What types of personality disorder are there?

Currently psychiatrists tend to use a system of diagnosis which identifies ten types of personality disorder. These are grouped into three categories.

Suspicious:

  • Paranoid personality disorder

  • Schizoid personality disorder

  • Schizotypal personality disorder


Emotional and impulsive:

  • Antisocial personality disorder (ASPD)

  • Borderline personality disorder (BPD)

  • Histrionic personality disorder

  • Narcissistic personality disorder

Anxious:

  • Avoidant personality disorder

  • Dependent personality disorder

  • Obsessive compulsive personality disorder (OCPD)

Paranoid personality disorder

The thoughts, feelings and experiences associated with paranoia may cause you to:

  • find it hard to confide in people, even your friends and family

  • find it very difficult to trust other people, believing they will use you or take advantage of you

  • have difficulty relaxing

  • read threats and danger (which others don’t see) into everyday situations, innocent remarks or casual looks from others.

Many people with schizoid personality disorder are able to function fairly well. Unlike in schizophrenia or schizoaffective disorder, you would not usually have psychotic symptoms. However, as a result of the thoughts and feelings associated with this diagnosis you may:

  • find difficulty forming close relationships with other people

  • choose to live your life without interference from others

  • not experience pleasure from many activities

  • prefer to be alone with your own thoughts

  • have little interest in sex or intimacy

Schizotypal personality disorder

Everyone has their own eccentricities or awkward behaviours. But if your patterns of thinking and behaving make relating to others very difficult, you may receive a diagnosis of schizotypal personality disorder.

  • experience distorted thoughts or perceptions 

  • find making close relationships extremely difficult

  • think and express yourself in ways that others find ‘odd’, using unusual words or phrases, making relating to others difficult

  • believe that you can read minds or that you have special powers such as a ‘sixth sense’

  • feel anxious and tense with others who do not share these beliefs

  • feel very anxious and paranoid in social situations, finding it hard to relate to others.

Antisocial personality disorder

  • put yourself in dangerous or risky situations, often without thinking about the consequences for yourself or other people

  • behave dangerously and sometimes illegally (you may have a criminal record)

  • behave in ways that are unpleasant for others

  • feel very easily bored and act on impulse – for example, you may find it difficult to hold down a job for long

  • behave aggressively and get into fights easily

  • do things even though they may hurt people – to get what you want, putting your needs and desires above other people’s. have had a diagnosis of conduct disorder before the age of 15.

Borderline personality disorder (BPD)

  • feel very worried about people abandoning you, and either do anything to stop that happening or push them away

  • have very intense emotions that can change quickly (for example, from feeling very happy and confident in the morning to feeling low and sad in the afternoon)

  • not have a strong sense of who you are or what you want from life, with your ideas about this changing significantly depending on who you’re with

  • find it very hard to make and keep stable relationships or friendships

  • act impulsively and do things that could harm you (such as binge eating, using drugs or driving dangerously)

  • feel empty and lonely a lot of the time

  • have suicidal thoughts

  • get very angry, and struggle to control your anger

  • struggle to trust other people

  • experience other mental health problems alongside BPD, including anxiety, depression, eating problems and post-traumatic stress disorder.

Histrionic personality disorder

  • feel very uncomfortable if you are not the centre of attention

  • feel that you have to entertain people

  • constantly seek, or feel dependent on, the approval of others

  • make rash decisions

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