Personality Disorder

• Personality - an ingrained, enduring pattern of behaving and relating to the self,others and environment.
• Personality Disorder

  • Ego syntonic, meaning the person experiencing a disorder doesn't necessarily think they have problem.
• Personality Disorder

  1. Cluster A- persons whose behavior appear ODD or ECCENTRIC BEHAVIOR. ( Paranoid, schizoid,and Schizotypal personality Disorder.)
• Person Disorder

  2. Cluster B- person whose behavior appear ERRATIC OR DRAMATIC BEHAVIOR ( antisocial, borderline, histrionic, narcissistic personality Disorder)
• Personality Disorder

  3. Cluster C - persons have a behavior of ANXIOUS and FEARFUL behavior (Avoidant, dependent, obsessive personal disorder)
• Depressive Behavior

  • Pervasive pattern of depressive cognition and behavior in various context. Mostly occur to people who have major depressive disorder.
• Passive - Aggressive Behavior

  • Pattern of negative attitude and pervasive pattern of passive resistance to demand for adequate social and occupational performance.
  • Their mood may fluctuate rapidly and erratically,they even easy to be upset and offended.
• Paranoid

  • Mistrust and suspiciousness of others.
  • MOOD- Labile (changeable)
  • Ego Defense Mechanism - PROJECTION ( Blaming other people or situation to their difficulty.
  • Nursing Action: formal business like manner, refrain for social chitchat,being in time and keeping commitment, engaged patient in making nursing care plan.
• Schizoid personality Disorder

  • Detached to social relationship, restricted affect; involved things than people.
  • Anhedonia ( no expression of emotional of pleasure emotion.)
  • More on fantacies than reality.
  • Nursing Management: improve client functioning in community.
• Schizotypal personality Disorder

  • Acute discomfort in relationships; cognitive or perceptual distortion (eccentric behavior)
  • Nursing Action : develop self care,and social skills and improved functioning in the community.
• Antisocial Personality Disorder

  • Patter of disregard for and violation of the rights of others.
  • Nursing Action: Limit setting, confrontation,teach client to solve problems effectively and manage emotion of anger and frustrations.
• Borderline person Disorder

  • Unstable interpersonal relationships,self image,and affect as well as impulsivity,self mutilation (expression of intense anger or helplessness or self punishment)
  • Nursing Action: promote safety: help client to cope and control emotions, cognitive restructuring technique structure time teach social skills.
• Histrionic Personality Disorder

  • Excessive emotionality and attention seeking.( Exaggerates all the situation even minor occurrence.
  • Nursing action: teach social skills, provide factual feedback about behavior.
• Narcissistic personality Disorder

  • Grandiose: lack of empathy: need for admiration.( Arrogant or haughty attitude
  • Nursing Action: matter of fact approach;gain cooperation with need treatment teach client any needed self care skills.
• Avoidant Personality Disorder

  • Social inhibitions;feeling of inadequacy; hypersensitive to negative evaluation
  • Pt. Have low self esteem, fearful and convinced they will make mistakes,be humiliated and embarrassed themselves and others.
  • Nursing Action: support and reassurance; cognitive restructuring technique; promote self esteem.
• Dependent personality Disorder

  • Submissive and clinging behavior; excessive need to be taken care of, fear of separation
  • Nursing action: foster client's self reliance and autonomy;teach problem solving and decision making skills technique.
• Obsessive - Compulsive Personality Disorder

  • Preoccupation with orderliness,perfectionism and control.
  • Encourage negotiation with others assist client in making timely decision cognitive restructuring technique.
• Antisocial Personality Disorder (ASPD)


  A mental health condition characterized by a pervasive pattern of disregard for and violation of the rights of others. Can include behaviors such as persistent lying, using aliases, impulsivity, lack of remorse, and consistent irresponsibility.