Personality Disorders - Differential Diagnosis Algorithm
• Enduring pattern of experience and behaviour that deviates from cultural expectations, manifest in two or more of the following areas: cognition, affectivity, interpersonal functioning, and impulse control
• The pattern is inflexible and pervasive across many social and personal situations
• The pattern leads to distress or impairment in important areas of functioning
• The pattern is stable and of long duration, with an onset that can be traced back to childhood or adolescence
• The pattern is not due to another mental illness, a general medical condition, or substance use
Cluster A: Odd or Eccentric
• Paranoid - irrational suspicion or mistrust
• Schizoid - emotional detachment, lack of interest in social relationships
• Schizotypal - Odd beliefs
Cluster B: Dramatic, Emotional, or Social
• Antisocial - disregard for social norms, the law, and rights of others
• Borderline - instability of identity, relationships, and behaviour
• Histrionic - attention-seeking, exaggerated emotional expression
• Narcissistic - grandiosity, need for admiration, lack of empathy
Cluster C: Anxious or Fearful
• Avoidant - social inhibition, inadequacy, hypersensitivity
• Dependent - psychological dependence on others)
• Obsessive-Compulsive - rigid, inflexible conformity to rules, order, and codes)
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