Personality Disorders (Cluster B)

Presenter: KHRYCYS G. OLAIREZ

What kind of behavior belongs to this
disorder?

Also called the dramatic, emotional, and

erratic cluster.

How to diagnose a person with a

personality disorder (Cluster B)?
These are the criteria:

Symptoms should appear at least in early

adulthood (age of 15)

A person must have 2 or more types of

lasting problems from a list of four (cognitive,
affective, interpersonal and impulsive)

The pattern must not be better accounted for

as a manifestation of another mental
disorder, or to the direct physiological effects
of a substance (e.g. drug or medication) or a
general medical condition (e.g. head
trauma).

The person should at least have 4 or more

symptoms of the personality disorder.

Signs and Symptoms/ Pattern of Behavior

Comparison between Borderline Personality

Disorder and Bipolar Disorder

C. Histrionic Personality Disorder (HPD)

-

What causes this personality disorders?

1. Abnormal chemistry in the nervous system
and impairment in the parts of the brain.
2. Family History of the disorder
3. History of abuse and neglect
4. Problems during the developmental years
Types of Personality Disorders under Cluster B
A. Antisocial Personality Disorder (APD)
-

Characterized by a pervasive pattern of

disregard for the rights of other people
that is often manifested as hostility
/aggression.
Usually people who have this disorder
personally have a.
Low self-esteem
Fear of Closeness/Intimacy
Threat of being exploited,
controlled and abandoned

Signs and Symptoms/ Patterns of Behavior

Always in conflict with the law and the

society and shows truancy, expulsion,
vandalism and fights
Inability to sustain work
Failure to honor financial obligations
No plans for the future
Reckless
Manipulative
Monopolizes conversation
High risk for substance abuse

B. Borderline Personality Disorder (BPD)

-

Characterized by wide fluctuation of

mood, unstable self-image and poor
impulse control.

Reckless, impulsive sex, shoplifting

Self mutilation, used to block emotional
pain by physical pain
Manipulative
Mood is labile
Relationship is unstable
Feelings of chronic boredom, isolation and
emptiness
Projection is the key defense mechanism

Characterized by a pervasive patterns of

excessive emotionality, self focused and
dramatic attention seeking.

Signs and Symptoms/ Pattern of Behavior

Attention seeking
Hysterical reactions to certain situations
Overly concerned to impress and get
approval of others
Flirtatious and seductive
Impulsive in a form of extravagance
Delusional belief of intimacy
Gives insincere flattery
Ignore old friends if someone new
And interesting has been introduced
Has suicidal ideations

D. Narcissistic Personality Disorder (NPD)

-

Characterized by exaggerated sense of

self importance

Signs and Symptoms/ Pattern of Behavior

Attention seeking
Preoccupied with thoughts of beauty
and intelligence
Rude, arrogant, intimidating, sarcastic and
unwilling to wait for gratification
Very manipulative
Has a strong sense of being entitled to
special treatment and privileges
Promiscuity
Exploitation of others to elevate personal
status
Lack of empathy
Envy and begrudge others for gaining
recognition or material success
Hypersensitive to criticisms
Interventions for Personality Disorder
(Cluster B)

Approach should be firm and consistent

Set limitations and explain that there would
be a consequence if they would exhibit
unwanted behaviors
Handle manipulation on-the-spot
Give constructive ways to express emotions
Positive Self talk
Consult the Guidance Counselor for other
options or refer to a Psychiatrist if needed.