Mental Health Insights

Learning About Personality Disorders: The Basics

Oct 16, 2023 | Coping Skills, General, Personality Disorder

Disclaimer: The information provided in this blog is intended for support and informational purposes only. It is not meant to serve as a substitute for professional mental health treatment or advice. While we strive to offer insight and guidance on mental health topics, please understand that our content cannot replace the specialized expertise and personalized care of a professional mental health provider. If you or someone you know are experiencing mental health challenges, we strongly encourage reaching out to a licensed mental health professional for tailored support and advice. Remember, seeking help is a sign of strength and an important step towards well-being.

Get Help Now

If you or someone you know are struggling with self-harm or suicidal thoughts, help is immediately available. 

It’s a fact that personality disorders can significantly impact your life and relationships. But there’s no need to despair! Treatment options, including psychotherapy and medication, are available, and seeking professional help is crucial. Always remember that your mental health is as vital as your physical well-being.

If you or someone you care about is struggling with a personality disorder, it’s important to be aware of its impact on behavior, thoughts, and emotions. A thorough evaluation of symptoms and history is necessary to receive an accurate diagnosis. Fortunately, there are treatment options available, such as therapy and medication.

Personality disorders can have a big impact on people’s lives. These disorders involve behavior, thoughts, and experiences that may be difficult to understand. This can cause a lot of distress and make it hard to function daily. Some of the most common personality disorders include borderline and narcissistic personality disorders. Others, like schizotypal and histrionic personality disorders, are less well-known. It’s important to understand the challenges that people with these disorders face so we can offer them the support they need.

Diagnosing personality disorders requires a comprehensive evaluation of an individual’s symptoms and history. Treatment options may sometimes involve cognitive-behavioral therapy, dialectical behavior therapy, and medication.

Maintaining healthy relationships and managing daily activities can be a real challenge for some individuals. This may be due to symptoms related to personality disorders, such as difficulties in managing emotions, chronic feelings of emptiness or instability, and struggles with interpersonal interactions. A mental health professional can provide valuable tools and strategies to help manage symptoms and improve overall quality of life.

If you suspect that you or someone you know has a personality disorder, seeking professional help is crucial. A mental health professional can conduct a comprehensive evaluation and develop an appropriate treatment plan to address symptoms and improve overall functioning.

Common Personality Disorders

Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition that can cause many distressing symptoms. People with BPD may struggle with unstable relationships, self-image, and emotions and may engage in impulsive behaviors like substance use or self-harm. Symptoms of BPD include being very afraid of being left alone, a sense of confusion about who you are, feeling empty or bored, being anxious or irritable, having trouble managing emotions, and being more likely to take risks.

Patterns of Behavior

People with Borderline Personality Disorder (BPD) often face difficulty maintaining relationships. They experience intense and unstable emotions that characterize their relationships. Additionally, they may struggle with inner turmoil concerning their self-image and feelings. This can lead to impulsive behaviors such as self-harm or substance abuse, worsening their condition. For example, a person with BPD may feel very close and attached to a friend or partner one day but suddenly feel extreme anger or rejection towards them the next day. This can significantly strain the relationship and be distressing for both parties involved, making it challenging to maintain a healthy and stable connection.

Cognitive Processes

People with Borderline Personality Disorder (BPD) struggle with strong and quickly changing emotions, making it difficult to manage their feelings. They may see things in a black-and-white way, causing intense and unpredictable moods. These emotions can impact their relationships, employment, and day-to-day life.

When someone has BPD, it can affect their daily life in various ways. For instance, if they receive constructive criticism at work, they might perceive it as a personal attack, causing them to feel ashamed, angry, and worthless. These emotions can trigger impulsive actions such as quitting their job without securing a new one or turning to substance abuse as a coping mechanism.

Inner Experiences

People who feel empty, have trouble with their identity, and fear abandonment may find it hard to figure out who they are. They may always feel like they are searching for something or someone to fill a void inside of them. This can make it tough to create and keep stable relationships because they may worry about being left behind. These emotions can be very intense and may impact many parts of their life, like their job, social life, and overall health.

For example, someone who experiences these feelings may constantly change their appearance, hobbies, or interests to find a sense of self. They may also struggle to make close friends or romantic partners, fearing these relationships will ultimately end in abandonment. These behavior patterns can be exhausting and may lead to a cycle of disappointment and self-doubt.

Narcissistic Personality Disorder (NPD)

Patterns of Behavior

Narcissistic Personality Disorder (NPD) is a mental health condition identified by a consistent behavior of self-importance, an overwhelming desire for admiration, an inability to empathize, and an unwarranted sense of entitlement. Those with NPD may seem arrogant or self-centered and have difficulty creating significant connections with others. This condition can considerably influence a person’s life, leading to issues with work, social relationships, and overall health. If you believe that you or someone you know may be facing NPD, it is crucial to seek professional assistance.

A person with NPD tends to boast about their achievements and expects others to praise them constantly, even if they are not significant. They may also put down or ignore the achievements of others. For instance, an individual with NPD might interrupt someone else’s account of their promotion to talk about their own promotion and how much better it was.

Cognitive Processes

People with narcissistic traits often have an exaggerated sense of their own importance and a strong desire for success, control, or physical attractiveness. They often crave attention and admiration from others while ignoring or dismissing the feelings and needs of those around them. This behavior can lead to difficulties in personal relationships and work environments.

A person exhibiting narcissistic tendencies could be a colleague who habitually appropriates credit for the team’s successes and diminishes the contributions of others to enhance their own image. They may also perpetually seek acknowledgment and admiration from their supervisor and coworkers while dismissing the requirements and viewpoints of their teammates.

Inner Experiences

Individuals with Narcissistic Personality Disorder (NPD) often give off an impression of being confident and self-assured, but in reality, they may have a fragile sense of self-esteem. This causes them to be highly sensitive to criticism, which may feel like a direct assault on their self-worth. As a result, people with NPD may take extreme measures to avoid criticism or rejection and may even react aggressively toward those whom they perceive as a threat to their self-image. Understanding the underlying insecurities and vulnerabilities of individuals with NPD is essential to develop effective strategies for managing relationships with them.

Sometimes, people may show low self-esteem when feeling inadequate and craving recognition. They may try to regain their confidence by talking about their achievements and pretending to be the most accomplished person in the room.

Less Common Personality Disorders

Schizotypal Personality Disorder

Patterns of Behavior

Schizotypal personality disorder can make it challenging to form close relationships and interact with others. Those with this condition may have unusual thoughts, speech patterns, and beliefs that don’t align with social norms. They may also struggle with social cues and find engaging in casual conversations or social events hard. People with schizotypal personality disorder may display eccentric behaviors such as peculiar dress and grooming habits. They may also experience anxiety and paranoia, worsening their social difficulties. Schizotypal personality disorder can affect how someone interacts with others and lead to unusual behaviors.

Individuals with schizotypal personality disorder may exhibit odd behaviors such as talking to themselves, wearing unusual clothing combinations, having superstitious beliefs, and displaying paranoid behavior such as constantly checking locks and windows.

Cognitive Processes

Some individuals may believe in magical thinking, which involves attributing mystical or supernatural abilities to certain things or events. They may also interpret occurrences in a way that gives them a special meaning, even if others might not see it that way. It’s important to approach these people with empathy and an open mind, as they offer unique perspectives on the world. By listening to their stories and beliefs, we can better understand the diversity of human thought and gain insight into the complexities of the human mind.

Some people with a strong belief in magic may think they can manipulate the weather or communicate with animals using telepathy. They may also subscribe to conspiracy theories or have grandiose delusions. It’s crucial to approach these individuals with kindness and encourage them to seek professional assistance.

Inner Experiences

People with this condition often experience emotional and psychological difficulties that can have a big impact on their daily lives. They may struggle with anxiety, paranoia, depression, and feelings of inferiority, making it hard for them to connect with others and feel deserving of love and attention. They may also struggle to read social cues, making it harder to form close relationships. These challenges can lead to feelings of isolation and loneliness, making it tough for them to engage in everyday activities.

Histrionic Personality Disorder

Patterns of Behavior

Individuals with histrionic personality disorder have a strong urge to always be the center of attention and receive admiration from others. They may use dramatic or attention-grabbing actions like exaggerated facial expressions, theatrical gestures, and flamboyant clothing choices. Their emotions can be very intense and change quickly, and they often seek approval and validation from others. This can make it challenging to maintain close relationships, as they prioritize attention-seeking behaviors over genuine emotional connection.

An instance of histrionic behavior is when someone frequently interrupts conversations to share their own stories or experiences, even if they are unrelated to the current topic. They may use exaggerated body language, such as flailing their arms or dramatic facial expressions, to grab attention. This can be disruptive and hinder others from having a meaningful conversation.

Cognitive Processes

People who possess these traits tend to view their relationships with others as more intimate than they actually are. As a result, they may devote more time and effort to these relationships, which can leave them feeling disappointed or hurt when they discover that the other person does not share the same level of intimacy. Furthermore, individuals with these traits may be susceptible to the influence of others, which emphasizes the importance of being mindful of their values and boundaries to maintain a healthy relationship.

A person with this characteristic might feel a strong bond with a colleague and confide personal information to them. However, they may discover later that the colleague did not share the same level of closeness and may have disclosed the information to others. This could result in feelings of disappointment and pain.

Inner Experiences

Some people who seek attention may be afraid of being ignored or feeling insignificant. This emotional insecurity can lead to different behaviors like constantly seeking validation, acting out to get attention, or talking about themselves all the time. These individuals may feel a strong desire to be acknowledged and may become anxious or upset when they think they are being ignored. Dealing with this behavior can be difficult because it stems from emotional issues that need patience, understanding, and empathy to handle effectively.

When using social media, some individuals may display attention-seeking behavior by frequently sharing selfies or updates about their lives to receive likes and comments from others. They may also involve themselves in online conflicts or controversies to gain attention. Although this behavior can be tiring for their friends and followers, it’s crucial to acknowledge that it could result from underlying emotional problems that need empathy and assistance.

Diagnosis and Assessment

Identifying personality disorders is a complicated procedure requiring a thorough and cautious assessment by a qualified mental health expert. The evaluation generally entails collecting data on the individual’s personal history, present and past actions, and self-reported experiences and observing their interactions with others. The mental health expert may employ standard diagnostic instruments and manuals like the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to assist in the diagnostic process. They may also conduct psychological and personality assessments to gather more information.

Furthermore, the mental health specialist may acquire information from close family members, friends, or other associates of the individual. This can offer helpful perspectives into the individual’s conduct and personality traits. The specialist may also examine medical records and other relevant documents to better understand the individual’s health and overall condition.

It is crucial to understand that self-diagnosis is not recommended as it can lead to inaccurate assessments that may have potentially harmful consequences. Seeking advice and expertise from a qualified mental health professional is essential for an accurate and thorough evaluation. A qualified mental health professional can help individuals understand the nature of their personality disorder, develop effective coping strategies, and access appropriate treatment options.

Treatment Modalities

Treatment options for personality disorders include several therapeutic approaches tailored to the specific condition:

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a type of therapy that helps people change negative thought patterns and behaviors. It is a proven treatment that works well for those with Borderline Personality Disorder (BPD) and Narcissistic Personality Disorder (NPD). In CBT, people learn to recognize and challenge distorted thinking patterns like black-and-white thinking, catastrophizing, and personalization. These distortions can cause negative feelings and behaviors. People can learn better ways to cope and improve their mood and overall well-being by replacing negative thoughts with more positive and realistic ones.

Sometimes, people have a cognitive distortion called all-or-nothing thinking, which means they see things as either completely good or completely bad, with no in-between. For example, if someone with this way of thinking got a B on a test, they might consider it a complete failure instead of acknowledging that it’s still a good grade. To improve their mental and emotional health, individuals can work on challenging this thought pattern and recognizing that there are often gray areas in life.

CBT (cognitive behavioral therapy) combines cognitive restructuring and behavioral interventions to address anxiety and phobias. Exposure therapy gradually exposes individuals to feared situations to help them overcome their fears, while assertiveness training and problem-solving teach individuals effective coping strategies. CBT is a goal-oriented and structured therapy that encourages individuals to actively participate in their treatment and achieve long-lasting positive change.

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is a form of psychotherapy that was created to aid individuals who have Borderline Personality Disorder (BPD), but it has also been successful in the treatment of other mental health issues. DBT is an established treatment strategy that teaches individuals how to manage intense emotions, enhance their distress tolerance, and improve their interpersonal relationships. DBT is a thorough and organized method that comprises individual therapy, group skills training, and phone coaching to enable individuals to learn and practice new skills in a supportive and structured atmosphere.

DBT, developed by Dr. Marsha Linehan in the late 1980s, is a therapy designed to address the specific challenges individuals face with BPD. It is founded on the principles of dialectics, acknowledging that opposing viewpoints can coexist. Through DBT, individuals learn skills to balance conflicting views and find a middle ground.

DBT (Dialectical Behavior Therapy) teaches various skills such as mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Mindfulness skills help individuals learn how to stay in the present moment and observe their thoughts and feelings without being judgmental. Emotion regulation skills help individuals identify and manage their emotions in a healthy way. Distress tolerance skills help individuals cope with difficult emotions without turning to harmful behaviors. Interpersonal effectiveness skills help individuals communicate effectively and maintain healthy relationships with others.

Working with a skilled therapist, people can master techniques for better emotional regulation, reduce harmful actions, and enhance their overall well-being. Dialectical behavior therapy (DBT) is a treatment that addresses multiple mental health issues, such as borderline personality disorder (BPD), depression, anxiety, and substance abuse disorders.

Medication

Experiencing symptoms like mood swings or depression can greatly affect a person’s daily routine. Healthcare providers may recommend medication, such as mood stabilizers or antidepressants, to manage these symptoms. These medications can effectively alleviate symptoms and enhance the overall quality of life.

It is crucial to adhere to the recommended dosage and inform your healthcare provider of any side effects or concerns. Your healthcare provider may need to adjust the dosage or switch to an alternative medication if you experience any adverse effects. It is also important to combine medicine with other treatments, such as therapy or lifestyle changes for optimal results.

Please remember that taking medication alone is not a complete solution for treating a condition and should be combined with other treatments, such as therapy, regular exercise, healthy eating habits, and lifestyle changes. Your healthcare provider can collaborate with you to develop a personalized treatment plan that caters to your unique needs and objectives.

Medication can be useful in managing mood disorders and other mental health conditions. However, it’s crucial to view it as just one part of a comprehensive treatment plan. Collaborating with your healthcare provider and adopting a holistic approach to your mental health can enhance your overall well-being and quality of life.

Group Therapy

Participating in group therapy can be a highly beneficial form of treatment for those with personality disorders. This therapy offers a secure and encouraging space where individuals can gain valuable interpersonal skills to help them deal with their relationships. In group therapy sessions, those with personality disorders can connect with peers going through similar experiences, reducing feelings of isolation and loneliness. Through a combination of exercises and discussions, group therapy can assist individuals in recognizing negative thought patterns and behaviors while learning healthy coping mechanisms to manage their symptoms.

Group therapy can be highly beneficial for individuals struggling with personality disorders. It fosters a sense of community and belonging, which can help alleviate feelings of isolation and loneliness that often exacerbate their symptoms. Through group therapy, they can connect with others who can empathize with their experiences and provide validation and support. This sense of community can be incredibly empowering, allowing individuals to build the confidence and self-esteem needed to manage their symptoms and improve their quality of life.

In group therapy, it is crucial to create a secure environment where individuals can enhance their interpersonal abilities. Individuals with personality disorders often face challenges in communicating and socializing, which can hinder their ability to form healthy relationships. To overcome these obstacles, group therapy employs diverse role-playing exercises and activities to teach effective self-expression, boundary setting, and conflict resolution. These skills are applicable within the group and outside of therapy, helping individuals improve their relationships in all areas of life.

In general, group therapy is a highly effective approach for individuals with personality disorders who seek to enhance their quality of life and emotional well-being. By offering a secure and supportive environment, group therapy can aid individuals in acquiring the necessary skills to cope with their symptoms, develop healthy relationships, and foster a sense of community. In addition, group therapy promotes the development of interpersonal skills, which can benefit many aspects of one’s life.

Holistic Approaches

In addition to traditional medical treatments, complementary therapies like mindfulness, yoga, and art therapy have been shown to positively affect the management of symptoms for various health conditions.

Practicing mindfulness, like meditation, can aid in increasing one’s self-awareness of one’s thoughts and emotions while promoting a sense of tranquility and ease. This approach to therapy emphasizes paying attention to one’s breath, being present in the current moment, and releasing intrusive thoughts.

Yoga has been known to enhance physical and mental health. It can increase flexibility and strength through various postures and controlled breathing exercises. Practicing yoga can help people manage stress and anxiety, leading to an overall improved sense of well-being.

Engaging in art therapy, where one uses art as a medium for self-expression, has been proven to alleviate stress and anxiety and foster a sense of control and empowerment. This therapy encourages individuals to utilize their creativity to convey their emotions and can aid them in managing challenging life situations.

Individuals can improve their overall quality of life by incorporating complementary therapies into their treatment plan, which helps manage their symptoms.

What to Do if You Think You or a Loved One Has a Personality Disorder

If you suspect that you or a loved one may have a personality disorder, take these steps:

Seek Professional Help

It is advisable to consult a licensed mental health professional to address any mental health concerns. This will guarantee that you receive the appropriate diagnosis and treatment. A mental health professional will collaborate with you to create a tailored treatment plan that considers your individual needs and circumstances. Additionally, they can offer continuous support and advice as you navigate your mental health journey. It is important to remember that seeking assistance shows strength and bravery. Don’t hesitate to ask for the support and treatment you require and merit.

Educate Yourself

It is crucial to comprehend a disorder to determine the most effective treatment. This involves gaining knowledge about the symptoms, causes, and contributing factors. You can achieve this by consulting medical professionals, conducting online research, or seeking support groups. The objective is to enhance your understanding of the disorder and discover methods to alleviate its symptoms, enhancing your overall quality of life.

Build a Support System

During tough times, it’s crucial to seek support from trusted individuals. Don’t hesitate to confide in them and express your emotions. If you require additional assistance, consider participating in a support group for individuals experiencing similar circumstances. This is an excellent opportunity to connect with like-minded individuals who can empathize and offer a secure environment to express yourself. Remember, you don’t have to endure challenging periods alone; seeking help is courageous.

Participate in Treatment

If you have received a diagnosis for a mental health condition, it’s essential to take an active role in your treatment and therapy as recommended by a mental health professional. This may involve attending therapy sessions regularly, following medication instructions, and making lifestyle changes that promote good mental health. It’s important to communicate openly with your healthcare team and address any concerns you have regarding your treatment plan. Remember, actively participating in your mental health treatment can greatly enhance your chances of recovery and overall well-being.

Practice Self-Care

It’s crucial to prioritize self-care for your overall well-being. There are various ways to achieve this, such as practicing mindfulness and meditation to cope with stress. These techniques can help you become more self-aware of your thoughts and emotions, leading to better stress management. Taking care of your physical health by exercising regularly and getting enough sleep is equally important. Ensuring a well-balanced diet and staying hydrated are crucial as well. To enhance your emotional well-being, try deep breathing and journaling to cope with difficult emotions and boost your mood. Making daily small changes can lead to a more balanced and fulfilling life.

Be Patient

When striving to make positive changes in your life, it’s essential to remember that it requires both time and effort. Patience and understanding are key whether you’re doing it for yourself or helping someone else. It’s typical to face setbacks and slow progress, but with persistence and dedication, you can reach your goals. Even the most minor victories should be celebrated along the way, and it’s crucial to remember that the path to improvement is not always straightforward. Have faith in yourself and the process; don’t allow obstacles to deter you. You can make significant strides and attain your desired outcomes with determination and perseverance.

Conclusion

Dealing with personality disorders can be pretty tricky since they affect people differently. There are various types of personality disorders, each having its own distinct symptoms and traits. Examples of common personality disorders include borderline personality disorder, narcissistic personality disorder, and antisocial personality disorder.

Accurately diagnosing and understanding these disorders is crucial for effective treatment. A proper diagnosis can help individuals understand their condition and seek the right help and support, including therapy, medication, or a combination.

Dealing with a personality disorder can pose challenges and affect a person’s personal and professional relationships and general well-being. Nevertheless, with the proper assistance and therapy, those with personality disorders can learn to handle their symptoms, improve their relationships, and enjoy a happier and healthier life. Reaching out for help and support from qualified mental health experts, loved ones, and friends can be crucial to recovery.

Take a free assessment.

Find out what mental health symptoms you’re experiencing to get started.

Mental health is important.  You don’t have to keep doing it alone.  Whether you’re going through a difficult time or your past continues to be a part of your present, there are ways to help.

Getting started is easy.

Is Therapy Right for Me?

Our approach is focused on finding solutions to your experiences.

We use an integrated approach that is tailored to your needs, including maximizing any resources that you may already have.  Using an integrated approach of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Acceptance and Commitment Therapy (ACT), we can begin to explore how your thoughts, behaviors, and emotions are connected and influence each other while breaking any cycles that aren’t working for you anymore.

Through our work together, we can isolate triggers and begin to reconstruct their influence on your life, build better habits and communication skills, and learn new and more helpful ways of managing symptoms while reducing their impact on your life.

Ready to find out more and begin your journey of healing?