Mental Health Session 11: Personality Disorders

Session: 11 Personality Disorders


Pervasive behavior


Cluster A: Odd or eccentric – Paranoid, Schizoid, Schizotypal

  • Paranoid – distrusting to the people around them
  • Schizoid – detachment from relationships
  • Schizotypal – Deficits in social and personal skills as well cognitive distortions and eccentricities.  

Cluster B: Dramatic or erratic – Antisocial, borderline, Histrionic,

  • Borderline personality disorder – can have self injurious behaviors, lack of sense of self, emotionally unstable.
  • Narcissistic personality disorder: (Bernie Madoff) wants to be seen as a hero for people.
  • Histrionic personality disorder: needs to be in the center of attention, (housewives series on bravo)
  • Antisocial – Ted Bundy, criminal lack of remorse or regard, and can be charming.

Cluster C: Anxious or fearful – Avoidant, Dependent, Obsessive compulsive

  • Avoidant personality disorder
  • Dependent personality disorder
  • Obsessive-compulsive personality disorder – different than OCD, rigidity to routine to the extreme.


Somatic and fictitious symptom disorder


Disorders with a base in anxiety that present as real disease processes.


Illness anxiety disorder – always think there is some thing else. Have a lot of tests do to rule out causes but they always think there is something else


Conversion disorder – neurological disorders that results in a deficit of motor or sensory function.

  • pseudo seizures , paralysis, blindness, paresthesias, loss of sensation.


Factitious Disorders (formerly munchausen’s disorder)

  • Faking symptoms or inflict injury to self for secondary gain.
  • They want to be in the role of a sick person
  • About 1% of the population
  • This disorder “imposed on another” – giving their child a disease to have the child in the role of the sick person.
  • Malingering – is to fake an illness for a gain of some sort, personal or otherwise 



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