personality disorder - seeking help

When it comes to mental health, the impact of personality disorders is sometimes overlooked. However, they can significantly affect the well-being of people with the disorder and their loved ones. In this blog post, we’ll explore the global prevalence of personality disorders and provide insights for those seeking help from psychologists.

A personality disorder is a mental health condition where a person has consistent and rigid patterns of thinking, feeling, and behaving that don’t align with societal norms. These patterns often lead to challenges in their relationships, emotions, and daily life functioning. For example, someone with a personality disorder may have trouble maintaining stable relationships, controlling their emotions, or adapting to new situations. These issues can cause distress for the person with the disorder and those around them.

Personality Disorders vs. Other Mental Health Problems

Personality disorders are distinct from other mental health problems, such as mood disorders (e.g., depression and bipolar disorder), anxiety disorders (e.g., generalized anxiety disorder and social anxiety disorder), and psychotic disorders (e.g., schizophrenia). Here are some key differences:

  1. Patterns of Behavior vs. Specific Symptoms: Personality disorders involve enduring and ingrained patterns of thinking, feeling, and behaving that persist over time and across various situations. In contrast, other mental health problems typically involve specific symptoms or episodes that may come and go.
  2. Onset and Duration: Personality disorders usually become evident in adolescence or early adulthood and tend to be long lasting, often lasting throughout a person’s life. Other mental health problems may have more variable onset ages and can be episodic or time-limited.
  3. Impact on Functioning: Personality disorders often have a significant and pervasive impact on a person’s overall functioning, particularly in their relationships and daily life. Other mental health issues may affect specific areas of functioning, such as mood, anxiety, or perception, but may not necessarily disrupt a person’s overall personality and interpersonal style.
  4. Diagnosis and Assessment: Diagnosing personality disorders can be challenging and often requires a thorough assessment and formulation by a mental health professional over an extended period. Other mental health problems may have more clear-cut diagnostic criteria and can be assessed based on specific symptoms and their duration.
  5. Response to Treatment: Personality disorders may require longer-term treatment and may not show as rapid improvement as some other mental health conditions. In contrast, some mood and anxiety disorders, for example, can respond well to relatively short-term interventions.

It’s important to recognise that individuals can have more than one mental health concern simultaneously. For example, a person with a personality disorder may also experience episodes of depression or anxiety. Accurate diagnosis and personalized treatment plans are crucial to address an individual’s unique mental health needs effectively.

How common are Personality Disorders?

Personality disorders are more common than we might think. A recent study by Cambridge looked at data from 46 studies conducted in 21 countries across the world. The researchers found that around 7.8% of the population worldwide meets the criteria for a personality disorder. That’s higher than the rates for either mood or anxiety disorders. 

The 3 Types of Personality Disorders

It’s important to note that there are many personality disorders, and they are grouped into three clusters:

  1. Cluster A: This cluster includes disorders characterised by odd or eccentric behaviour. Examples include paranoid personality disorder (constant suspicion and distrust of others), schizoid personality disorder (avoidance of social interactions), and schizotypal personality disorder (peculiar thoughts and behaviours).
  2. Cluster B: This cluster encompasses disorders characterised by emotional instability and impulsive behaviour. It includes disorders like borderline personality disorder (BPD; intense mood swings and fear of abandonment), antisocial personality disorder (disregard for others’ rights and a tendency to engage in harmful behaviours), and narcissistic personality disorder (NPD; exaggerated sense of self-importance and a need for admiration).
  3. Cluster C: This cluster consists of disorders characterised by anxious and fearful behaviour. Disorders in this cluster include avoidant personality disorder (fear of rejection and extreme shyness), dependent personality disorder (excessive reliance on others and fear of independence), and obsessive-compulsive personality disorder (perfectionism, control, and rigid adherence to rules).

Differences Between Countries and Cultural Factors

The study also found that the prevalence of personality disorders differs between countries. Interestingly, the rates tend to be lower in low- and middle-income countries compared to high-income countries. This difference could be influenced by cultural and social factors. The way we behave and the social norms in each country play a role in the development of personality disorders.

Culture, race, and ethnicity all play a part in how mental disorders, including personality disorders, are perceived and experienced. Some illnesses, like eating disorders, may become more common as Western influences spread worldwide. Additionally, the breakdown of social connections in societies can contribute to higher rates of personality disorders.

Challenges in Diagnosis and Treatment

Diagnosing personality disorders can be challenging, especially when considering cultural differences. Symptoms may manifest differently across cultures, and the current diagnostic tools may not fully capture these variations. Psychologists need to consider cultural nuances to accurately diagnose and understand personality disorders.

Recognising personality disorders as a significant mental health concern is crucial. Whether you live in a high-income country or a low- and middle-income country, seeking help from a psychologist is important. Psychologists can provide support, guidance, and therapy for individuals with personality disorders.

It is worth remembering, that personality disorders often require long term treatment. However, if you suspect that you or someone you know may have a personality disorder, don’t hesitate to seek help. At Personal Psychology we offer DBT, which is helpful for some personality disorders. 

Please note that this blog post by Personal Psychology is not intended to provide professional advice. If you or someone you know is experiencing mental health difficulties, it is important to seek help from a qualified healthcare professional.