Personality Disorder (2024)

Table of Contents
Cluster A: Cluster B: Cluster C: FAQs

What is "personality"?

Personality refers to a distinctive set of traits, behavior styles, and patterns that make up our character or individuality. How we perceive the world, our attitudes, thoughts, and feelings are all part of our personality. People with healthy personalities are able to cope with normal stresses and have no trouble forming relationships with family, friends, and co-workers.

Causes

Some experts believe that events occurring in early childhood exert a powerful influence upon behavior later in life. Others indicate that people are genetically predisposed to personality disorders. In some cases, however, environmental facts may cause a person who is already genetically vulnerable to develop a personality disorder.

Signs

A personality disorder must fulfill several criteria. A deeply ingrained, inflexible pattern of relating, perceiving, and thinking serious enough to cause distress or impaired functioning is a personality disorder. Personality disorders are usually recognizable by adolescence or earlier, continue throughout adulthood, and become less obvious throughout middle age.

Types of Personality Disorders

There are many formally identified personality disorders, each with their own set of behaviors and symptoms. Many of these fall into three different categories or clusters:

  • Cluster A: Odd or eccentric behavior
  • Cluster B: Dramatic, emotional or erratic behavior
  • Cluster C: Anxious fearful behavior

Since there are too many identified types of personality disorders to explain in this context, we will only review a few in each cluster.

Cluster A:

  • Schizoid Personality Disorder:Schizoid personalities are introverted, withdrawn, solitary, emotionally cold, and distant. They are often absorbed with their own thoughts and feelings and are fearful of closeness and intimacy with others. For example, a person suffering from schizoid personality is more of a daydreamer than a practical action taker.
  • Paranoid Personality Disorder: The essential feature for this type of personality disorder is interpreting the actions of others as deliberately threatening or demeaning. People with paranoid personality disorder are untrusting, unforgiving, and prone to angry or aggressive outbursts without justification because they perceive others as unfaithful, disloyal, condescending or deceitful. This type of person may also be jealous, guarded, secretive, and scheming, and may appear to be emotionally “cold” or excessively serious.
  • Schizotypal Personality Disorder: A pattern of peculiarities best describes those with schizotypal personality disorder. People may have odd or eccentric manners of speaking or dressing. Strange, outlandish or paranoid beliefs and thoughts are common. People with schizotypal personality disorder have difficulties forming relationships and experience extreme anxiety in social situations. They may react inappropriately or not react at all during a conversation or they may talk to themselves. They also display signs of “magical thinking” by saying they can see into the future or read other people’s minds.

Cluster B:

  • Antisocial Personality Disorder: People with antisocial personality disorder characteristically act out their conflicts and ignore normal rules of social behavior. These individuals are impulsive, irresponsible, and callous. Typically, the antisocial personality has a history of legal difficulties, belligerent and irresponsible behavior, aggressive and even violent relationships. They show no respect for other people and feel no remorse about the effects of their behavior on others. These people ware at high risk for substance abuse, especially alcoholism, since it helps them to relieve tension, irritability and boredom.
  • Borderline Personality Disorder: People with borderline personality disorder are unstable in several areas, including interpersonal relationships, behavior, mood, and self-image. Abrupt and extreme mood changes, stormy interpersonal relationships, an unstable and fluctuating self-image, unpredictable and self-destructive actions characterize the person with borderline personality disorder. These individuals generally have great difficulty with their own sense of identity. They often experience the world in extremes, viewing others as either “all good” or “all bad.” A person with borderline personality may form an intense personal attachment with someone only to quickly dissolve it over a perceived slight. Fears of abandonment may lead to an excessive dependency on others. Impulsive actions, chronic feelings of boredom or emptiness, and bouts of intense inappropriate anger are other traits of this disorder, which is more common among females.
  • Narcissistic Personality Disorder:People with narcissistic personality have an exaggerated sense of self-importance, are absorbed by fantasies of unlimited success, and seek constant attention. The narcissistic personality is oversensitive to failure and often complains of multiple somatic symptoms. Prone to extreme mood swings between self-admiration and insecurity, these people tend to exploit interpersonal relationships.

Cluster C:

  • Avoidant Personality Disorder: Avoidant personalities are often hypersensitive to rejection and are unwilling to become involved with others unless they are sure of being liked. Excessive social discomfort, timidity, fear of criticism, avoidance of social or work activities that involve interpersonal contact are characteristic of the avoidant personality. They are fearful of saying something considered foolish by others; worry they will blush or cry in front of others; and are very hurt by any disapproval by others. People with avoidant personality disorder may have no close relationships outside of their family circle, although they would like to, and are upset at their inability to relate well to others.
  • Dependent Personality Disorder: People with dependent personality disorder may exhibit a pattern of dependent and submissive behavior, relying on others to make decisions for them. They require excessive reassurance and advice, and are easily hurt by criticism or disapproval. They feel uncomfortable and helpless if they are alone, and can be devastated when a close relationship ends. They have a strong fear of rejection. Typically lacking in self-confidence, the dependent personality rarely initiates projects or does things independently. This disorder usually begins by early adulthood and is diagnosed more frequently in females than males.
  • Obsessive-Compulsive Personality Disorder: Compulsive personalities are conscientious and have high levels of aspiration, but they also strive for perfection. Never satisfied with their achievements, people with compulsive personality disorder take on more and more responsibilities. They are reliable, dependable, orderly, and methodical, but their inflexibility often makes them incapable of adapting to changed circ*mstances. People with compulsive personality are highly cautious, weigh all aspects of a problem, and pay attention to every detail, making it difficult for them to make decisions and complete tasks. When their feelings are not under strict control, events are unpredictable, or they must rely on others, compulsive personalities often feel a sense of isolation and helplessness.

Other Resources

The National Institute of Mental Health Information Resource Center

Hours:toeastern time, M-F

Phone:1-866-615-6464
TTY:1-301-443-8431
TTY (toll-free):1-866-415-8051

Email:nimhinfo@nih.gov

https://www.nimh.nih.gov/

Personality Disorder (2024)

FAQs

What is the most difficult personality disorder to deal with? ›

Borderline personality disorder historically has been viewed as challenging to treat.

Why is BPD life expectancy 27? ›

The reality is that Borderline Personality Disorder itself does not directly reduce life expectancy to 27 years. However, the intense emotional turmoil associated with BPD can lead to high-risk behaviors and substance use, which might increase the risk of life-threatening situations.

What are the 3 overlooked signs of a personality disorder? ›

The Three Most Important Signs. Perhaps more striking than specific symptoms associated with certain illnesses are the persistence, rigidity, and globalism of the perplexing behaviors. One or two symptoms of a particular PDO are insufficient to warrant a diagnosis.

Why is living with BPD so hard? ›

People who live with BPD have difficulty regulating or handling their emotions or controlling their impulses. They are highly sensitive to what is going on around them and can react with intense emotions to small changes in their environment.

What is the #1 diagnosed personality disorder? ›

The most commonly diagnosed personality disorders are borderline personality disorder and antisocial personality disorder. Another personality disorder that primary care practitioners sometimes find difficult to diagnose and treat is narcissistic personality disorder.

What is the most painful personality disorder? ›

Borderline personality disorder (BPD) has long been believed to be a disorder that produces the most intense emotional pain and distress in those who have this condition. Studies have shown that borderline patients experience chronic and significant emotional suffering and mental agony.

What 75% of people have BPD? ›

Nearly 75% of people diagnosed with BPD are people assigned female at birth (AFAB). Research suggests that people assigned male at birth (AMAB) may be equally affected by BPD, but they may be misdiagnosed with post-traumatic stress disorder (PTSD) or depression.

Does BPD get worse with age? ›

Mood swings, anger and impulsiveness often get better with age. But the main issues of self-image and fear of being abandoned, as well as relationship issues, go on. If you have borderline personality disorder, know that many people with this condition get better with treatment.

What is the hardest mental illness to live with? ›

Borderline personality disorder is one of the most painful mental illnesses since individuals struggling with this disorder are constantly trying to cope with volatile and overwhelming emotions.

What is the most commonly misdiagnosed personality disorder? ›

BPD is one of the most commonly misdiagnosed mental health conditions. It's so misdiagnosed, in fact, that there isn't even an accurate prevalence rate for the condition.

What is the most misunderstood personality disorder? ›

Borderline personality disorder (BPD) is a complex and challenging illness. A disorder that is often prompted by and occurs in the context of relationships, BPD can wreak havoc not only on those with the disorder but on their loved ones as well.

Do people with personality disorders know there is something wrong with them? ›

Personality disorders can be difficult to diagnose since most people with a personality disorder don't think there's a problem with their behavior or way of thinking. Because of this, people with a personality disorder typically don't seek help or a diagnosis for their condition.

What do people with BPD lie about? ›

They may lie in an attempt to explain why they behaved in a specific manner. When a person has big emotions and expresses them in ways that are considered “over the top” or “crazy” as compared to most other people, the person with BPD may lie to try to provide an explanation that matches the intensity of the feeling.

What does high functioning BPD look like? ›

While someone with high-functioning BPD may feel intense anger suddenly, their frustration may display as one appearing tired and in need of some time alone. High-functioning BPD tends to leave a person feeling chronic emptiness, uncertainty about their identity, insecurity, and dissatisfaction with themself.

Do borderlines know they hurt you? ›

Most borderlines, until and unless they have substantial and successful therapy are not consciously aware of what I am describing here. Some are totally oblivious to their behavior. Some see their behavior as a means to an end and take little to no responsibility for it or any of its consequences.

What disorder is the hardest to treat? ›

Of the ten personality disorders described in the DSM-5, the four in Cluster B: Antisocial, Borderline, Narcissistic and Histrionic, have been the ones considered to be the most difficult to treat.

What is the most difficult personality type to understand? ›

The short answer: INFJ (Introverted-Intuitive-Feeling-Judgment) is the most complex Myers-Briggs Personality Type. Let's examine INFJs and why this personality type is so complicated.

Is BPD worse than bipolar? ›

The intensity of symptoms can vary widely in both disorders, but the intensity of BPD symptoms can be more pervasive and potentially last longer than BD symptoms. Both diagnoses are associated with suicidal behavior, but people with BPD will often engage in self-harm without suicidal intentions.

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