Major Personality Disorders & Diagnostic Criteria

What are the core features of Borderline Personality Disorder (BPD) according to DSM-5?

BPD is characterized by unstable interpersonal relationships, intense fear of abandonment, identity disturbance, impulsivity, recurrent suicidal behavior, affective instability, and chronic feelings of emptiness.

Which personality disorder is primarily characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy?

Narcissistic Personality Disorder (NPD).

True or False: Paranoid Personality Disorder involves pervasive distrust and suspiciousness of others, lasting over six months.

True.

Identify the main diagnostic criterion for Avoidant Personality Disorder.

Avoidant Personality Disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, leading to avoidance of social interactions despite a desire for closeness.

Which personality disorder involves a pattern of grandiosity, need for admiration, and lack of empathy, but differs from Narcissistic PD in that it is more pervasive and inflexible?

The diagnosis is Narcissistic Personality Disorder (NPD). Note: NPD involves pervasive grandiosity and entitlement.

Describe the DSM-5 criteria for Avoidant Personality Disorder.

According to DSM-5, Avoidant Personality Disorder involves a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, beginning in early adulthood and present in various contexts, as evidenced by at least four of the following: avoiding occupational activities involving significant interpersonal contact, unwilling to get involved with people unless certain of being liked, restraint within intimate relationships, preoccupation with being criticized or rejected, feelings of inadequacy, and reluctance to take personal risks.

What is the key differentiating feature of Obsessive-Compulsive Personality Disorder (OCPD) compared to Obsessive-Compulsive Disorder (OCD)?

OCPD is characterized by a pervasive preoccupation with orderliness, perfectionism, and control, which is chronic and inflexible, whereas OCD involves recurrent obsessions and compulsions that are ego-dystonic.

Which personality disorder is characterized by a pattern of eccentric behavior, odd beliefs, and social detachment?

Schizotypal Personality Disorder.

Name two criteria that are common to both Narcissistic and Histrionic Personality Disorders.

Both involve a need for attention and admiration; however, NPD centers on grandiosity, while Histrionic involves excessive emotionality and suggestibility.

A patient displays a pattern of emotional instability, impulsivity, intense fear of abandonment, and recurrent suicidal gestures. Which personality disorder is most likely?

Borderline Personality Disorder.

What distinguishes Antisocial Personality Disorder from other personality disorders?

A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15, with traits like deceitfulness, impulsivity, irritability, lack of remorse, and criminal behavior.

True or False: Avoidant Personality Disorder is often comorbid with Social Anxiety Disorder, but they are distinct diagnoses.

True.

Identify the key features of Dependent Personality Disorder.

Dependent Personality Disorder involves an excessive need to be taken care of, leading to submissive and clinging behavior, fear of separation, and difficulty making decisions without reassurance.

Which personality disorder is characterized by a pattern of detachment from social relationships and a limited range of emotional expression?

Schizoid Personality Disorder.

What is a common feature between Borderline and Histrionic Personality Disorders?

Both can involve emotional dysregulation and a desire for attention, but BPD is marked by instability and fear of abandonment, while Histrionic focuses on excessive emotionality and superficial charm.

Describe the pattern of behavior in Narcissistic Personality Disorder.

A pervasive pattern of grandiosity, need for admiration, and lack of empathy, beginning in early adulthood and present in various contexts.

Which personality disorder involves pervasive distrust and suspiciousness of others, without delusions or hallucinations?

Paranoid Personality Disorder.

Name the personality disorder characterized by a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

Avoidant Personality Disorder.

What are typical features of Obsessive-Compulsive Personality Disorder (OCPD)?

Preoccupation with orderliness, perfectionism, and control, at the expense of flexibility, openness, and efficiency.

A patient exhibits eccentric mannerisms, odd beliefs, and social anxiety. Which personality disorder fits this description?

Schizotypal Personality Disorder.