Personality disorders

Personality disorders develop in childhood, and often last throughout a person’s life. There are many kinds of personality disorders, but all are characterised by a “rigid and unhealthy pattern of thinking and behaving no matter the situation”. As such, having a personality disorder can make daily functioning, such as participating in education, work and developing relationships, extremely difficult. It is important that people with personality disorders learn how to manage behavioural symptoms as early as possible to maintain a healthy life.

Signs this might be a problem:

  • unusual or erratic behaviour
  • extreme mood swings (angry outbursts)
  • suspicion and distrust
  • difficulty with relationships
  • problems at school or work
  • need for instant gratification
  • poor impulse control (taking risks)
couple talking in park

What are personality disorders?

Personality disorders can be extremely difficult to diagnose as personalities are so unique. There is no uniform pattern to the way that people respond to situations, or think and behave. However there are some circumstances where behaviour and thoughts are considered to be extreme and inflexible. This can impact on a persons ability to function in daily life if they are unable to respond to, and cope with new situations and people surrounding them (such as education and work contexts). In such cases, a person may be considered to have a personality disorder.   

There are many different kinds of personality disorders that can affect a persons ability to function normally. Most personality disorders emerge in childhood, the time in which personalities tend to stabilise for most people, and persist throughout adulthood. In many situations people may not be aware that there is any problem, as their behaviours and ways of thinking come naturally to them, which can be exacerbated by the fact that people may blame others (e.g. feeling as though everyone else has a problem, not themselves). 

Risk factors

While little is known about what causes personality disorders, there are some factors that increase a person’s chances of developing a personality disorder.

These include:

  • a family history of mental illness, especially personality disorders
  • unstable or chaotic childhood
  • history of childhood abuse or neglect 
  • trauma experienced during childhood (e.g. loss of a parent or sibling)
  • diagnosis of childhood conduct disorder.

 

Types of personality disorders

Personality disorders tend to be clustered into three groups: 

Cluster A: odd or eccentric behaviours

  • paranoid: characterised by extreme distrust and suspicion of others, interpreting other peoples intentions as malicious.
  • schizoid: characterised by detachment from relationships and limited emotional expression.
  • schizotypal: characterised by having little regard for others and bizarre or eccentric thinking and behaviour.

Cluster B: dramatic, emotional or erratic behaviour

  • antisocial: characterised by little disregard for others, acting aggressively toward others or violating others rights.
  • borderline: characterised by highly impulsive behaviour (excessive risk taking) and unstable moods.
  • histrionic: characterised by ‘over the top’ emotional reactions and attention seeking tendencies.
  • narcissistic: characterised by a constant need for admiration as well as behaviour and speech that often displays a sense of grandiosity.

Cluster C:  anxious or fearful behaviours

  • avoidant: characterised by extreme shyness, hypersensitivity to perceived or actual criticism and rejection. General feelings of inadequacy are also usually present.  
  • dependent: characterised by a fear of separation, leading to submissive and ‘clingy’ behaviour. A person with a dependent personality type requires constantly being taken care of.
  • obsessive-compulsive: engaging in ritualistic behaviours, which can be time and energy consuming. Distress may be associated with not being able to perform certain rituals. Controlling behaviours, and possibly fear and anxiety of certain situations.

 

What young people can do about personality disorders

Given people may be unaware of having a personality disorder they can be fairly difficult to treat. If worried about having a personality disorder, it is important to discuss issues with a school counsellor, or local GP in order to establish what the best course of management will be. This may include psychological therapy or in some circumstances medication. Routine medical care may be also important, even if the symptoms feel under control.

Other steps young people can take include learning about personality disorders, which can enable individuals to realise how they are being affected by their disorder, and to become attuned to the associated symptoms or warning signs that may trigger symptoms (such as an angry outburst). This may also be a helpful thing for friends and family to ensure they understand the nature of the personality disorder. Improving and developing coping strategies can be useful to minimise anger and frustration. 

 

ReachOut.comReachOut.com resources on personality disorders

 

Recommended professional resources

 

    How to help

    • Be supportive, and positive – it is easy for discussing personality traits to be taken as a judgement of that person.
    • Work with the young person to identify traits or practices that are causing them problems in their life.
    • If it is a significant problem that they have trouble changing or coping with, encourage them to consider talking to a GP and getting an assessment.
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