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Signs and symptoms

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People with personality disorders commonly experience conflict and instability in many aspects of their lives, and most believe others are responsible for their problems.

Signs and symptoms of cluster A (odd, eccentric) personality disorders may include:

Paranoid personality disorder

  • Belief that others are lying, cheating, exploiting or trying to harm you
  • Perception of hidden, malicious meaning in benign comments
  • Inability to work collaboratively with others
  • Emotional detachment
  • Hostility toward others

Schizoid personality disorder

  • Fantasizing
  • Extreme introversion
  • Emotional distance, even from family members
  • Fixation on your own thoughts and feelings
  • Emotional detachment

Schizotypal personality disorder

  • Indifference to and withdrawal from others
  • "Magical thinking" — the idea that you can influence people and events with your thoughts
  • Odd, elaborate style of dressing, speaking and interacting with others
  • Belief that messages are hidden for you in public speeches and displays
  • Suspicious or paranoid ideas

Signs and symptoms of cluster B (dramatic, emotional) personality disorders may include:

Histrionic personality disorder

  • Excessive sensitivity to others' approval
  • Attention-grabbing, often sexually provocative clothing and behavior
  • Excessive concern with your physical appearance
  • False sense of intimacy with others
  • Constant, sudden emotional shifts

Narcissistic personality disorder

  • Inflated sense of — and preoccupation with — your importance, achievements and talents
  • Constant attention-grabbing and admiration-seeking behavior
  • Inability to empathize with others
  • Excessive anger or shame in response to criticism
  • Manipulation of others to further your own desires

Antisocial (formerly, sociopathic) personality disorder

  • Chronic irresponsibility and unreliability /FONT>
  • Lack of regard for the law and for others' rights
  • Persistent lying and stealing
  • Aggressive, often violent behavior
  • Lack of remorse for hurting others
  • Lack of concern for the safety of yourself and others

Borderline personality disorder

  • Difficulty controlling emotions or impulses
  • Frequent, dramatic changes in mood, opinions and plans
  • Stormy relationships involving frequent, intense anger and possibly physical fights
  • Fear of being alone despite a tendency to push people away
  • Feeling of emptiness inside
  • Suicide attempts or self-mutilation

Signs and symptoms of cluster C (anxious, fearful) personality disorders may include:

Avoidant personality disorder

  • Hypersensitivity to criticism or rejection
  • Self-imposed social isolation
  • Extreme shyness in social situations, though you strongly desire close relationships

Dependent personality disorder

  • Excessive dependence on others to meet your physical and emotional needs
  • Tolerance of poor, even abusive treatment in order to stay in relationships
  • Unwillingness to independently voice opinions, make decisions or initiate activities
  • Intense fear of being alone
  • Urgent need to start a new relationship when one has ended

Obsessive-compulsive personality disorder

  • Excessive concern with order, rules, schedules and lists
  • Perfectionism, often so pronounced that you can't complete tasks because your standards are impossible to meet
  • Inability to throw out even broken, worthless objects
  • Inability to share responsibility with others
  • Inflexibility about the "right" ethics, ideas and methods
  • Compulsive devotion to work at the expense of recreation and relationships
  • Financial stinginess
  • Discomfort with emotions and aspects of personal relationships that you can't control

Obsessive-compulsive personality disorder is not the same as obsessive-compulsive disorder, an anxiety disorder that shares some symptoms but is more extreme and disabling.

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