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    Personality Disorder and Addiction

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    raj1090
    Personality disorders and substance use disorders are commonly comorbid. Personality disorders develop from disruptions to healthy childhood development like abuse or neglect, and involve inflexible coping mechanisms that were once adaptive but become maladaptive in adulthood. The most common personality disorders seen in addiction treatment settings are antisocial, borderline, and narcissistic personality disorders, which are characterized by patterns of unstable relationships, lack of empathy, and difficulty managing emotions. Treatment approaches like dialectical behavior therapy can help people develop new ways of thinking, managing emotions, and relating to others.

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    Personality Disorder and Addiction

    Uploaded by

    raj1090
    155 views31 pages
    Personality disorders and substance use disorders are commonly comorbid. Personality disorders develop from disruptions to healthy childhood development like abuse or neglect, and involve inflexible coping mechanisms that were once adaptive but become maladaptive in adulthood. The most common personality disorders seen in addiction treatment settings are antisocial, borderline, and narcissistic personality disorders, which are characterized by patterns of unstable relationships, lack of empathy, and difficulty managing emotions. Treatment approaches like dialectical behavior therapy can help people develop new ways of thinking, managing emotions, and relating to others.

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    Personality disorders and substance use disorders are commonly comorbid. Personality disorders develop from disruptions to healthy childhood development like abuse or neglect, and involve inflexible coping mechanisms that were once adaptive but become maladaptive in adulthood. The most common personality disorders seen in addiction treatment settings are antisocial, borderline, and narcissistic personality disorders, which are characterized by patterns of unstable relationships, lack of empathy, and difficulty managing emotions. Treatment approaches like dialectical behavior therapy can help people develop new ways of thinking, managing emotions, and relating to others.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    155 views31 pages

    Personality Disorder and Addiction

    Uploaded by

    raj1090
    Personality disorders and substance use disorders are commonly comorbid. Personality disorders develop from disruptions to healthy childhood development like abuse or neglect, and involve inflexible coping mechanisms that were once adaptive but become maladaptive in adulthood. The most common personality disorders seen in addiction treatment settings are antisocial, borderline, and narcissistic personality disorders, which are characterized by patterns of unstable relationships, lack of empathy, and difficulty managing emotions. Treatment approaches like dialectical behavior therapy can help people develop new ways of thinking, managing emotions, and relating to others.

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    At a glance
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    Some key takeaways are that personality disorders involve inflexible and maladaptive personality traits that cause impairment or distress, they may develop from childhood trauma, and while chronic they can be resolved through treatment.

    Personality disorders are classified into three clusters (A, B, and C) based on common characteristics within each cluster.

    Common characteristics of personality disorders include patterns of problematic relationships, tendency to blame others, lack of personal responsibility, and impaired ability to learn from past experiences.

    Personality Disorders and Substance Use Disorders

    Whats the connection?


    1

    What is a Personality Disorder?

    According to the American Psychiatric Association (APA), a personality disorder exists when an individuals personality traits are inflexible and maladaptive and cause either significant impairment in social or occupational functioning or subjective distress.

    What causes Personality Disorders?

    There are various theories, but the leading ones hold that normal, healthy childhood development gets interrupted in some significant manner; One type of scenario in which this occurs is that of abuse or neglect including severe emotional, physical, or sexual abuse. One perspective is that a personality disorder is like a badge of courage because it indicates that someone has survived much hurt.

    Reframing the problem of Personality Disorders

    One way to understand personality disorders is that the person coped in the best way they knew how, in response to difficult circumstances, and at that past time (typically during childhood), it helped them to survive. (i.e., ADAPTIVE)

    Reframing the problem of Personality Disorders

    However, those old coping mechanisms tend not to work very well in adulthood, and have become ineffective, or MALADAPTIVE.

    What are the different types of personality disorders?

    Cluster A

    Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder Antisocial Personality Disorder Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder
    Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder

    Cluster B

    Cluster C

    Common Characteristics of Personality Disorders

    Pattern of problematic relationships


    Tendency to blame difficulties on others, or on bad luck A lack of personal responsibility

    Impaired ability to learn from previous experience

    Personality Disorders and Addiction

    Pattern of problematic relationships

    In active addiction, a persons primary relationship is with their substance of choice all other relationships come second to that one.

    Personality Disorders and Addiction

    Tendency to blame difficulties on others, or on bad luck

    Working through the symptom of denial, or working from a state of precontemplation to an action stage of change is one key to recovery success

    Personality Disorders and Addiction

    A lack of personal responsibility

    Owning personal responsibility for actively participating in ones own recovery is another key to recovery success (12-Step inventories & amends-making)

    10

    Personality Disorders and Addiction

    Impaired ability to learn from previous experience

    Doing the same thing over and over again, and expecting a different result description of addictive insanity

    11

    Cluster B Personality Disorders


    Antisocial

    Personality Disorder
    Personality Disorder

    Borderline Histrionic

    Personality Disorder

    Narcissistic
    12

    Personality Disorder

    Antisocial Personality Disorder (3% males, 1% females)

    A pattern of disregard for, and violation of, the rights of others


    Over 30% prevalence in substance abuse treatment settings; most common with male alcoholics, mean drunks

    13

    Antisocial Personality Disorder 3 or more traits


    1.

    Failure to conform to social norms re: lawful behavior as in repeatedly performing acts that are grounds for arrest
    Deceitfulness, as in repeated lying, using aliases, or conning others

    2.

    3.

    Impulsivity or failure to plan ahead

    14

    Antisocial Personality Disorder 3 or more traits


    4.

    Irritability and aggressiveness, as in repeated assaults or fighting


    Reckless disregard for safety of self or others Consistent irresponsibility, as in repeated failure to maintain employment, or to honor $ obligations Lack of remorse re: mistreating others

    5.

    6.

    7.
    15

    Borderline Personality Disorder (2%)

    a pattern of instability in interpersonal relationships, selfimage


    30-60% of persons diagnosed with personality disorders end up with this diagnosis

    16

    Borderline Personality Disorder 5 or more traits


    1. 2.

    Frantic efforts to avoid abandonment


    Pattern of unstable/intense relationships Unstable self-image, sense of self Impulsivity that is potentially selfharmful Recurrent suicidal behavior, gestures, threats, or self-mutilating behavior

    3. 4.

    5.
    17

    Borderline Personality Disorder 5 or more traits


    6. 7. 8.

    Emotional instability, over-reactivity


    Chronic feelings of emptiness

    Inappropriate, intense anger or anger control problems


    Transient, stress-related paranoid ideation or severe dissociative symptoms

    9.

    18

    Histrionic Personality Disorder (2-3%)

    a pattern of excessive emotionality and attention seeking

    19

    Narcissistic Personality Disorder (<1%)

    a pattern of grandiosity, need for admiration, and lack of empathy

    20

    Goods News / Bad News

    Unlike many other disorders that are chronic or ongoing, personality disorders are resolvable / curable
    The process of resolving a personality disorder usually involves hard work over an extended period of time

    21

    Dialectical Behavior Therapy treatment leads to changes in . . .

    Ways of thinking
    Ways of managing emotions Ways of relating to others

    Ways of dealing with distress

    22

    Dual Recovery domains


    Thinking Emotions

    Dealing with others

    Dealing with discomfort

    Stinkin thinkin Emotional binging (ex. self-pity) can precede substance binging Conflict / avoidance, resentments Alternatives to using to manage distress

    23

    Cluster A Personality Disorders


    Paranoid

    Personality Disorder Personality Disorder Personality

    Schizoid

    Schizotypal

    Disorder
    24

    Paranoid Personality Disorder (2.5%)

    a pattern of distrust and suspiciousness such that others motives are interpreted as malevolent

    25

    Schizoid Personality Disorder (<1%)

    a pattern of detachment from social relationships, and a restricted range of emotional expression

    26

    Schizotypal Personality Disorder (3%)

    a pattern of acute discomfort in close relationships, as well as cognitive or perceptual distortions, and eccentricities of behavior

    27

    Cluster C Personality Disorders


    Avoidant

    Personality Disorder Personality Disorder

    Dependent

    Obsessive-Compulsive

    Personality Disorder
    28

    Avoidant Personality Disorder (<1%)

    a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

    29

    Dependent Personality Disorder (?%)

    a pattern of submissive and clinging behavior related to an excessive need to be taken care of

    30

    Obsessive-Compulsive Personality Disorder (1%)

    a pattern of preoccupation with orderliness, perfectionism, and control

    31

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