Description
Overview of Personality Disorders
Definition:
Key Features:
Inflexible and Pervasive Behavior: Present across various contexts.
Early Onset: Behavior is stable and typically begins in adolescence or early adulthood.
Exclusion Criteria: Must rule out other mental disorders, medical conditions, or substance use as primary causes.
Common Diagnostic Challenges
Overlap with Other Disorders:
Trauma Considerations: .
Specific Personality Disorders and Trauma-Informed Perspectives
Paranoid Personality Disorder:
Mnemonic: "SUSPECT" - Suspiciousness, unforgiving, perceives attacks, etc.
Trauma Link: May develop from environments with distrust or betrayal.
Schizoid Personality Disorder:
Mnemonic: "DISTANT" - Detached, indifferent to praise/criticism, tasks done solitarily, etc.
Trauma Link: Chronic exposure to trauma may lead to emotional numbing and detachment.
Schizotypal Personality Disorder:
Mnemonic: "ME PECULIAR" - Magical thinking, eccentric behavior, anxiety in social situations, etc.
Trauma Link: Development of odd beliefs or behaviors may stem from a need to cope with a traumatic environment.
Avoidant Personality Disorder:
Mnemonic: "CRINGES" - Certainty of being liked, rejection preoccupies thoughts, intimacy restrained, etc.
Trauma Link: Likely related to experiences of rejection or abandonment, leading to extreme caution in relationships.
Dependent Personality Disorder:
Mnemonic: "RELIANCE" - Reassurance required, expressing disagreement difficult, life responsibilities assumed by others, etc.
Trauma Link: Often linked to enmeshed or controlling family environments, where independence was discouraged.
Antisocial Personality Disorder:
Mnemonic: "CORRUPT" - Conformity to law lacking, obligations ignored, reckless, etc.
Trauma Link: May develop from a criminogenic environment or chronic trauma leading to a disregard for societal norms.
Borderline Personality Disorder:
Mnemonic: "AM SUICIDE" - Abandonment fears, mood instability, suicidal behaviors, etc.
Trauma Link: Strongly associated with early abandonment or chaotic environments.
Histrionic Personality Disorder:
Mnemonic: "PRAISE ME" - Provocative behavior, relationships considered more intimate than they are, uncomfortable not being center of attention, etc.
Trauma Link: May develop as a way to gain attention in emotionally neglectful environments.
Narcissistic Personality Disorder:
Mnemonic: "SPECIAL" - Believes they are special, preoccupied with fantasies of success, lacks empathy, etc.
Trauma Link: Possible development as a defense mechanism in response to trauma or low self-esteem.
Obsessive-Compulsive Personality Disorder:
Mnemonic: "LAW FIRMS" - Loses point of activity due to detail, friendships excluded due to work, inflexible, etc.
Trauma Link: Rigidity and control may arise from environments where safety and predictability were lacking.
Differential Diagnosis and Considerations
Rule Out Other Disorders:
Mood disorders with psychotic features.
Autism spectrum disorders.
Substance use disorders.
Importance of Context:
Acculturation and Intergenerational Trauma:
Treatment and Systemic Considerations
Personality Disorder Stigma:
Trauma-Informed Care:
Treatment Barriers:
Chapters:
00:00:00 - Differential Diagnosis of Personality Disorders from a Trauma-Informed Perspective
00:06:56 - Characteristics of Paranoid Personality Disorder
00:13:38 - Trauma's effect on mood and libido
00:20:22 - Unusual Perceptions and Magical Thinking
00:27:13 - Characteristics of Dependent Personality Disorder
00:33:59 - Borderline Personality Characteristics
00:40:54 - Differential Diagnosis and Co-occurring Disorders
00:47:27 - Differential Diagnosis of Personality Disorders
00:54:12 - Differentiating Personality Disorders from Other Conditions
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