Personality Disorders

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Nightingale Hospital

Personality Disorders

The word ‘personality’ refers to the pattern of thoughts, feelings and behaviour that makes each of us the individuals that we are. Generally our personality doesn’t change very much, however it does develop as we go through different life experiences and as our circumstances change. We are usually flexible enough to learn from past experiences and change our behaviour to cope with life more effectively.

If your patterns of thinking, feeling and behaving are more difficult to change, you will have a more limited range of emotions, attitudes and behaviours with which to cope with everyday life. However, the diagnosis of a personality disorder applies if you have personality difficulties which affect all aspects of your life, all the time, and make life difficult for you and for those around you. Personality disorder is one of the most misunderstood and stigmatised diagnoses in mental health.

Our treatment approach for personality disorders

Our approach to treating personality disorders at Nightingale Hospital London combines’ individualised programmes with treatments based on current clinical evidence. CBT can help you examine your usual pattern of thoughts and attitudes and allow you to challenge ideas and beliefs that cause you problems and psychodynamic therapy can help you manage your relationships with other people and improve the way you feel about yourself. Dialectical behaviour therapy teaches skills to help manage emotions, improve the way you interact with others and change the behaviour that causes you the most problems. Arts therapies help to express how you are feeling if you are having difficulty putting things into words and group therapy is beneficial for anyone who avoids social situations or depends too much on another person.

There are no medications specifically for personality disorder, but doctors may prescribe them to treat additional problems, such as irritability or depression. It may take some time to find a drug that works for you, and often medication may be most effective when combined with a talking personality disorder treatment.

Personality disorder treatment tailored to you

Our treatments for personality disorders here in London can be as an outpatient, day patient or inpatient. We have the expertise in personality disorders to approach the support and treatment we offer in a personal and flexible way to benefit you the most in your recovery.

Personality Disorder Specialists

Nightingale Hospital London has a number of Consultant Psychiatrists and Therapists that can help you through your personality disorder. It is vital you find a personality disorder specialist that you can trust and work with on your recovery. If you cannot find the information you need on personality disorder specialists and personality disorder treatment programmes we would welcome your call so you feel secure in the decisions you make.

Different types of Personality Disorders

Psychiatrists in the UK tend to use a system which identifies 10 different types of personality disorder, which can be grouped into three categories:

1. Suspicious

  • Paranoid
  • Scizoid
  • Scizotypal
  • Antisocial

2. Emotional and impulsive

  • Boderline
  • Histrionic
  • Narcissistic

3. Anxious

  • Avoidant
  • Dependent
  • Obsessive compulsive

One person may meet the criteria for several different disorders, while a wide range of people may fit different criteria for the same disorder, despite having very different personalities.

Paranoid personality disorder

You are likely to feel very wary of others imagining they have hidden motives, will use you, or take advantage of you. You will find it very difficult to trust other people, be suspicious and on guard. You may watch others closely, looking for betrayal, threat, hostility and menace.

Schizoid personality disorder

You’re not interested in forming close relationships and feel they cause problems and interfere with your freedom. and tend to cause problems. Other People will see you as a loner as you prefer solitude and few things in life give you pleasure.

Schizotypal personality disorder

Making close relationships is extremely difficult and others say you are eccentric and think differently. You might believe that you can read minds or have special powers.

Borderline personality disorder (BPD)

You may feel that you don’t have a strong sense of who you really are, act on impulse which you then regret, suffer mood swings switching from one intense emotion to another quickly often with angry outbursts, experience brief psychotic episodes, harm yourself and think about taking your own life. You may have a history of broken relationships and a tendency to cling to damaging relationships because you are terrified of being alone.

Histrionic personality disorder

Because you love excitement and don’t tolerate boredom, you may behave recklessly, impulsively, flirt or be provocative to remain the centre of attention, you find others influence you easily and feel at ease as the ‘life’ of the party. You are dependent on approval and may have a reputation for being dramatic and overemotional.

Narcissistic personality disorder

Special reasons make you different, better or more deserving than others, but because your self-esteem is fragile you rely on others to recognise your worth. If others ignore your special needs you feel upset and resent others success putting your own needs first. People are likely to see you as selfish and ‘above yourself’.

Antisocial personality disorder (ASPD)

Closely linked with adult criminal behaviour, you are likely to have a criminal record and be a heavy drinker or a drug-user. Easily bored holding down a job or relationship is hard, you tend to act impulsively and recklessly without considering consequences, may do things even though they hurt others to get what you want. You believe only the strongest survive and that you must do whatever it takes to lead a successful life. You may be regarded as being selfish and hard.

Avoidant (or anxious) personality disorder

You feel inadequate, inferior, avoiding work or social activities, expect disapproval and criticism, and worry constantly about being ‘found out’ and rejected. You feel lonely and isolated and long to have relationships but avoid theses due to fear of ridicule, shame and intimacy. It’s hard for others to understand the extent of your worries and not to believe you’re exaggerating your fear of ordinary social situations. They will see you as a loner.

Dependent personality disorder

You feel needy, weak and unable to make decisions or function without help. Others take responsibility for many areas of your life, you find it hard to disagree because you fear losing their support. You agree to things you feel are wrong and put up with other people’s unreasonable behaviour to avoid being alone. Your self-confidence is low and you see others as more capable. You may be described as submissive and passive.

Obsessive-compulsive personality disorder (OCPD)

You are likely to set unrealistically high standards for yourself and others and generally think your way is best so you end up feeling responsible for everything. You worry when you or others make mistakes and expect catastrophes if things aren’t perfect. OCPD is separate from OCD which describes a form of behaviour rather than a type of personality.

How can friends and family help with a Personality Disorder?

If your friend or relative has a diagnosis of personality disorder it’s important to:

  • Emphasise the positive aspects of their personality
  • Make the most of their strengths and abilities
  • Remember a diagnosis of personality disorder doesn’t stop someone being likeable, intelligent, highly motivated or creative
  • Good information is crucial. If your friend or relative would find it helpful, you could be involved in discussions with mental health professionals. You could act as their advocate and speak up and support them.
  • They may need your encouragement to change their behaviour. Alcohol, drugs or abusive relationships can only add to problems.
  • Don’t be judgemental or tell them they are ‘immature’ or ‘inadequate’, or ‘attention-seeking’ or ‘making bad choices’: everybody behaves immaturely or inadequately at times, and we all make mistakes.
  • Try to help identify situations that bring out the best or worst in, them and support them in following this up.

For more information visit www.mind.org.uk

You can contact us confidentially on 020 7535 7700, 24 hours a day or enquire online if you have any further questions or would like to book an appointment

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