Diagnosis of Personality Disorders A Trauma Informed Approach

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Overview of Personality Disorders Definition: Key Features: Inflexible and Pervasive Behavior: Present across various contexts. Early Onset: Behavior is stable and typically begins in adolescence or early adulthood. Exclusion Criteria: Must rule out other mental disorders, medical conditions, or substance use as primary causes. Common Diagnostic Challenges Overlap with Other Disorders: Trauma Considerations: . Specific Personality Disorders and Trauma-Informed Perspectives Paranoid Personality Disorder: Mnemonic: "SUSPECT" - Suspiciousness, unforgiving, perceives attacks, etc. Trauma Link: May develop from environments with distrust or betrayal. Schizoid Personality Disorder: Mnemonic: "DISTANT" - Detached, indifferent to praise/criticism, tasks done solitarily, etc. Trauma Link: Chronic exposure to trauma may lead to emotional numbing and detachment. Schizotypal Personality Disorder: Mnemonic: "ME PECULIAR" - Magical thinking, eccentric behavior, anxiety in social situations, etc. Trauma Link: Development of odd beliefs or behaviors may stem from a need to cope with a traumatic environment. Avoidant Personality Disorder: Mnemonic: "CRINGES" - Certainty of being liked, rejection preoccupies thoughts, intimacy restrained, etc. Trauma Link: Likely related to experiences of rejection or abandonment, leading to extreme caution in relationships. Dependent Personality Disorder: Mnemonic: "RELIANCE" - Reassurance required, expressing disagreement difficult, life responsibilities assumed by others, etc. Trauma Link: Often linked to enmeshed or controlling family environments, where independence was discouraged. Antisocial Personality Disorder: Mnemonic: "CORRUPT" - Conformity to law lacking, obligations ignored, reckless, etc. Trauma Link: May develop from a criminogenic environment or chronic trauma leading to a disregard for societal norms. Borderline Personality Disorder: Mnemonic: "AM SUICIDE" - Abandonment fears, mood instability, suicidal behaviors, etc. Trauma Link: Strongly associated with early abandonment or chaotic environments. Histrionic Personality Disorder: Mnemonic: "PRAISE ME" - Provocative behavior, relationships considered more intimate than they are, uncomfortable not being center of attention, etc. Trauma Link: May develop as a way to gain attention in emotionally neglectful environments. Narcissistic Personality Disorder: Mnemonic: "SPECIAL" - Believes they are special, preoccupied with fantasies of success, lacks empathy, etc. Trauma Link: Possible development as a defense mechanism in response to trauma or low self-esteem. Obsessive-Compulsive Personality Disorder: Mnemonic: "LAW FIRMS" - Loses point of activity due to detail, friendships excluded due to work, inflexible, etc. Trauma Link: Rigidity and control may arise from environments where safety and predictability were lacking. Differential Diagnosis and Considerations Rule Out Other Disorders: Mood disorders with psychotic features. Autism spectrum disorders. Substance use disorders. Importance of Context: Acculturation and Intergenerational Trauma: Treatment and Systemic Considerations Personality Disorder Stigma: Trauma-Informed Care: Treatment Barriers: Chapters: 00:00:00 - Differential Diagnosis of Personality Disorders from a Trauma-Informed Perspective 00:06:56 - Characteristics of Paranoid Personality Disorder 00:13:38 - Trauma's effect on mood and libido 00:20:22 - Unusual Perceptions and Magical Thinking 00:27:13 - Characteristics of Dependent Personality Disorder 00:33:59 - Borderline Personality Characteristics 00:40:54 - Differential Diagnosis and Co-occurring Disorders 00:47:27 - Differential Diagnosis of Personality Disorders 00:54:12 - Differentiating Personality Disorders from Other Conditions Learn more about your ad choices. Visit megaphone.fm/adchoices