Author declares no conflict of interest.

In addition to the presenter, following authors who may have helped with the content writing, review, or approval declare no conflict of interest.

  • Dr. Mobeen Syed
  • Dr. Pei Purdom (DNP)
  • Dr. Benish Zahra
  • Dr. Iqra Batool
  • Dr. Heba Alzawahri

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Personality Disorders

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Dr. Jones, you are so clear and objective on your lectures! This is so helpful! Thank you!

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Love your lecture series Dr. Jones! Could we possibly have more topics? Perhaps lectures on modes/types of psychotherapy and their disorder/disease-specific applications? Thanks again!

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In this lecture, we will talk about the presentation to a range of personality disorders. 

A person with a personality disorder will
think differently, 
Feel differently
behave differently 
or relates to others very differently from the average person.

The DSM-V states there are several different types of personality disorder, split into 3 clusters: 
Cluster A: Peculiar thought processes, inappropriate affect – remember them as WEIRD
Cluster B: Mood lability, dissociative symptoms, preoccupation with rejection remember them as WILD
Cluster C: Anxiety, preoccupation with criticism or rigidity remember them as WORRIED

Causes
It's not clear exactly what causes personality disorders, but they're thought to result from a combination of the genes a person inherits and early environmental influences – for example, a distressing childhood experience (such as abuse or neglect).

Prevalence:
All are relatively common.
More males have antisocial and narcissistic PDs
More females have borderline and histrionic PDs. 

Onset:
Usually not diagnosed until late adolescence or early adulthood 

Course. 
Usually very chronic over decades without treatment. 
Symptoms of paranoid, schizoid, and narcissistic PD often worsen with age; 
symptoms of antisocial and borderline PD often ameliorate. 

Key Symptoms. 
A long pattern of difficult interpersonal relationships, problems adapting to stress, failure to achieve goals, chronic unhappiness, low self-esteem 

Personality disorders are usually associated with mood disorders.

Treatment: 
Psychotherapy is the mainstay of treatment. Intensive and long-term psychodynamic and cognitive therapy are treatments of choice for most PDs. 
Use of mood stabilizers and antidepressants is sometimes useful for Cluster B PDs. 

Differential Diagnosis: 
Major rule-outs are mood disorders, personality change due to a general medical condition, and adjustment disorders. 

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Instructor

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Adam Jones MD

Dr. Adam Lee Jones M.D., MSc, BSc (Hons), PgCert, FHEA is a doctor from the United Kingdom. In addition to his clinical practice, he is a medical lecturer at Cardiff University and an anatomy demonstrator at Birmingham University. Dr. Jones is an aspiring otolaryngologist with a strong interest in anatomy, medical sciences, and public health. He enjoys teaching and utilizing animated medical illustrations to teach.


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