Personality Disorders

This category of mental health conditions includes many mental illnesses, each involving ways of thinking, feeling, and behaving that deviates from the expectations of the culture.

All types of personality disorders can cause distress or problems functioning, and last over time. Personality disorder treatment can lead to a much healthier, happier life.
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Feel like your close relationships are too distressing? You may need a psychiatric evaluation.

Having a personality disorder can be particularly challenging for not just patients, but anyone with close relationships to the patient.

Personality disorders can make it difficult to perceive situations and relate to people appropriately. The brain thinks a certain way, and the person behaves accordingly.

People with personality disorders may sincerely believe they’re doing the right thing while everyone else is doing the wrong thing or is to blame when things go wrong in life.

As a result, personality disorders can strain relationships and cause issues at work, school, among family members, or in social situations, which is why mental health treatments are important.


Icon quote
Your present circumstances don’t determine where you go; they merely determine where you start.
– Nido Qubein

What causes personality disorders?

Personality is a product of genetics and environment. It informs thought, emotions, and actions. Many people associate their personality with their identity.

Personality develops in childhood, and disorders typically present in teenage years or early adulthood.

Although researchers have been unable to identify a specific cause of personality disorders, there are some factors that put people at higher risk:

  • Family history of personality disorders or mental illness
  • Abnormalities in brain chemistry or brain structure
  • Environmental triggers (e.g., abusive or chaotic family life)

Children with a conduct disorder have an increased risk of developing a personality disorder as they get older.

“It can be difficult to recognize how your thoughts and actions may be complicating your life because your thoughts and actions feel right to you,” says Sarah Leiderman, a mental health provider at bonmente. “But if they’re bringing dysfunction to your life, it’s time to get help.”

What are symptoms of personality disorders?

There are several types of personality disorders, organized as “clusters.” Each comes with symptoms that often overlap other types.

Cluster A personality disorders involve bizarre, eccentric thoughts or behaviors. Specific disorders include:

  • paranoid personality disorder
  • schizoid personality disorder
  • schizotypal personality disorder

Cluster B personality disorders involve highly dramatic, overly emotional, unpredictable, or irrational thoughts and behaviors. Cluster B diagnoses are the most common. Specific disorders include:

  • antisocial personality disorder
  • borderline personality disorder
  • histrionic personality disorder
  • narcissistic personality disorder

Cluster C personality disorders involve an excess of anxious, fearful thoughts or behavior. Examples include:

  • avoidant personality disorder
  • dependent personality disorder
  • obsessive-compulsive personality disorder

Do I have a personality disorder?

The Personality Inventory for DSM-5 (PID-5 BF) is a 25-item self-rated personality trait assessment scale for adults that assess for potentially dysfunctional personality traits. If you’re concerned some of your challenges may be related to a personality disorder, take this quiz and learn more.

PLEASE NOTE: This self-test is not a replacement for professional evaluation. If you are experiencing distress that may be related to a personality disorder, please call us at 310-360-7200 for an appointment.

How are personality disorders treated?

Since thoughts and feelings are often central to personality disorders, psychotherapy is at the center of treating these mental illnesses.

Therapy helps patients gain understanding about personality disorders and recognize how thoughts and actions are affecting their lives. Dialectical behavioral therapy (DBT) and cognitive therapy are highly beneficial modalities that help improve emotional regulation and challenge dysfunctional beliefs inherent in many personality disorders.At bonmente, patients can do their therapy sessions through telepsychiatry.

Stress management, coping skills, support groups, and social skill training also help manage personality disorders.

Family therapy may also be part of the mental health treatment plan since personality disorders can have a profound effect on relationships.

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