PERSONALITY DISORDERS

Cluster A (Odd & Eccentric) B (Dramatic & Erratic) C (Anxious & Fearful)
Etiology fixation in psychosocial development fixation at genital stage fixation at oral/anal stage
Social loves isolation loves company loves company but is isolated
1. Paranoid – suspicious and mistrustful 1. Borderline – intolerant of being alone, self- 1. Avoidant – overly shy and serious, visits
 Passive friendliness mutilation, self-directed public places alone
2. Schizoid – loners, detached, reserved,  Clear unresolved issues  Active friendliness
prefers solitude  Verbalization of thoughts  Encourage recognition of behavior
 Active friendliness  Recognize ownership of feelings  Verbalization of feelings
3. Schizotypal – cognitive impairment  Watchfulness  Positive stories
 Reality reorientation 2. Antisocial – conduct disorder, violates 2. Obsessive-Compulsive – meticulous,
social norms organized, orderly, detailed, workaholic
 Matter-of-fact consistency  No demand attitude
 Don’t argue  Discussion, non-compulsive
 Set limits responses
Disorders
 Redirection of energies 3. Passive-Aggressive – procrastination,
3. Histrionic – creative and artistic, seductive forgetting, subtle aggression, doesn’t know
 Verbalization of feelings how to be assertive
 Matter of fact  Discuss consciousness of choices
 Limit setting  Teach assertiveness strategies
4. Narcissistic – self-centered, self-righteous  Teach coping skills
 Self-realization 4. Dependent – lack of assertiveness,
indecision, anxious when person is not
around
 Identify capabilities
 Discuss personal difficulties