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Personality Disorder is an enduring
pattern of inner experience, and
behavior that deviates markedly
from the expectations of the person’s
culture, is pervasive and inflexible,
is stable over time, and leads to
distress or impairment.
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Occurs typically in adolescence
or early adulthood. The
enduring personality pattern is
evident across a broad range of
personal and social situations.
The disorder is manifested in at
two of the following areas:
least
 cognition
 affect
 Interpersonal
functioning
 Or impulse control
Personality Traits are enduring
patterns of perceiving, relating
to, and thinking about the
environment and oneself that are
exhibited in a wide range of
context.
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Only when personality traits are
inflexible and maladaptive do they
constitute Personality Disorders.
 BOTH
Disorders and Traits
are listed on
AXIS 2
Personality Disorders are often
co-morbid with another
Personality Disorder and with
Mood.
 Depression
 Anxiety
 And Substance use Disorders.
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The diagnosis of a Personality
Disorder requires and evaluation of
the person’s long-term patterns of
functioning.
Personality disorders and traits are
“clustered” into 3 similar types
These cannot be diagnosed if the pattern
occurs exclusively during the course of
 Schizophrenia
 A Mood Disorder with Psychotic
Features
 or during a Substance induced paranoia,
substance induce psychosis etc……….
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Pattern of distrust
Suspiciousness
Begins in early adulthood and that is present in
a variety of context
Others are exploiting or harming him
Preoccupied with unjustified doubts about the
trustworthiness of others
Reads’ hidden meanings into benign remarks
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Pervasive pattern of detachment from
social relationships and a restricted
range of emotions.
does not enjoy close relations
No pleasure in activities
Indifferent to praise or criticism
Seems very cold and detached.
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A pervasive pattern of social and
interpersonal deficits
Acute discomfort or reduced
capacity for close relationships
Cognitive or perceptual distortions
and eccentricities
Examples next slide…………
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examples
Ideas of references
Odd beliefs
Magical thinking
Unusual perceptual experiences
Odd thinking and speech
Suspicious or paranoid
Odd or eccentric behaviors or appearance
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Antisocial personality Disorder
A pervasive pattern of disregard for and
violation of the rights of others as manifest
by
 Repeated acts that are grounds for arrest
 Deceitfulness
 Impulsivity, aggressiveness
 Consistent irresponsibility
LACK
OF REMORSE
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CANNOT DIAGNOSIS ANYONE UNDER
THE AGE OF 18 WITH ANTISOCIAL
PERSONALITY DISORDER
NOT ALL CRIMINALS ARE ANTI-SOCIAL
MANY PEOPLE HAVE ANTISOCIAL
TRAITS…BUT NOT DISORDER
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Sexual abuse and trauma
Instability of interpersonal relationships
EXTREME impulsiveness---------self harmful
behaviors (like you would never believe!)
Very anxiety driven
Very poor self image
Often very difficult to work with
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not a typical one to see without other problems
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Extremely GRANDIOUS
Must be admired
Center of the Universe,
Arrogant
Interpersonally exploitative
Very envious
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AVOIDANT PERSONALITY
DISORDER
A pervasive pattern of social inhibition
Feelings of inadequacy
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Hypersensitivity to negative
evaluations
As displayed as
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Avoidance of occupational activities that involve
interpersonal contact, unwillingness to get involved
with people, restraint within relationships because of
fear of being shamed, preoccupation with criticism.
Belief that one is inept or inferior

OH GOD…….PLEASE
SOMEONE TAKE CARE OF
ME!!!!! I CAN’T DO IT
MYSELF…..I CAN’T BE
ALONE…….I WILL DO
ANTHING TO MAKE YOU
LOVE ME………..
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OBSESSIVE-COMPULSIVE PERSONALITYOBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVECOMPULSIVE PERSONALITY DISORDER OBSESSIVE-COMPULSIVE PERSONALITYOBSESSIVECOMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
PERSONALITY OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVE-COMPULSIVE
PERSONALITY DISORDEROBSESSIVE-COMPULSIVE PERSONALITY DISORDEROBSESSIVECOMPULSIVE
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