Narcissistic personality Disorder
Fragile sense of self Grandiose feelings sense of entitlement lack of empathy envy Manipulativeness need for attention and admiration
Schizotypal PD
similar to Schizoid plus
exhibits slight losses of reality testing
Has odd beliefs
Is aloof and withdrawn
Schizoid PD
Characterised by Shyness oversensitivity seclusiveness Avoidance of close or competitive relationships Eccentricity No loss of capacity to recognise reality Day dreaming express hostility and aggression.
Paranoid PD
characterised by unwarranted suspicion hypersensitivity Jealousy Envy rigidity Excessive self-importance a tendency to blame ascribe evil motives to other
Obsessive Compulsive PD
excessive concern with conformity and standards of conscience
Individual may be rigid,
overconscientious
over dutiful
over inhibited
unable to relax
3 Ps - Punctual, parsimonious and precise
Histrionic PD
emotional instability excitability overactivity vanity Immaturity Dependency Self dramatization
Avoidant PD
low levels of energy easy fatiguability lack of enthusiasm inability to enjoy life oversensitivity to stress
Antisocial PD
persons in conflict with society they are incapable of loyalty, selfish callous irresponsible Impulsive unable to feel guilt or learn by experience low levels of frustration tolerance tendency to blame other
Borderline PD
instability Impulsiveness chaotic sexuality suicidal acts Self mutilating behaviour identity problems ambivalence Feeling of emptiness boredom
Dependent PD
passive and submissive behaviour
person is unsure of himself or herself and become entirely dependent on other
DSM 5 for Borderline personality disorder
Impulsive I - Impusivity M - mood instability P - Paranoia/dissociation under stress U - unstable self images L - labile intense relationships S- suicide gestures/self harm I - Inappropriate anger A- avoiding abandonment E - Emptiness
Mx Borderline personality disorder
Long term psychotherapy of self soothing and DBT Do not admit to acute mental health Crisis action plan - project calmness - Avoid negative emotion - be positive about mx outcome - stabilise there outside environment Increase risk of accidental suicide