Cluster B personality disorder

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Overview of Cluster B personality disorders


Cluster B personality disorders are a group of mental health conditions characterized by dramatic, overly emotional, or unpredictable thinking or behavior. These disorders are part of the DSM-5 classification of personality disorders and include Antisocial personality disorder, Borderline personality disorder, Histrionic personality disorder, and Narcissistic personality disorder.

Overview[edit | edit source]

Cluster B personality disorders are marked by difficulties in emotional regulation, impulse control, and interpersonal relationships. Individuals with these disorders often struggle with maintaining stable relationships and may exhibit behaviors that are considered dramatic, erratic, or attention-seeking.

Antisocial Personality Disorder[edit | edit source]

Antisocial personality disorder is characterized by a pervasive pattern of disregard for, and violation of, the rights of others. Individuals with this disorder may engage in deceitful, manipulative, or criminal behavior and often lack remorse for their actions.

Borderline Personality Disorder[edit | edit source]

Borderline personality disorder is marked by instability in interpersonal relationships, self-image, and emotions. Individuals with this disorder may experience intense episodes of anger, depression, and anxiety that can last from a few hours to days.

Histrionic Personality Disorder[edit | edit source]

Histrionic personality disorder involves a pattern of excessive emotionality and attention-seeking behavior. People with this disorder may be uncomfortable when they are not the center of attention and may use physical appearance to draw attention to themselves.

Narcissistic Personality Disorder[edit | edit source]

Narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy. Individuals with this disorder may have an inflated sense of their own importance and a deep need for excessive attention and admiration.

Diagnosis[edit | edit source]

Diagnosis of Cluster B personality disorders typically involves a comprehensive clinical assessment, including a detailed interview and, often, standardized questionnaires. The DSM-5 criteria are used to identify the specific disorder based on the individual's symptoms and behavior patterns.

Treatment[edit | edit source]

Treatment for Cluster B personality disorders often involves psychotherapy, such as CBT, DBT, or Psychodynamic therapy. Medications may be used to address specific symptoms, such as mood swings or depression.

Prognosis[edit | edit source]

The prognosis for individuals with Cluster B personality disorders varies. With appropriate treatment, many individuals can achieve significant improvements in their symptoms and quality of life. However, these disorders are often chronic and may require long-term management.

Also see[edit | edit source]


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Contributors: Prab R. Tumpati, MD