![]() ![]() Experiencing excessive worry about things that are unlikely to happen. Some common symptoms of cluster C personality disorders include: Feeling constantly on edge. Comorbidity of axis I and axis II disorders. Hence they have trouble trusting others and come across as shy or timid. Oldham JM, Skodol AE, Kellman HD, et al. Descriptive and longitudinal observations on the relationship of borderline personality disorder and bipolar disorder. Gunderson J, Weinberg I, Daversa M, et al. Managing mood disorders and comorbid personality disorders. In primary care settings, physicians are most likely to encounter patients with personality disorders in the context of treating the patient for a comorbid condition, such as depression. Diagnostic and statistical manual of mental disorders, 5th ed, text revision (DSM-5-TR). Washington, DC: American Psychiatric Association 2022. These disorders can be further divided into three clusters: A, the odd and eccentric B, the dramatic or erratic and C, the anxious or fearful. Personality disorders have been categorized into three general categories or clusters: cluster A (odd/eccentric) cluster B (dramatic) cluster C (anxious/fearful). Personality disorders are characterized by unhealthy thoughts and actions, which interrupt one's day-to-day living. ![]() People with these disorders exhibit behavior that others perceive as strange or erratic. The disorders within each cluster share important characteristics. ![]() Personality disorders are associated with significant distress across these domains. While each personality disorder has different symptoms and traits, professionals sort them into three clusters: A, B, and C. Personality disorders involve a chronic pattern of both internal perception and observable behavior in at least two of the following four symptom domains: cognitive-perceptual, affect, interpersonal functioning, and impulse control. ![]() In the Diagnostic and Statistical Manual of Mental Disorders, 5th edition text revision (DSM-5-TR), the personality disorders fall into 10 distinct types: paranoid, schizoid, schizotypal, antisocial, borderline, histrionic, narcissistic, avoidant, dependent, and obsessive-compulsive. To overcome these challenges and barriers, the participants emphasized the importance of consultation, supervision, continuing education, awareness of own biases and the significance of self-care.Personality disorders refer to enduring patterns of thinking and feeling about oneself and others that significantly and adversely affect how an individual functions in the various aspects of life. Many participants spoke about personally experiencing countertransference while working with this population and that it has impacted their therapeutic relationship with patients. Data analysis revealed clinicians personally experiencing challenges and treatment interfering behaviors from their patients. Further, a qualitative study examined the experiences of licensed psychologists and student trainees under the supervision of licensed psychologists to answer the following research questions: What are the experiences of psychologist working with Cluster B PD? From their perspective, what challenges and/or barriers do they encounter? How do they overcome these challenges and/or barriers? A total of 15 participants responded to a questionnaire discussing their experience. An extensive literature review examines research on defining Cluster B PD (e.g., Antisocial, Borderline, Narcissistic, and Histrionic), current evidence-based treatments, barriers to treatment, stigma related to overall mental health and to Cluster B PD, gender and culture bias, countertransference, and burnout. This original contribution to practice explores the significance of clinician biases and countertransference in assessing, diagnosing, and treating Cluster B personality disorders (Cluster B PD). ![]()
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