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it's 19 Sep, 2024 7:09 pm

Dealing with Personality Disorder

Health Area(s): Anxiety, Compassion Fatigue, Depression, Emotional, General Health, Personality Disorder, Personality Types, Physical, Social, Stress
Health Area(s): Anxiety, Compassion Fatigue, Depression, Emotional, General Health, Personality Disorder, Personality Types, Physical, Social, Stress

field_5f0c304c72876 - is the title of the exercise

Exercise Summary

In many instances a serious personality disorder requires professional medical help. But there are some basic things people can do to self help.
Personality disorders
Personality describes the characteristic patterns of thinking, feeling and behaviour that make up who we are and how we feel about ourselves. For most people this remains fairly consistent across situations and time. For some individuals, however, they may experience difficulties in how they think and feel about themselves and others.

For someone experiencing a personality disorder (PD) these difficulties are ongoing and problematic, negatively affecting their well-being, mental health and relationships with others.

It is difficult to find a comprehensive definition for these conditions, which include Borderline Personality Disorder (BPD) and Anti-Social Personality Disorder (ASPD), as the concept of personality and self are difficult to define. Because of this difficulty, PD can often go unrecognised and undiagnosed for a long time. These conditions are however common conditions in our society and around 1 in 20 people in Britain have a PD.

A PD affects how an individual copes with life, how they manage emotions and connect with other people. People with a PD may find that their beliefs and attitudes are different from most people who may find their behaviour unusual, unexpected or even offensive at times. As a result, individuals with PD’s may have difficulties with:

making or maintaining relationships
connecting with other people, including friends, family or work colleagues
managing and controlling their emotions
coping with life and difficult feelings
controlling their behaviours and impulses.
As a result, individuals with PD’s may feel isolated and alone. Individuals with these disorders are at a higher risk of suicide, with higher levels of self-harm and drug/alcohol abuse being reported by individuals as methods of coping with these difficult and overwhelming emotions and feelings.

There is also a higher risk of experiencing other mental health conditions, such as depression, with PD’s.

Due to the complexity and impact of these disorders there is growing acknowledgment that PD’s are a major mental health issue that needs further attention and investment within mental health.

Types of Personality Disorder
There is a difficulty in defining the range of PD’s that are experienced. There are currently ten distinct types of PD that fall into six personality types.
These categories include:

– borderline personality disorder (BPD)
– obsessive compulsive personality disorder (OCPD)
– avoidant personality disorder (AvPD)
– schizotypal personality disorder (STPD)
– antisocial personality disorder (ASPD)
– narcissistic personality disorder (NPD).

These six PD types, or ‘clusters’, replace the three previous categories of ‘suspicious personality disorders’, ‘emotional and impulsive personality disorders’ and ‘anxious personality disorders’ and also include a diagnosis of Personality Disorder—Trait Specified (PD-TS) that could be made when a Personality Disorder is considered present, but the criteria for a specific PD are not fully met.

There is much debate about the use of diagnostic categories for PD’s with many people feeling that such categories are judgemental, and the label stigmatising. For example negative associations have been made between these conditions and crime. While this may be true for some individuals with PD’s this is a generalisation and not the case for many people with this condition. For example, some people with anti-social or psychopathic PD may be dangerous, people diagnosed with BPD or PPD are more likely to harm themselves or take their own life. See PersonalityDrive for more info.

Main Activity

Study, educate and create an action plan of activity

Treatments and self management strategies

There is not a lot of self help available in terms of Personality disorders. We strongly advise you visit your GP for guidance.

This activity focuses on understanding more about the problem.

Very little research has been undertaken examining effectiveness of treatments for PD’s. However it is widely accepted that these conditions may be managed well with talking therapies leading to improvement for many individuals.

Treatments for PD’s may include Psychodynamic Psychotherapy, Cognitive Behavioural Therapies, Therapeutic Communities (TC) and medication, as outlined below.

Psychodynamic treatment
This treatment emphasises personality structure and development. It aims to help people understand their feelings and to find better coping mechanisms. This approach has shown varied success and it is likely to be less effective for those with addiction and/or ASPD.

Cognitive and Behavioural Therapy
Cognitive and behavioural therapies, such as cognitive therapy, dialectical behaviour therapy, interpersonal psychotherapy and cognitive analytic therapy can be helpful, particularly for BPD. Most cognitive behavioural approaches address specific aspects of thoughts, feelings, behaviour or attitude, and do not claim to treat the entire PD of the person. Research suggests that there are some short-term benefits to these approaches but more research is required into the long-term benefits.

Therapeutic Communities (TC)
The TC approach involves living in a therapeutic community for several months. Engagement in therapy is voluntary and the responsibility for the day to day running of the TC is shared between patients and staff. Members of the TC are encouraged to talk about their feelings, and particularly their feelings about each other’s behaviour. This encourages them to think about the effect of their own behaviour on other people. The effect of TC for people with PD is still being researched but early findings suggest this may be a promising approach and valuable in improving mental health and well-being for those affected by PD’s.

Medication (pharmacological treatments)
Currently there is no one medication that is used solely in the treatment of PD. However guidance by NICE suggests that medication can be used to help treat and alleviate other co-occurring problems such as depression, anxiety and psychotic symptoms, particularly for BPD.

We suggest a frequency of: Weekly
and it could last 1
hours

Video

Title

Summary

Play

How to Spot the 9 Traits of Borderline Personality Disorder
Watch our full exclusive series with Dr. Ramani on BPD HERE: https://bit.ly/3coRNzc​Here’s how to spot the 9 traits of borderline personality disorder (BPD).MedCircle host Kyle Kittleson sat down with Dr. Ramani Durvasula to discuss how to spot the 9 traits of a highly misunderstood mental health condition, borderline personality disorder.She answers: What are the trademarks of borderline personality disorder? What does it feel like to have borderline personality disorder? How is BPD different from other personality disorders? How is BPD different than bipolar disorder? What are the 9 traits of borderline personality disorder? Do you have to have all 9 traits to receive a BPD diagnosis?Dr. Ramani ends the interview with tips for helping a loved one who might have borderline personality disorder.
Borderline Personality Disorder: 4 Things We Want You To Understand
Mental health professionals estimate approximately 1.6% of the population meets criteria for borderline personality disorder (BPD), so chances are you have at least one friend with BPD. Unfortunately, the borderline personality disorder symptoms and behaviours associated: such as manipulation, self-harm, and emotions like an intense rollercoaster–can make staying friends difficult. Since we already did a video on things your friend with depression or anxiety wants you to know, we thought we cover one on BPD too. Hopefully, you will find this video helpful.

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Add a comment

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All areas of health are interlinked

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Find your initial focus

You might think that physical, financial and mental health are quite separate, and for some people they are. However, often a problem in one area has a knock-on effect on others. Losing your job can lead to anxiety and depression, which can turn you to drink and impact your health.

You might have a severe issue in one area but that can lead to problems in other areas, and the people treating you for the first problem won’t be equipped to deal with these linked issues.

For example, doctors and nurses can treat you for a physical problem but can’t advise you about your job or finances.  Nor for the anxiety that comes with it, apart from prescribing some drugs, which might or might not be the best solution.

We encourage you to take a holistic view – we look at all areas and offer support across the whole spectrum.

health areas interlinked

Even this view of health is simplistic, as you’ll discover later if you go down that route.  You might want to consider overall health, or wellness or wellbeing, which include additional types of health, such as occupational health (how you are in your job).   Then there’s happiness and quality of life – how do these fit?

If you’re interested in that, click the link here to see more information.

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Health Areas in Domains

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Domains

We break down the overall concept of health or wellness into ‘bite-sized chunks’ that we can actually do something about.  The first level we call health domains. 

We like the Life of Wellness site and we have chosen the following domains.

1. Emotional Wellness: Awareness and acceptance of feelings
2. Spiritual Wellness: A search for meaning and purpose
3. Intellectual Wellness: Recognition of your creativity, knowledge and skills
4. Physical Wellness: Need for physical activity and balanced nutrition
5. Environmental Wellness: Positive awareness and impact on your environment
6. Financial Wellness: Debt reduction, cash flow balance or financial future planning
7. Occupational Wellness: Personal achievement and enrichment from your career
8. Social Wellness: Contribution to your community

Health Areas

Within each domain, we have included a number of health areas. These are specific issues that you can tackle.  Within each health area, e.g. Depression, we have built additional information and exercises which you can do to help in the area. You can create your own Action Plan to address this area, and see

Emotional: Anxiety, Compassion Fatigue, Depression, Gambling, Laughter, Narcissistic, Personality Disorder, Sleep, Stress

Environmental: Environmental Issues, Greenness

Financial: Debt, Family Finance, Financial Planning, Financial Wellness

Intellectual: IQ, Personality, Procrastination

Occupational: Jobs for Different Personality Types, Retirement Income, Work Life Balance

Physical: Alcohol, Disabilities, Dizziness, Drugs, Fitness, Food Preferences, General Health, Healthy Ageing, Illness, Nutrition, Sleep Apnea, Smoking

Social: Communication Skills, Communication Styles, Domestic Abuse, Emotional Abuse, Love Partnerships, Mental Abuse, Parenting Styles, Sexual Addiction

Spiritual: Are You Sensitive, Mystical Guidance, Spirituality

Each health area has supporting information and its own questionnaire.

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Understand Health

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Physical, financial and mental health

One definition of health is:

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. 

The NHS define health as: ‘We use a broad definition of health that encompasses both physical and mental health, as well as wellbeing. This means we are not only interested in whether or not people are ill or have a health condition, but also in how healthy and well they are.’

We believe we also have to consider financial health, as this can easily impact physical and mental health. Click the button to see an example of how these are connected.

 It gets more complicated…

What is Health? How about Wellness, Wellbeing or Happiness?

The Active Wellbeing Society (TAWS) define Health as a state of the overall mental and physical state of a person; the absence of disease. They define Wellbeing or wellness as a way of life that aims to enhance well-being and refers to a more holistic whole-of-life experience which also includes emotional and spiritual aspects of life.  We expand on this definition of health to include financial health and mental health, to make it synonymous with wellbeing or wellness.  

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Health domains

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We break down the overall concept of health or wellness into ‘bite-sized chunks’ that we can actually do something about.  The first level we call health domains.

We like the Life of Wellness site and we have chosen the following domains.

1. Emotional Wellness: Awareness and acceptance of feelings
2. Spiritual Wellness: A search for meaning and purpose
3. Intellectual Wellness: Recognition of your creativity, knowledge and skills
4. Physical Wellness: Need for physical activity and balanced nutrition
5. Environmental Wellness: Positive awareness and impact on your environment
6. Financial Wellness: Debt reduction, cash flow balance or financial future planning
7. Occupational Wellness: Personal achievement and enrichment from your career
8. Social Wellness: Contribution to your community

wellness wheel

Health Areas

Within each domain, we have included a number of health areas. These are specific issues that you can tackle.  Within each health area, e.g. Depression, once you have subscribed we have built additional information and exercises which you can do to help in the area.

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See which domains you should address

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Having established that we use 8 domains, you need to understand which you should concentrate on.

The 8 are:

  • Emotional
  • Environmental
  • Financial
  • Intellectual
  • Occupational
  • Physical
  • Social
  • Spiritual

 

You can take a questionnaire, which scores you in each domain.  You can decide which domains you are strong in, and which you need to improve.

Another analysis shows which domains you should look at, but also which domains you want to look at.

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Locus of Control

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  • We want to help people in all aspects of their health  – physical, financial and mental. We also provide detailed explanations of how overall health (or well-being) is measured.
  • We believe these things are often linked, so we try and address health holistically. We are building templates, questionnaires and exercises to help you identify what’s important to you.
  • We think people should try and take responsibility for  of their own health as much as they can.  See below for what that means.

People look at things differently.  Some people believe things happen to them, while others believe they can influence what happens to them. Technically this is called the ‘locus of control’.  People can have an Internal or external Locus of Control

So how do you see things?

Psychology Today have a 15 minute test which gives you a summary of your position you can buy the detailed results if you want to.

My Personality Test have a 10 minute test which gives you a summary.

People tend to take more responsibility (locus gets more internal) as they get older.  However, external isn’t always bad – for example if you are physically unable to do some things you can accept it and focus on the things you can do.  This American video explains the concept and gives examples of how this can affect relationships.

locus of control

Internal

  • More likely to take responsibility for actions
  • Tend to be less influenced by others

External

  • Blame outside forces for what happens
  • Don’t believe they can change their situation themselves

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Add your attitude to change - see how you view changes in your life

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Do you need to change?

No matter how healthy you are at the moment, the chances are that there are some areas you could improve. It may be that you have a real problem in one or more areas, and you would like to make some improvements.

At YouDrive we accept that there are many different degrees of ‘not wellness’ in a large number of different health areas, ranging from physical illness such as covid-19 through mental illness such as anxiety through to financial problems like debt.  We try and help where the problem ranges from ‘slight’ to quite bad’ – after this expert help and intervention may be needed.

However, especially in these times, we have to try and make these changes ourselves, possibly with some help from others, whether remotely or face to face.

The thing is, to make an improvement we have to change some things.

This involves changing our behaviour in some respects, and that’s not always easy.

Henry Ford, the creator of the assembly line, is quoted as saying “if you always do what you’ve always done, you’ll always get what you’ve always got”.  

henry ford

Another way of looking at this: “The definition of insanity is doing the same thing over and over again and expecting a different result.” – attributed to Albert Einstein.

Consequently we need to make some changes.  The problem is that we have already developed a lot of habits, some of which we need to break and replace by better ones.  Some of our bad habits have become entrenched, and the bad results they create in turn engender further bad habits to develop – in effect the bad habits can feed on themselves.

We need to understand how we can make changes and stick to them, and that’s what this part of your health profile is about.

It will involve some learning, through reading, some videos and some additional information and also seeing how you react to change currently.

It will also ask you to consider whether you feel you are in charge of your future, or whether you feel it’s all fate.

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Assess your overall health using a health questionnaire

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At YouDrive we try and help people improve their health. We use ‘health’ but we understand there are other terms such as wellbeing or even happiness that reflect how we are doing in our lives – if you’re interested in the different definitions and ideas see our page on the subject.

We want to help whether you have a particular problem – physical, financial or mental – or if you just want to improve some specific part of your life or just make some improvements overall.

You’d be surprised, but there has been a serious amount of scientific work done in this area over the last twenty years.

So first we allow you to assess your current health (or wellbeing, or happiness).  We do this by questionnaire.  Which one is determined by the type of person you are:

  1. You understand yourself well and want a quick overview of your health and wellness, and will drill down in any areas needing work
  2. You want to do a more detailed assessment and then focus on areas you’re already aware of
  3. You want to look at the whole situation in more detail across all the health domains.

By the way, we take your privacy seriously – we collect information that you choose to provide but we de-identify it as much as possible and will never share it with anyone without your explicit consent.

You can then drill down into some specific areas and there are more questionnaires to see your situation in these particular areas.  We provide you with specific information and refer you to other potential aspects of help. Our next step is to build a personalised action plan – for now we will make a suggestion for you to develop your own plan and then after a time you can see whether this has had a positive impact by retaking the test.

In future we will be engaging with medical and behavioural specialists to devise action plans for individual people with specific situations.

We have an overall questionnaire which you can complete which will assess your current state.

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Values, Attitudes and Beliefs

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We all have our beliefs, attitudes and values – these have developed throughout our life based on who we are and what we have done. Let’s look at what these are.

The University of Reading explain: “People’s values, beliefs and attitudes are formed and bonded over time through the influences of family, friends, society and life experiences. So, by the time you’re an adult, you can hold very definite views on just about everything with a sense of “no one is going to change my mind”.

The combination of your personal values, beliefs and attitudes are your moral principles that guide you in life and affect your behaviour. However, your views can wildly differ to others and in an institution such as a school, these beliefs may be counter to the values of the school, child development or indeed the law.” 

Let’s look more closely at the differences between beliefs, attitudes and values.

Beliefs

These come from real experiences – we think our beliefs are based on reality, but in fact our beliefs colour our experiences; also, an original experience e.g. when we were a child is not the same as what’s happening now. Beliefs can be moral, religious or cultural and reflect who we are. They can be rational (‘it gets colder in winter’) or irrational (‘I am never going to make something of myself’).

Attitudes

This is an immediate belief or disposition about something specific. It is a recurring group of beliefs and behaviours aimed at specific groups, people, ideas or objects. They will normally be positive or negative and we will always behave that way to the target group. Examples of attitudes include confidence (I can or can’t do something), grateful (I an entitled to / grateful for XXX) and cheerful (I am generally happy / miserable).

Values

These are things (principles or qualities) that we hold in high regard or consider to be worthwhile or right / wrong. They are formed by a belief related to the worth of something – an idea or behaviour. Some values are common (e.g. family comes first, the value of friendship) or cultural (which the whole community have – see video at Study.com here)

The theory

Links to Wikipedia

Expectancy Value Theory suggests you balance your beliefs about something with the value you attach to it. The Theory of Reasoned Action suggests that beliefs and evaluation about behavioural outcomes determine attitudes, and intentions lead directly to behaviour.

Beliefs

Expressions of confidence – can change over time

Attitudes

Learned predispositions to something – are subject to change

Values

Ideals that guide our behaviour – Generally long lasting and often need life changing experience to change

Iceberg demonstrating implicit and explicit bias – from Owlcation

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A Butterfly Life: 4 Keys to More Happiness, Better Health and Letting Your True Self Shine

Times of change can be a challenge, no doubt! Whether it’s a relationship breakup, job loss, or being diagnosed with a serious health issue. Or you may WANT things to be different, but it feels a little scary or overwhelming. The butterfly reminds us change can be beautiful, even necessary, in order to realize our full potential and live our best life.