasive disengagement from relationships and limited range of emotions

Acute discomfort and limited capability for close relationships in addition to perceptual distortions and eccentric behaviors

Pervasive pattern of social reluctance, poor self-esteem, and hypersensitivity to negative evaluation

Pattern of excessive need to be cared for leading to clingy behavior and fear of abandonment

Pattern of preoccupation with control, structure, and perfectionism at the expense of adjustability, openness, and productivity

Pervasive pattern of grandiosity and desire for admiration

Symptoms must occur before the age of 15 years
A pattern of disrespect and infringement on the rights of others

Pervasive pattern of emotionality and attention seeking

Pervasive pattern of instability in relationships, self-image, and mood regulation

CBT
Social building skills

CBT
Group therapy

CBT
Interpersonal therapy

Dialectical behavioral therapy (DBT)
Interpersonal therapy

differences exist between old treatment guidelines, but no pharmacotherapy regiment is known that will improve overall symptoms. Polypharmacy is commonly seen, discontinue ineffective therapies. Use for shortest duration and lowest dose, and focus on treating co-morbid psychiatric conditions.