The curse of the Aspergers/Avoidant/Borderline triad.

social_isolation

Today I attended a beautiful Pentecost mass that was held outdoors. The day couldn’t have been more perfect for an outdoor celebration of the descent of the Holy Spirit on Jesus’ disciples. Unlike the disciples, I didn’t experience a sudden spiritual epiphany or dramatic change in my heart, or start speaking in tongues. But as always when I attend mass, I felt God’s presence around me (if not actually IN me) and felt surrounded by peace and light.

I looked at the tall trees gently swaying in the distance, their bright spring greens illuminated in the bright sunshine against the azure blue sky, and asked God to change me, to let the Holy Spirit flow inside me and fill me with its divine gifts of empathy, unconditional love, and joy. I asked Him to make me a better person who can connect with other people on a meaningful level–and having those gifts would make it so much easier for me to do that.

The truth is, I feel that I’m lacking in all three of these gifts. I do not have NPD and therefore have no desire to act in evil or toxic ways to others, but due to my other disorders–only one of them probably not due to abuse (Aspergers)–I often feel like there’s an emotional blockage keeping me from really being able to connect with other people, to really being able to empathize and feel WITH them the way people who have not been abused and do not have these disorders can do.

This particular triad of disorders is a tragic one. Even having one of these disorders cripples you and isolates you in various ways from others and can lead to a lonely life lacking in meaningful relationships, but having all three at once is devastating. It’s so hard for me to connect with the rest of humanity except on the most abstract level and as a result I’m often so very sad and lonely.

First, being an Aspie (the only disorder I was probably born with) makes it almost impossible for me to read social cues normally and although I can socialize well enough online (because it doesn’t require me to “think on my feet”–I have time to think through what I want to say or how to respond), in the day to day physical world my Aspieness makes me appear awkward and sometimes slow when I am forced to socialize, especially with neurotypicals who don’t understand people with Aspergers, so I avoid people. Due to my awkwardness I was a frequent target of school bullies, and it didn’t take long to learn that it was best to just keep my mouth shut and say nothing. I became painfully shy, fearing ridicule and humiliation. The old adage, “Tis better to say nothing and have others believe you are daft than open your mouth and remove all doubt” has been my motto most of my life.

aspergers_cartoon

The other two disorders I have–avoidant AND borderline personality disorders–I am certain were due to years of abuse by my narcissistic mother and to a lesser extent, my codependent father who colluded with her most of the time (although I never really doubted his love for me). The AVPD (a Cluster C “anxious” personality disorder) only exacerbates my Aspergers. They feed off each other.

Avoidants shy away from social contact because of their low self esteem and overwhelming fear of rejection. As a result they are usually painfully shy but can even seem aloof or cold. Avoidants are not schizoid though (people with Schizoid personality disorder dislike other people and prefer a hermit-like lifestyle; they don’t care how others regard them): on the contrary, we WANT friends, we WANT meaningful relationships, we WANT romance, we WANT others to like us–but our fear of engaging with others due to possible rejection keeps us isolated and alone. We build a protective shell of aloofness around ourselves so we can’t be hurt. People with AVPD are risk-averse, and are likely to be underachievers due to their unwillingness to take risks that may expose them to social embarrassment.

An Aspie with AVPD is nearly–or is–a social hermit, but not out of choice, like a person with schizoid personality disorder. Making friends–a skill that comes so naturally to most people–is something most of us never mastered well, if at all. Even having a relaxed conversation or opening ourselves to another human is like rocket science to those of us with both disorders. It’s a wonder that I was even ever able to engage in romantic relationships and have a family. Of course, all the men I dated and of course the one I married were narcissistic, mirroring the toxic dynamics I had with my family of origin.

avoidant_pd
Like the girl in this cartoon, I can relate to all of this, even the refusal to play charades! I was always terrified of that game because it requires a level of being able to read social cues and an ability to think on your feet, two qualities I don’t possess. And of course, the fear of risk-taking and humiliation.

And that brings us to my borderline personality disorder. BPD is not usually marked by overwhelming shyness or social awkwardness; in fact most borderlines are quite socially adept. But their disorder, like an Avoidant, is fueled by a deep-seated fear of rejection and almost always has its roots in childhood emotional abuse or neglect, as do all the personality disorders.

Borderlines long for close relationships and actively seek them out, but then push others away if they sense the other person might pull away or reject them first. They overreact to slights and are highly sensitive to criticism or rejection. Like a narcissist, they can be difficult to deal with because of this type of selfish oversensitivity can lead them to engage in some of the same antisocial behaviors and game playing people with NPD or even ASPD are guilty of, though not usually to the same degree because people with BPD have a conscience (even if it’s stunted in some) and don’t normally actively seek to hurt others. There are exceptions though–I was shocked and dismayed to read that both the murderer Jodi Arias and serial killer Aileen Wournos were both diagnosed with BPD, though in Wournos’ case, she was also comorbid with ASPD. Still, most borderlines, when they are made aware of how they have hurt their loved ones, feel remorse–but their guilt and shame can make them feel worthless and lead to self-destructive behaviors. It is not a fun disorder.

Though Borderlines are more likely to be self-destructive instead of deliberately destructive to others, this self destructiveness causes huge problems in their ability to form meaningful relationships, and due to their “go away–come closer” way of relating to others, their relationships are usually stormy and short-lived.

lucy_charlie
Sometimes I feel like either Lucy or Charlie Brown (who I’m pretty sure would have AVPD), and sometimes both of them at once.

I am cursed with the overwhelming shyness and social anxiety of Aspergers and AVPD, but during the rare times I have been able to form relationships or friendships, sooner or later I push those people away in some form or another–not because I want to, but because I either become so afraid of rejection I reject the other person first–or more frequently, unconsciously do something to make the other person leave me. BPD is very maladaptive to the sufferer–it tends to bring on the very thing the Borderline fears the most–rejection.

I was diagnosed with BPD in 1996 during a three month long hospitalization for major depression. At the time, I also had PTSD from being a victim of abuse by a malignant narcissist husband, who gaslighted me constantly and even tried (but eventually failed) to turn my own children against me. During that hospital stay, I was given a copy of Marsha Linehan’s excellent manual for BPD, “Skills Training Manual for Treating Borderline Personality Disorder.Dr. Linehan is a borderline herself (she had originally been diagnosed with schizophrenia but felt her “schizophrenia” was really a manifestation of her BPD). The techniques in the book are a form of DBT (dialectical behavioral training) which teaches the Borderline patient to act mindfully–to think before they act and consider consequences, because Borderlines (unlike people with NPD) act on impulse when they feel threatened.

linehan_book
Linehan’s excellent manual can be ordered here.

Linehan’s book helped immensely and since my long-ago hospital stay, I have learned to control many of my borderline symptoms. In fact I have become so good at it I rarely fly off the handle the way I used to or overreact to the degree I used to do. I still have my copy and have recently begun doing some of the excercises again because I still know there’s a LOT of room for improvement.

Like NPD, BPD doesn’t just go away. All personality disorders are incredibly hard to cure because they have become so much a part of the individual’s personality. There are still many times I unwittingly either push other people away OR get too close (or do both at the same time); I still have problems with understanding where other people’s boundaries begin and end. I also feel like there is a wall there keeping me from really being able to empathize with other people in a normal way. I can empathize in an abstract sort of way (it’s hard to explain what I mean by that but the empathy I do feel is sincere). It’s just so hard for me to connect on a meaningful level because I fear rejection so much. I want to be a friend to others; I want to make others happy; I want to be able to fully share in their emotions, good or bad–but I find it all so hard–not just because of my BPD, but my fear of engaging with others in the first place due to Aspergers and AVPD. This triad has been a huge curse all my life. But at least I know what my problem is. I’m what you would call “complicated.” I have my work cut out for me.

hope

Having all three disorders has made my life incredibly difficult and my relationships–when they exist at all–have been stormy or don’t last. But I don’t feel that I’m beyond hope. In fact, I’ve been feeling much better about myself since I started blogging and accepted God into my life. I do feel that He is changing me in a very meaningful and deep way. Maybe it’s not happening as quickly or dramatically as I had hoped, but it’s happening. I am feeling more ability to empathize with others and feel moments that come very close to pure joy. I have always had a great capacity to feel guilt and shame, so that has never been a problem. For a person with a Cluster B disorder, my conscience is probably TOO well-developed. I apologize for things I haven’t even done. Sometimes I feel like I’ve spent my entire life apologizing for my existence. I hate the idea of being a bad or evil person. I like it when I know I’ve made someone else happy. Those times when I can make others happy are becoming more frequent, and I think that’s a step toward healing. I’m also happy to report that my lifelong problem with envy appears to be disappearing. Envy is so toxic–mostly to the person harboring it. It’s a great relief to have that particular monkey off my back most of the time now.

So today’s celebration of Pentecost had special meaning, because even though I wasn’t knocked to my knees by the Holy Spirit, I felt a deep sense of peace, centeredness and just “being in the moment” that has always eluded me. I felt a genuine desire to become a person who can make a positive difference in the lives of others and can feel unconditional love even for those I do not know well. Now I just need to overcome my fear of engagement with others, but I have faith that in time that will happen too, and when that happens, a whole new world will open up to me as the walls I built at an early age begin to crumble and reveal the me I want to be–which is really the me God meant for me to be.

Never give up hope. Ever.

Narcs who use therapy to gaslight their victims.

flying_monkeys2

This discussion came up as a comment on another post, and I decided it would make an interesting topic for a new post.

A frequent commenter (Mary Pranzatelli) pointed out that among psychotherapists, there is little understanding of the Cluster B disorders, including NPD, which may be one of the reasons why these disorders are so difficult to treat. They wind up treating the wrong disorder, or more accurately, they stop short by treating the presenting disorder (depression or anxiety) but not the underlying one that led to it (the personality disorder).

An example of this would be a narcissist (or a borderline) who comes into therapy for depression caused by the end of a relationship. The therapist sees the dysphoria and depressed body language, and the client is only interested in relief of their depression. They have no interest in getting treatment for their narcissism because the way they see it, the personality disorder that led to the end of their relationship (and resulting depression) isn’t a problem. In most cases they don’t even know they have a personality disorder.

The therapist, knowing little about NPD or personality disorders, treats the client for the depression only, and when the client feels a bit better, they leave, only to wind up in a new relationship that is also destined to end because the underlying NPD will still cause them problems in their next relationship.

Mary also pointed out that therapists unknowingly aid narcissists in the abuse of their victims. I agree because I have seen this happen with my ex. My ex (unlike most narcs) has always been open to therapy, but only for his depression/anxiety, not for his narcissism. Being a “willing client” aids him in his “victim” mask. He isn’t in therapy to get any real help, but to “look good,” eg, look pathetic and abused. It helps his case.

flyingmonkey

All his therapists aided him in his gaslighting of me. He had them believing HE was the victim and I was the abuser. Once when we were in marriage counseling (which was my idea!), he had the marriage counselor scolding me for trying to “control” him. Ha! This was shortly before I was hospitalized for major depression (and diagnosed with borderline PD myself).

In this way, some narcissists use therapy as a way to gaslight their victims (who become their “abusers”) and the therapist becomes a flying monkey!

NPD vs. BPD: they are not the same thing!

BPD-Awareness

Articles like this one make me want to rage. The author, Doug Bartholomew, a licensed social worker, believes that people with Borderline Personality Disorder (BPD) are pretty much the same as people with Narcissistic Personality Disorder (NPD). He even goes so far as to say BPD’s, along with NPDs, fit the criteria for M. Scott Peck’s “People of the Lie.”

Wait just one second. Peck’s People of the Lie don’t even include all narcissists–his definition describes those with Antisocial Personality Disorder and malignant narcissism (there’s a huge difference even between MN’s and garden variety narcissists–a malignant narcissist has ill will toward others and decided antisocial traits while a “benign” narcissist isn’t necessarily ill-intentioned but is just self centered and doesn’t care about your feelings). Peck never said all manipulative people (people with one of the four Cluster B personality disorders) were by nature evil, but evil people is what his book is about.

At the same time I understand where Bartholomew is coming from. On the surface, people with BPD can be manipulative and even resort to some of the same unpleasant tactics and mind-games (gaslighting, etc.) that narcissists like to play. They can appear to lack empathy, because they get so caught up in their own drama that they can literally forget that others exist. They can be demanding, high maintenance and prone to irrational rages (just like narcs) but are far more likely than narcs to turn their rage inward and become self-destructive or even suicidal.

Narcissism Clinic.
Not much to do with this article, but I couldn’t resist.

Borderlines also usually regret their acting-out and selfish or manipulative behaviors when the crisis has passed or their bad behavior is called out to them. They may be self-centered and impulsive but are not lacking remorse or the ability to feel shame and guilt. The problem with Borderlines is they tend to act as they feel at the moment without thinking things through. They can get so caught up in their own fear of abandonment that they almost literally forget that you have feelings too. However, after the fact Borderlines usually will feel remorseful and ashamed of their behavior, and on top of that, realize that their offputting behavior may cause others to do what they fear the most–abandon them.

Bartholomew also states that all Cluster B disorders are characterized by a lack of empathy:

The overwhelmingly most commonly mentioned behavior or trait associated with all the Cluster B Personality Disorders is a lack of empathy or compassion. They seem unmoved by the effect their behavior has on their loved ones other than what is necessary to keep their loved ones engaged and around. It is as if they were tone deaf or color blind to the feelings and experiences of others.

While it’s true that people with NPD and ASPD are characterized by a lack of empathy, I disagree that this is true of people with BPD. I think this is a gross overgeneralization.

Borderlines can feel empathy, but due to their impulsiveness and fear of abandonment, they can act in selfish, defensive, and manipulative ways that may hurt others (but they hurt themselves even more so). However, unlike malignant narcissists and people with ASPD, Borderlines do not set out to hurt others and they do care how others feel. Unfortunately their good judgment is clouded by their disorder which makes it difficult or impossible for them to regulate their emotions. That’s why they act so impulsively and often fail to think things through before they act out. It’s also why their relationships tend to be stormy and short-lived.

BPD_cartoon

A person with BPD does not wear a mask or have a “false self” like someone with NPD–but their fear of abandonment can cause them to knowingly or unknowingly push others away. Their ambivalence in relationships can be very confusing to others–they can seem to adore you one moment, and then hate you the next. They can seem needy and rejecting by turns. When others grow tired of this crazymaking and confusing “I hate you, don’t leave me” behavior and finally leave them, the Borderline genuinely doesn’t understand what they have done to drive the other person away, and so they become even more fearful of being abandoned. Their behavior is maladaptive because it tends to cause the very thing they are trying so desperately to avoid.

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We are just burning toasters.

A much better description of the similarities and differences between Borderlines and Narcissists can be found in “Borderline vs. Narcissistic Personality Disorder: How Are They Different?” from the Clearview Women’s Center’s website.

While the two disorders, both being part of the Cluster B group of personality disorders, do have overlapping symptoms and are often confused with each other and/or misdiagnosed as the other disorder (with males being far more likely to be diagnosed with NPD and females with BPD), this author, unlike Bartholomew, understands that both the motives and mechanics of the disorders are quite distinct from each other:

[…]both BPD and NPD deal with conflict in a way that is unhealthy to themselves and those around them. It’s the expression of the anger that results from the conflict that is different.

In her article “Blame-Storms and Rage Attacks,” Randi Kreger, co-author of Walking on Eggshells, points out the difference in how those with BPD and NPD express anger. While those with Borderline Personality Disorder may fly into a rage and push people away, they will often calm down, feel shame for their reaction, and promise never to do it again.

“Unless they’re in treatment, the underlying issues don’t go away. Some conventional [borderlines] do not get angry at all, but hold it in or express it inwardly through self-harm,” says Kreger.

“The anger of narcissists, on the other hand, can be more demeaning,” she continues. “Their criticism evolves from their conviction that others don’t meet their lofty standards — or worse, aren’t letting them get their own way.”

Cluster B personality disorders and the emotional thermostat.

If you think of the Cluster B (“dramatic”) disorders (characterized by either too much emotion or the masking of true emotions) as malfunctions or problems of the sufferer’s “emotional thermostat,” their differences make more sense. The emotional thermostat determines how a person handles their own emotions or reacts to those of others.

emotional_thermostat

Borderline Personality Disorder (BPD): inability to regulate emotions (a thermostat that works but is having problems–cutting on the heat or air when it isn’t needed or shutting it off when it is, but half the time works perfectly). This explains their ambivalence in relationships (“I hate you…don’t leave me,” “go away, come closer.”)

Histrionic Personality Disorder (HPD): inability to control emotions (a thermostat that is always on High and blasting heat even when it’s already too hot). That’s why they overreact to everything.

Narcissistic Personality Disorder (NPD): inability to access true emotions (a thermostat that sets to “cold” and turns on the air conditioner when heat is needed, and “hot” and turns on the heat when the air conditioning needs to be on). This explains their lack of empathy and show of fake emotions that may not fit a given situation.

Antisocial Personality Disorder (AsPD–psychopathy, sociopathy): total inability to empathize or respect the rights of others (a broken thermostat that doesn’t work at all.) People with ASPD are unable to feel any emotions except rage.

Lies my narcissists told me.

lies_honesty

I was told many lies about myself while growing up within my my FOO (family of origin). I have no doubt this had everything to do with my developing Borderline Personality Disorder (BPD), Avoidant Personality Disorder (AvPD), and lifelong severe anxiety.

Why personality disorders are so difficult to cure.
Personality disorders (PD’s) are formed very early in life, normally before the age of six–which is the reason they are so hard to cure. Because the child’s personality is still in a malleable state (meaning it hasn’t fully formed) until around age 5, PD’s become an integral part of the personality and therefore can be extremely difficult to eradicate because they were formed so early the child doesn’t believe it’s a problem, just the way things are. Their misery seems normal to them. They know nothing else.

Of course some PD’s are more amenable to treatment than others, and sufferers of some PD’s, such as Avoidant, Dependent, and sometimes Borderline, are much more likely to seek treatment than those with, say, ASPD (antisocial personality disorder), NPD (narcissism), or Schizoid PD.

Lies I was told growing up.

sensitive_people
As the family Scapegoat (and occasional Golden Child which I’ll explain later in this article), here are some of the lies I was told while I was growing up:

“You’re too sensitive!” — This one’s the Big Kahuna for many of us ACONs, especially if we’re also HSPs (highly sensitive people) by nature. “You’re too sensitive” isn’t so much a lie as it is a verbal twisting of a wonderful gift and ability to see the Truth into something…more resembling an embarrassing defect. Narcissistic lies sometimes appear in the form of turning something good into something shameful and bad, and vice versa.

“You have no sense of humor.” (see above)

“You don’t really want that.” (the parent is telling the child what they really think–this will just cause confusion and identity issues for the child)

“No one wants to know how you feel.” (so we learn to swallow our pain and lock up our emotions)

“You cry too much.” (I had to unlearn this–unfortunately I unlearned it too well and now find it difficult to cry even when I know I need to)

“You don’t know what you’re talking about.” (invalidation and devaluation)

“You know you don’t really think that.” (massive mindfuckery)

“You don’t really want to join the swim team. You know you don’t like competition.” (see above–the real message here being “you are a weak, pathetic, scared loser” to really drive the message home)

“You’re too fat/heavy/even ‘obese’ (I was never more than 120 lbs at 5’4” as a teenager)

“They don’t like you because you’re always so unpleasant to be around.” (Real nice)

“You never smile and it makes your face look unpleasant.” (Fake Narc smiles look even more ‘unpleasant’)

“You read too much.” (okay…would it be better if I snorted Smarties instead or went around throwing rocks through the neighbors’ windows?)

“You know you’re not really good at that.” (whenever I wanted to try something I hadn’t tried before)

“You know you can’t do that, let me do it.” (I wanted to wash the dishes when I was 6)

“You’re too idealistic” (mmmkay…and that’s a bad thing?)

Because I was raised as an only child (I had half-siblings who did not live with us), I also served as the Golden Child. So I also heard lies like,

“They’re just jealous of you because you’re prettier than they are.” (even as a first grader, I knew this was bullshit).

child_on_pedestal

“They’re just jealous of you because you’re smarter than they are.” (my grades weren’t much above average, in spite of having a high IQ)

“You are more talented than they are.”

“We have better genes than those other people.” (Narc genes?)

“You come from a better family than your friends do.” (I call bullshit on that.)

You were the best dancer in the school play.” (I have two left feet and even my dog would have known that was an outrageous lie).

It doesn’t stop when you go No Contact.

flying_monkeys

These are some of the lies told about me by my mother to her sycophants (the ones I’m aware of):

“She’s a loser just like her ex-husband” (Nice.)

“She always makes such terrible choices.” (True, but there were extenuating circumstances at those times she would never understand)

“If only she had done what I told her.” (If only I had had the courage to take a few risks-I am extremely risk-averse)

“If only she had listened to me.” (Again, if only I had taken a few risks and not been so afraid of my own shadow)

“She’s a nothing.” (I guess that’s why people tend to always talk over me, look through me, and never hear what I have to say in group or social settings–where I FEEL like a nothing)

“She was ruined by her ex” (this is a half-truth…but RUINED? Really? Let’s tone down the hyperbole, shall we?)

“She will always be poor.” (and the poor are always with us, right?)

“She will never achieve anything.”

“She can never stick with anything.” (This has actually been true but has gotten a lot better)

“She has mental problems.”

“She is sick in the head.”

Ad nauseam…

Conflicting messages as Scapegoat/Golden Child

ConflictingMessages

Black-and-white thinking (idealizing/devaluing) and outrageous contradictions prevailed in my FOO.
As both Scapegoat and Golden Child, I was receiving two sets of messages (sometimes both at the same time), such as, “You know you don’t really want that, because you’re too sensitive, you hate competition and you are smarter than they are.”
I think you get the idea.

Being raised with conflicting sets of messages and being treated as beloved/rejected child at once was incredibly crazymaking.

Borderline Personality Disorder (or even narcissism!) and Avoidant Personality Disorder (I have both BPD and AvPD) both seem like logical, almost sane reactions to having been raised with two conflicting sets of messages–I was either all bad or all good, with no in between.

And finally, it doesn’t end there. Raised by narcissists, I married one even worse. A narcissist so malignant he made my parents look like empathic light beings in comparison. I was trained to be Supply and was WAY too good a student. If awards were given for Learning How to Be Narcissistic Supply, I would have been valedictorian.

Lies my psychopathic narcissist ex-husband told me.

gaslighting

Following are the lies my malignant narcissist sperm donor told me about myself and also told all the flying monkeys he had succeeded in turning against me (some of who included my friends) over 28 years. This led to my PTSD and clinical depression (where I had to be hospitalized for suicidal ideation). Most of these were projections of his own character flaws onto me.

“You are selfish/self-centered.”

“You always overreact to everything.”

“You never listen to me”

“You don’t care about me or my problems.”

“You have no empathy for me.”

“You are narcissistic.”

“You are becoming just like one of them” (he was referring to Republicans, who he hates)

“Oh, so now you’re living the high life?” (when I took in a roommate while he was homeless)

“You are a b**ch, c*nt, Tw*t, whore.”

“You are stupid.”

“You have no common sense.”

“You’re insane.”

“There’s something wrong with you.”

“You’re just like your family–all crazy.”

…as well as a constant barrage of hateful sarcasm at my expense, whether there were people present or not. If I objected to this mean spirited “humor,” I was told–WHAT ELSE???–I was “too sensitive” or “have no sense of humor.”

Because of having grown up in the midst of a labyrinthine web of lies, and then marrying into another one, I have always valued Truth. That’s why I put a premium on complete honesty, at least in my writing.
Not that I don’t ever lie–we all do, it’s part of the human condition. But I am very aware of dishonesty when I see it and won’t hesitate to call it out in others.

I just took a personality disorders test…

SimilarMinds.com: http://similarminds.com/personality_disorder.html

The results–
I’m highest in Avoidant (which makes sense to me), followed by Dependent, Paranoid and Schizoid (makes some sense). Borderline in 5th place tied with Antisocial??? WTF?!!?

Personality Disorder Test Results

Paranoid |||||||||||||| 58% 50%
Schizoid |||||||||||||| 57% 40%
Schizotypal |||||||||||| 44% 56%
Antisocial |||||||||||||| 52% 46%
Borderline |||||||||||||| 52% 45%
Histrionic |||||||||||||| 51% 52%
Narcissistic |||||||||||| 42% 40%
Avoidant |||||||||||||||| 64% 48%
Dependent |||||||||||||| 60% 44%
Obsessive-Compulsive |||||||||||| 49% 45%

*scores [on the right hand side] are the average web score

Test Note: Read the descriptions below to avoid misinterpreting test results (for example, the Antisocial classification does not mean you are a loner, it means you tend to be insensitive towards others).

Disorder Info

Eccentric Personality Disorders: Paranoid, Schizoid, Schizotypal

Individuals with these disorders often appear odd or peculiar.

Paranoid Personality Disorder – individual generally tends to interpret the actions of others as threatening; preoccupied with suspiciousness/paranoia. They are stuck between their need for others and their mistrust of others.
Schizoid Personality Disorder – individual generally detached from social relationships, and shows a narrow range of emotional expression in various social settings; emotional zombies who stopped feeling due to trauma(s) and/or can’t feel due to organic depression
Schizotypal Personality Disorder – individual is uncomfortable in close relationships, has thought or perceptual distortions, and peculiarities of behavior; preoccupied with seeing themselves and/or the world as strange/odd

Dramatic Personality Disorders: Antisocial, Borderline, Histrionic, and Narcissistic

Individuals with these disorders have intense, unstable emotions, distorted self-perception, and/or behavioral impulsiveness.

Antisocial Personality Disorder – individual shows a pervasive disregard for, and violation of, the rights of others; Preoccupied with disdain/contempt for others and often a need for control/power over others.

Borderline Personality Disorder – individual shows a generalized pattern of instability in interpersonal relationships, self-image, and observable emotions, and significant impulsiveness. Core issue is an inability to regulate emotions.

Histrionic Personality Disorder – individual often displays excessive emotionality and attention seeking in various contexts. They tend to overreact to other people, and are often perceived as shallow and self-centered. Core issue is attention addiction.

Narcissistic Personality Disorder – individual has a grandiose view of themselves, a need for admiration, and a lack of empathy that begins by early adulthood and is present in various situations. These individuals are very demanding in their relationships. Core issue is entitlement.

Anxious Personality Disorders: Avoidant, Dependent, Obsessive-Compulsive

Individuals with these disorders often appear anxious or fearful.

Avoidant Personality Disorder – individual is socially inhibited, feels inadequate, and is oversensitive to criticism. Core issue is an inability to resolve their codependent need for connection with their codependent fear of rejection and/or discomfort/anxiety around others.

Dependent Personality Disorder – individual shows an extreme need to be taken care of that leads to fears of separation, and passive and clinging behavior. Core issue is the need to be parented by others (i.e. avoid growing up / becoming self-sufficient).

Obsessive-Compulsive Personality Disorder – individual is preoccupied with orderliness, perfectionism, and control at the expense of flexibility, openness, and efficiency. Core issue is mental and behavioral rigidity/inflexibility.