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 A brief study of common psychiatric disroders
Dr.K.R.MANSOOR ALI BHMS,MD(Hom)
Govt.Homeopathic Medical College. Calicut
Approved practitioner,Ministry Of Health,UAE
Email : info@similima.com
 

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PERSONALITY DISORDERS  
Personality is a deeply ingrained behavior pattern which include modes of perception, relating to and thinking about oneself and the surrounding environment.
Having 3 clusters
Cluster A – Odd & eccentric
Cluster B – Dramatic, emotional & erratic
Cluster C – Anxious & fear full

PARANOID PERSONALITY DISORDER
Having
Persistent unwanted suspiciousness and mistrust of people
Restricted ability to have proper emotional response
Unusually critical of others, but sensitive to be criticized
Tense.garded,secretive hyper vigilant behavior
Marked difficulty in confiding others, developing intimacy and trusting others
Underlying defense mechanism is projection
D/D : Paranoid schizophrenia,paranoid disorders  

TREATMENT
Individual psychotherapy
Supportive psychotherapy

SCZHOID PERSONALITY DISORDER
Having
Sustained social withdrawal
Marked indifference to social and interpersonal relationship, avoiding close friends
Constricted emotional response
Indifferent to praise and criticism
Excessive day dreaming and fantasy in life – a prominent feature
Cold and aloof with introverted temperament

TREATMENT
Psychotherapy
Psychoanalysis

SCHIZOTYPAL PERSONALITY DISORDER
Lies between schizoid and schizophrenia
Marked persistent disturbance in speech & thought
Behavior and general appearance
Social & interpersonal relationship
2. Having Social withdrawal
Odd speech pattern
Magical thinking / odd ideas – sixth sense
Perceptual abnormalities
Mannerism and mutterism of self
3.Transient psychotic episodes
4.Odd and eccentric

TREATMENT
Psychoanalysis
Psychotherapy
Drug therapy

ANTISOCIAL PERSONALITY DISORDERS
Having
Significant and persistent antisocial and irresponsible behavior begins in early child hood as conduct disorder
Antisocial acts which are unlawful
Poor work, financial and social record
Repeated lying, lack sincerity, impulsive behavior ,disregard foe safety of self
Lack of feeling for others, lack of guilty and remorse

TREATMENT
Psychoanalysis
Psychotherapy
Drug therapy

HISTERIONIC PERSONALITY DISORDERS
Having  
Excessive and overly dramatic emotionality
Tantrums and anger outburst are common
Attention seeking attitude with constant need for praise and approval
Seek instant satisfaction and approval
Marked egocentricity, emotionally shallow
Exhibitionism like dressing flamboyantly, mannerism of speech and motor behavior
Look charming, beautiful and seductive
Un gratifying and stormy interpersonal relation ship

TREATMENT
Psychoanalysis
Psychotherapy (individual)

NARCISTIC PERSONALITY DISORDERS
Having
Ideas of grandiosity – self importance
Preoccupation with fantasies
Attention seeking dramatic behavior
Lack empathy, exploitative behavior
Underlying sense of inferiority
Depressed by minor events

TREATMENT
Individual psychotherapy

BORDERLINE PERSONALITY DISORDERS
Having
Significant and persistent disturbance of identity of self
Unstable and intense interpersonal relationship pattern
Impulsivity
unstable emotional response with rapid shift
Chronic feeling of emptiness or boredom with inability to stay alone
Deliberate self harm in the form of self mutilation
- include ambulatory and pseudoneurotic schizophrenia
Splitting is the defense mechanism

TREATMENT
Psychoanalytic psychotherapy
Supportive psychotherapy
Antidepressants  

AOIDANT PERSONALITY DISORDER
Significant and persistent social withdrawal
Fear of criticism
Shyness and timidity
Hypersensitivity to rejection
Low self esteem
They don’t enter in to the interpersonal relationship

TREATMENT
Psychotherapy
Behavior therapy

DEPENDANT PERSONALITY DISORDER
Significant and persistent pattern of submissive & dependant behavior
Poor self esteem & lack of self confidence
Self doubt and inability to take decisions

TREATMENT
Individual and group therapy
Behavior therapy in the form of assertions  

OBSESSIVE COMPULSIVE PERSONALITY DISORDER
 
Significant and persistent drive for perfectionism which is inflexible
Emotional constriction
Orderliness,stubbornness,preoccupation with rules
Moralistic attitude and judgment
Indecisiveness with postponement of decision making
Major depressive episodes are frequent
Reaction formation as defense mechanism

TREATMENT
Psychoanalysis
Group therapy

PASSIVE AGGRESSIVE PERSONALITY DISORDER
Significant and persistent passive resistant to demands for social and occupational performance
Stubboness,unjustified protest ,forgetfulness

TREATMENT
Supportive psychotherapy
Behavior therapy
Group & drug therapy

SADISTIC PERSONALITY DISORDER
Persistent significant pattern of cruel, demeaning and aggressive behavior directed towards others, in social and occupational relations ( Not only to sexual partner)

MASOCHIST PERSONALITY DISORDER
Persistent and significant pattern of self defeating behavior
A self defeating personality disorder

TREATMENT
Similar to passive aggressive personality disorder

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