Category: Psychiatry

Other Personality Disorders

Other Personality Disorders

Psychiatry

Other Personality Disorders

Personality Change Due to another Medical Condition

Diagnostic Criteria

A) A persistent personality disturbance that represents a change from the individual’s previous characteristic personality pattern.

Note: In children, the disturbance involves a marked deviation from normal development or a significant change in the child’s usual behavior patterns, lasting at least 1 year.

B) There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct patho physiological consequence of another medical condition.

C) The disturbance is not better explained by another mental disorder (including another mental disorder due to another medical condition).

D) The disturbance does not occur exclusively during the course of a delirium.

E) The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify whether:

Labile type: If the predominant feature is affective liability.

Disinherited type: If the predominant feature is poor impulse control as evidenced by sexual indiscretions, etc.

Aggressive type: If the predominant feature is aggressive behavior.

Apathetic type: if the predominant feature is marked apathy and indifference.

Paranoid type: If the predominant feature is suspiciousness or paranoid ideation.

Other type: If the presentation is not characterized by any of the above subtypes.

Combined type: If more than one feature predominates in the clinical picture.

Unspecified type

Medical Specialists

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Obsessive-Compulsive Personality Disorder

Obsessive-Compulsive Personality Disorder

Psychiatry

Obsessive-Compulsive Personality Disorder

Diagnostic Criteria

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

  1. Is preoccupied with details, rules, lists, order, or schedules to the extent that the major point of the activity is lost.
  2. Shows perfectionism that interferes with task completion (e.g., unable to complete a project because his or her own overly strict standards are not met).
  3. Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity).
  4. Is over conscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification).
  5. Is unable to discard worn-out or worthless objects even when they have no sentimental value.
  6. Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things.
  7. Adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes.
  8. Shows rigidity and stubbornness.

Medical Specialists

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Dependent Personality Disorder

Dependent Personality Disorder

Psychiatry

Dependent Personality Disorder

Diagnostic Criteria

A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

  1. Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others.
  2. Needs others to assume responsibility for most major areas of his or her life.
  3. Has difficulty expressing disagreement with others because of fear of loss of support or approval. (Note: Do not include realistic fears of retribution.)
  4. Has difficulty initiating projects or doing things on his or her own (because of a lack of self-confidence in judgment or abilities rather than a lack of motivation or energy).
  5. Goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do things that are unpleasant.
  6. Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for him or her.
  7. Urgently seeks another relationship as a source of care and support when a close relationship ends.
  8. Is unrealistically preoccupied with fears of being left to take care of him or her.

Medical Specialists

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Avoidant Personality Disorder

Avoidant Personality Disorder

Psychiatry

Avoidant Personality Disorder

Diagnostic Criteria

A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

  1. Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval, or rejection.
  2. Is unwilling to get involved with people unless certain of being liked.
  3. Shows restraint within intimate relationships because of the fear of being shamed or ridiculed.
  4. Is preoccupied with being criticized or rejected in social situations.
  5. Is inhibited in new interpersonal situations because of feelings of inadequacy.
  6. Views self as socially inept, personally unappealing, or inferior to others.

Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing

Medical Specialists

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Narcissistic Personality Disorder

Narcissistic Personality Disorder

Psychiatry

Narcissistic Personality Disorder

Diagnostic Criteria

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

  1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).
  2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
  3. Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions).
  4. Requires excessive admiration.
  5. Has a sense of entitlement ( I. e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations).
  6. Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own ends).
  7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
  8. Is often envious of others or believes that others are envious of him or her.
  9. Shows arrogant, haughty behaviors or attitudes.

Medical Specialists

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Histrionic Personality Disorder

Histrionic Personality Disorder

Psychiatry

Histrionic Personality Disorder

Diagnostic Criteria

A pervasive  pattern  of  excessive  emotionality  and  attention  seeking,  beginning  by  early  adulthood  and  present  in  a  variety  of  contexts,  as  indicated  by  five (or  more) of  the  following:

  1. Is uncomfortable  in  situations  in  which  he  or  she  is  not  the  center  of  attention.
  2. Interaction  with  others  is  often  characterized  by  inappropriate  sexually  seductive  or  provocative  behavior.
  3. Displays rapidly shifting and shallow expression of emotions.
  4. Consistently   uses physical appearance to draw attention to self.
  5. Has   a   style  of  speech  that  is  excessively  impressionistic  and  lacking  in  detail.
  6. Shows self-dramatization, theatricality, and exaggerated expression of emotion.
  7. Is suggestible (e.g., easily influenced by others or circumstances).
  8. Considers  relationships  to  be more  intimate  than  they  actually  are.

Medical Specialists

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