Chapter List Guidelines In a nutshellAbout these guidelinesPart A: About co-occurring conditionsA1: What are co-occurring conditions?A2: How common are co-occurring conditions and why are they of concern?A3: Guiding principlesA4: Classification of disordersThe diagnostic classification systemsWhat is attention-deficit/hyperactivity disorder (ADHD)?What are schizophrenia spectrum and other psychotic disorders?What are bipolar disorders?What are depressive disorders?What are anxiety disorders?What is obsessive-compulsive disorder (OCD)?What are trauma-related disorders?What are feeding and eating disorders (ED)?What are personality disorders?What are the different types of personality disorders?Antisocial personality disorder (APSD)Borderline personality disorder (BPD)Box 9: Case study I: What does co-occurring BPD and AOD use look like? Mira’s storyWhat are substance-induced disorders?What do discrepancies between classification systems mean for AOD workers?Part B: Responding to co-occurring conditionsPart C: Specific population groupsAppendicesAbbreviationsGlossaryReferencesDisclaimer and acknowledgements Download full Guidelines Order a free hard copy What are the different types of personality disorders? Download page Based on their similarities, personality disorders are grouped into three clusters (see Table 17). Among those with AOD use disorders, two Cluster B personality disorders, ASPD and BPD, are most prevalent and tend to impact most upon treatment [162, 165–167].Table 17: Types of personality disorders Personality disorders CLUSTER A: ‘odd’ or ‘eccentric’ characteristics People with Cluster A-type personality disorders often appear to be odd or eccentric. They have significant impairment but infrequently seek help: Paranoid personality disorder is characterised by a pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent. Schizoid personality disorder is characterised by a pattern of detachment from social relationships and a restricted range of emotional expression. Schizotypal personality disorder is characterised by a pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behaviour. CLUSTER B: ‘dramatic’, ‘emotional’, or ‘impulsive’ characteristics People with Cluster B-type personality disorders appear to be dramatic, emotional, and erratic. Generally, they experience significant impairment and are of considerable concern to health care providers. Of all the personality disorders, people with Cluster B disorders most commonly present to services: Antisocial personality disorder (ASPD) is characterised by a pattern of disregard for and violation of the rights of others. Individuals with this personality disorder are typically aggressive, unlawful, and impulsive. Borderline personality disorder (BPD) is characterised by a pattern of instability in interpersonal relationships, self-image, and feeling states, with marked impulsivity and chaos. Histrionic personality disorder is characterised by a pattern of excessive emotionality including being dramatic, attention-seeking, and seductive. Narcissistic personality disorder is characterised by a pattern of grandiosity and self-centredness and thus lacking empathy for others. CLUSTER C: ‘anxious’, ‘fearful’, or ‘avoidant’ characteristics People with Cluster C-type personality disorders appear to be anxious and fearful and are generally less impaired than those with Cluster B personality disorders: Avoidant personality disorder is characterised by a pattern of social inhibition with feelings of inadequacy and hypersensitivity to negative evaluation. Individuals tend to be needy but scared of relationships. There is some debate that this is a form of long-term social phobia. Dependent personality disorder is characterised by a pattern of submissive and clinging behaviour related to an excessive need to be taken care of. These individuals tend to be indecisive and fear abandonment. Obsessive-compulsive personality disorder is characterised by a pattern of preoccupation with orderliness, perfectionism, and control; thus, these individuals tend to be rigid and inefficient. Antisocial personality disorder (APSD)Borderline personality disorder (BPD)Box 9: Case study I: What does co-occurring BPD and AOD use look like? Mira’s story Download section Previous Next