Personality Disorders

Persistent chronic psychological disorders

  • Characterised by long-lasting rigid patterns of thoughts and behaviour.
  • Mild to more severe in terms of how persistent and to what extent a person exhibits the features of a particular personality disorder.
  • During times of increased stress or external pressures, the symptoms of the personality disorder will gain strength and begin to seriously interfere with their emotional and psychological functioning.
  • Conflicts with other people and vice-versa.
  • To be diagnosed as a personality disorder, a behaviour pattern must cause significant distress or impairment in personal, social, and/or occupational situations.

Avoidant Personality Disorder

  • Characterised by extreme social anxiety.
  • Often feel inadequate, avoid social situation, and seek out jobs with little contact with others.
  • Fearful of being rejected and worry about embarrassing themselves in front of the others.
  • Often they will create fantasy worlds to substitute for the real one.
  • They are frequently depressed and have low self-confidence.

Borderline Personality Disorder

  • Characterised by mood instability and poor self-image.
  • Constant mood swings and bouts of anger.
  • Often they will take their anger out on themselves, causing injury to their own body.
  • Impulsivity in at least 2 areas that are potentially self-damaging (e.g. spending, sex, drug/alcohol misuse, reckless driving, binge eating).
  • Think in very black and white terms, and often form intense, conflict-ridden relationships.
  • Treatment involves therapy in which the patient learns to talk through his/her feelings rather than unleashing them in destructive and self-defeating ways.

Dependent Personality Disorder

  • Characterised by a need to be taken care of.
  • Tend to cling to people and fear losing them.
  • May become suicidal when a break-up is imminent.
  • Tend to let others make important decisions for them and often jump from relationship to another.
  • Often remain in abusive relationship.
  • Over-sensitivity to disapproval is common.
  • Often feel helpless and depressed.
  • Psychotherapy is the best option for treatment.

Histrionic Personality Disorder

  • Constant attention seekers.
  • Need to be the centre of attention all the time, often interrupting others in order to dominate the conversation.
  • May dress provocatively or exaggerate illnesses in order to gain attention.
  • Manipulative.
  • Tend to exaggerate friendships and relationships, believing that everyone loves them.
  • Treatment most often focuses on increasing coping skills and interpersonal relationships skills through psychotherapy.

Narcissistic Personality Disorders

  • Characterised by self-centeredness.
  • Seek attention and praise.
  • Exaggerate their achievements, expecting others to recognise them as being superior.
  • Tend to be choosy about picking friends, since they believe that not just anyone is worthy of being their friend.
  • Tend to make good first impressions, yet have difficulty maintaining long-lasting relationships.
  • Generally uninterested in the feeling of others and may take advantage of them.
  • Grandiose sense of self-importance.
  • Lack of empathy.
  • Obsessed with fantasies of fame, power or beauty

Treatment is available at: