Personality Disorders: Cluster B - Dramatic

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Cluster B - Dramatic

Antisocial A. pervasive pattern of disregard for and violation of the rights of others, occurring since age 15, as indicated by 3 or more:

failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest

deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure

impulsivity or failure to plan ahead

irritability and aggressiveness, as indicated by repeated physical fights or assaults

reckless disregard for safety of self or others

consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations

lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated or stolen from another

B. at least 18 years old

C. evidence of conduct disorder with onset before age 15

D. does not occur solely during schizophrenia or bipolar disorder

Borderline A. pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity; 5 or more:

frantic efforts to avoid real or imagined abandonment

unstable and intense interpersonal relationships (extremes of idealization and devaluation)

identity disturbance

impulsivity in at least 2 areas that are potentially self-damaging

recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior

affective instability due to a marked reactivity of mood

chronic feelings of emptiness

inappropriate, intense anger of difficulty controlling anger

transient, stress-related paranoid ideation or severe dissociate symptoms

Histrionic A. pervasive pattern of excessive emotionality and attention seeking; 5 or more:

is uncomfortable in situations in which he or she is not the center of attention

interaction with others is often characterized by inappropriate sexually seductive or provocative behavior

displays rapidly shifting and shallow expressions of emotions

consistently uses physical appearance to draw attention to self

has a style of speech that is excessively impressionistic and lacking in detail

shows self-dramatization, theatricality, and exaggerated expression of emotion

is suggestible

considers relationships to be more intimate that they really are

Narcissistic A. pervasive pattern of grandiosity (in fantasy and behavior), need for admiration, and lack of empathy; 5 or more:

has a grandiose sense of self-importance

is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love

believes that he or she is "special" and can only be understood by or should associate with other special, or high-status people

requires excessive admiration

has a sense of entitlement

is interpersonally exploitive

lacks empathy, is unwilling to recognize feelings/needs of others

is often envious of others or believes others are envious of him/her

shows arrogant haughty behaviors or attitudes