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Personality disorder - cluster C

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Personality disorder - cluster C

  1. 1. PERSONALITY DISORDER CLUSTER C Hamad Emad Hamad Dhuhayr
  2. 2. Contents  Cluster C personality disorders  Avoidant personality disorder  Dependent personality disorder  Obsessive-compulsive personality disorder
  3. 3. Cluster C personality disorders  Cluster C personality disorders are characterized by anxious, fearful thinking or behavior.  They include avoidant personality disorder, dependent personality disorder and obsessive-compulsive personality disorder.  It's not necessary to exhibit all the signs and symptoms listed for a disorder to be diagnosed.
  4. 4. Avoidantpersonalitydisorder  is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and a hypersensitivity to negative evaluation.  Prevalence: 0.5-1% of population  Sex ratio: M=F  Comorbidity: Social phobia, depression, anxiety  Family: Cluster C disorders
  5. 5. Treatment  Psychotherapy - Individual and group therapy, typically interpersonal (IPT), is the treatment of choice  Medication - Antidepressants and anxiolytics are often useful for accompanying depression and anxiety
  6. 6. Physician-patient Interaction  Unconditional respect and concern are very helpful  Avoid implications of rejection  Be aware that even a limited personal interaction may be very important, and its loss very distressing
  7. 7. Dependent personality disorder  a strong need to be taken care of by other people.  This need to be taken care of, and the associated fear of losing the support of others, often leads people with Dependent Personality Disorder to behave in a "clingy" manner; to submit to the desires of other people.  Prevalence: 2.5-27% of population  Sex ratio: F>M  Comorbidity: Mood and anxiety disorders, adjustment disorders  Family: Cluster C disorders
  8. 8. Treatment  Psychotherapy - Dynamic, behavior, group, and family therapies are all used successfully  Medication - Anxiolytics are often helpful. Antidepressants may be used with comorbid depression.
  9. 9. Physician-patient Interaction  Physicians should take an active role in treatment planning, with clear explanations and recommendations.  Patients may need encouragement to make decisions about treatment plans.  Family involvement is often helpful.
  10. 10. Obsessive-compulsive personality disorder  preoccupied with rules, regulations, and orderliness.  This preoccupation with perfectionism and control is at the expense of flexibility, openness, and efficiency.  Prevalence: 1% of population  Sex ratio: M:F=2:1  Comorbidity: Slight increase in mood and anxiety disorders  Family: Obsessive-compulsive personality disorder
  11. 11. Treatment  Psychotherapy - Psychoanalytic, behavioral, and group therapies are often useful  Medication - Serotonin-specific reuptake inhibitor (SSRI) antidepressants may be useful
  12. 12. Physician-patient Interaction  Thorough explanations and specific, detailed information are valued  Uncertainty is rarely tolerated  Treatment options should be presented with clear risk- benefit analyses.
  13. 13. OCD vs. OCPD
  14. 14. these central features: -- social inhibition and hypersensitivity to criticism and rejection (avoids social and occupational activities that involve significant interpersonal contact due to insecurities and anxieties) these central features: -- preoccupation with orderliness, perfectionism, and control (preoccupied with details, rules, lists, organization, or schedules to the extent that the major point of the activity is lost) these central features: -- submissive and clinging behavior related to excessive needs to be taken cared of (urgently and indiscriminately seeks another relationship when a close relationship ends)
  15. 15. References &