The “Mr. Know-it-all” at the office who has to have the last word and insists he’s always right, and may even be described as a narcissist. Or the dramatic woman who uses her beauty and allure to get what she wants: the histrionic drama queen. We tend to throw these words around while unaware that narcissistic and histrionic are true personality disorders. These are grouped under Cluster B personality disorders. Many refer to this cluster as “wild.” Cluster B also includes borderline personality disorder, antisocial personality disorder as well as those previously mentioned: histrionic and narcissistic.
Narcissistic personality disorder
Narcissistic personality disorder is characterized by people who have characteristics such as grandiosity, need for admiration and lack of empathy. They come off as always right and cannot take criticism from other people. These people often portray arrogance, take advantage of others, are obsessed with success and fame, and demonstrate a sense of entitlement. Many have argued that the famous presidential candidate Donald Trump is narcissistic.
Histrionic personality disorder
This person can be described as the attention seeker and often displays provocative behavior. People with histrionic personality disorder are mostly female and will use sexual innuendos and self-dramatization to get what they want. They also display rapidly shifting and shallow expressions of emotions. People with this disorder can present with multiple challenges; they require empathy with boundary setting to limit potentially manipulative behaviors, such as suicidal gestures.
Borderline personality disorder
Of all the disorders, borderline personality disorder is studied the most. It’s no wonder that the most detailed treatment recommendations are offered, usually involving multiple modalities including numerous psychotherapy components. Treatment includes “second-generation antipsychotics, mood stabilizers and dietary supplementation with omega-3 fatty acids,” according to American Family Physician. This personality disorder is characterized by instability of interpersonal relationships and marked impulsivity. Recurrent suicidal behavior, gestures or threats, or self-mutilating behavior such as cutting is also characteristic of borderline personality disorder. People with this disorder also have chronic feelings of emptiness, constant anger, impulsive behaviors and labile moods.
Antisocial personality disorder
Antisocial personality disorder is not quite what it sounds like. People with this disorder continually refuse to conform to the social norms of society and will break the law continuously. They lack remorse and show aggression toward others. They are deceitful and lack any regard for others. This disorder is diagnosed in those who are 18 years of age or older and who have portrayed this behavior since the age of 15 years of age. Children younger than 15 years of age with these characteristics are known to have conduct disorder.
If you or anyone you know is battling a mental illness or a personality disorder the Dual Diagnosis Helpline may be able to help. Call our 24/7 helpline at 855-981-6047 for more information.
Read more blogs about personality disorders.