Personality disorder history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Ayesha Anwar, M.B.B.S[2]
Overview
History constitutes the first step in assessing for the personality disorder in any individual. The hallmark of personality disorders is an enduring and prolonged duration of presence of symptoms. An age of 18 years for a patient is essential in the diagnosis. The history varies with each type of personality disorder. Generally, a history of mood dysregulation and poor social interaction is suggestive of it.
History and Symptoms
History
Comprehensive details regarding mood, thoughts, emotions, interpersonal and social relationships, impulse control and perceptions should be taken. Details of education, employment, and responses to stress give an insight into interpersonal functioning. Conducting a clinical interview also helps in providing a comprehensive understanding of self-identity issues if present.Family history and history of substance abuse can provide a valuable contribution in assessment for diagnosis. Lastly, similar to other psychiatric disorder, it is imperative to check for suicide ideation, plan and attempts.
Common Symptoms
Common symptoms of PDs include frequent mood swings, anger outbursts, unstable self-image, waning social relationships, suspiciousness towards others, over-emotionality, in-sensitivity and irresponsibility towards self and others, and inconsistency in goals. They are usually ignorant towards their own behavior and have ego-syntonic symptoms. All these symptoms need to present in more than one setting.