Pesonality D/O (PD)

To be a PD, a pattern of behavior must affect cognition, affectivity, interpersonal functioning & impulse control; it must clinically cause distress and/or functional impairment and have started at adolescence or early adulthood.

Cluster A:Odd&Eccentric (Accusatory, Alone, Awkward)

Paranoid-irrational fears, jealousy; projection is defense mechanism

Schizoid-solitary, indifferent, no psychosis; fantasy is defense

Schizotypal-psychosis (ideas of refernce, magical thinking)

Cluster B:Dramatic (Borderline, Bad, Beautiful*, Babe*; *=in mind only)

Antisocial-impulsive, reckless, non-conformative; act out

Histrionic-shallow&suggestive; repress/dissociate

Narcissistic-self-important; intellectualize, distort

Borderline-mood swings, extreme avoidance of abandonment; splitting

Cluster C:Anxious (Cowardly, Controlling, Clingy)

Avoidant-"inferiority complex" but w/ desire for relation

OCPD-egosyntonic version of OCD

Dependent-exaggerated fear of loniness, low self esteem; regression, somatization

Tx=DBT if destructive, serotonin for impulses