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DSM-5 includes 10 personality disorders that are divided into three clusters: Cl

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DSM-5 includes 10 personality disorders that are divided into three clusters: Cluster A (odd or eccentric) includes paranoid, schizoid, and schizotypal personality disorders; Cluster B (dramatic, emotional, or erratic) includes antisocial, borderline, histrionic, and narcissistic personality disorders; and Cluster C (anxious or fearful) includes avoidant, dependent, and obsessive-compulsive personality disorders.Treating people with personality disorders is often difficult because they usually do not see that their difficulties are a result of the way they relate to others.Question: If everyone has a “different” personality (i.e., if no two are alike), then how can we say that someone has a “disordered” or “sick” personality? What truly makes a personality pathological?Cluster A Personality DisordersPeople with paranoid personality disorder are excessively mistrustful and suspicious of other people, without any justification. They tend not to confide in others and expect other people to do them harm.People with schizoid personality disorder show a pattern of detachment from social relationships and a limited range of emotions in interpersonal situations. They seem aloof, cold, and indifferent to other people.People with schizotypal personality disorder are typically socially isolated and behave in ways that would seem unusual to most of us. In addition, they tend to be suspicious and have odd beliefs about the world.Cluster B Personality DisordersPeople with antisocial personality disorder have a history of failing to comply with social norms. They perform actions most of us would find unacceptable, such as stealing from friends and family. They also tend to be irresponsible, impulsive, and deceitful.People with borderline personality disorder lack stability in their moods and in their relationships with other people, and they usually have poor self-esteem. These individuals often feel empty and are at great risk of suicide.Individuals with histrionic personality disorder tend to be overly dramatic and often appear almost to be acting. People with narcissistic personality disorder think highly of themselves—beyond their real abilities. They consider themselves somehow different from others and deserving of special treatment.Cluster C Personality Disordersn People with avoidant personality disorder are extremely sensitive to the opinions of others and therefore avoid social relationships. Their extremely low self-esteem, coupled with a fear of rejection, causes them to reject the attention of others. Individuals with dependent personality disorder rely on others to the extent of letting them make everyday decisions, as well as major ones; this results in an unreasonable fear of being abandoned. People who have obsessive-compulsive personality disorder are characterized by a fixation on things being done “the right way.” This preoccupation with details prevents them from completing much of anything.

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