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Overview

Personality Disorder: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Personality disorder is a condition where your thinking, functioning and behaviour follows an unhealthy pattern and becomes rigid. You might have problems while trying to relate to situations and people. This could cause a lot of problem in leading a normal and healthy life and jeopardises relationships, social activities and your professional life. Children with such problems have a hard time in school.

Personality disorders can be classified into three broad categories – Cluster A Personality disorders, Cluster B Personality Disorders and Cluster C Personality Disorders. These categories contain a number of conditions such as – Paranoid Personality Disorder, Schizotypal Personality Disorder, Antisocial Personality Disorder, Histrionic Personality Disorder, Dependent Personality Disorder and others. The categorization of these disorders has been done by analysing the similarity in their manifestations. The symptoms of these conditions can range from being suspicious, a constant feeling of being vulnerable, not being able to express emotions and feelings, being inconsiderate of others’ feelings, being irresponsible, mood swings and others depending on what sort of disorder is present.

While treating Personality Disorders, it is essential to diagnose the type of disorder first. The treatment is then done by managing the symptoms with necessary medications (antidepressants, mood stabilizers, antipsychotic and anti-anxiety), providing psychotherapy and in severe cases even rehabilitation in hospitals that are specialised in psychiatric care.

How is the treatment done?

Treatment of Personality Disorder consists of three main parts – Psychotherapy, Medication and rehabilitation. These are done in the following ways.

Psychotherapy is done by making you aware about your condition. The professional enquires about your moods, thoughts, feelings and behaviours to come to a diagnosis for your condition. You are trained to deal with stress. The sessions for psychotherapy can be given individually, in groups and even with your family. Your social skills are brushed and developed Stress is given to learning ways to manage the symptoms and control behaviour that hinders your normal functioning and relations. It is also important to counsel the family members of an affected person to get the desired result.

Medicines too are an integral part of the treatment. Though there is no medicine that targets directly towards Personality Disorder, the different symptoms can be dealt with them. Antidepressants work to reduce depression, anger, irritability, impulsiveness and hopelessness. Mood stabilizers are medications that help in keeping mood swings in control. Unrealistic perceptions that happen when a person has psychosis can also be controlled and corrected by having antipsychotic medications (neuroleptics). Anxiety, insomnia and agitation are treated using anti-anxiety medications.

Severe forms of personality disorders can become hazardous for the person suffering as well as his loved ones. In such cases it gets essential to admit the patient to a hospital and receive treatment there.

Who is eligible for the treatment? (When is the treatment done?)

People develop personality disorders due to two main reasons – genes and surrounding conditions. Such kinds of behavioural disorders are passed down from one generation to another. Those who are subjected to extremely stressful childhood, have bad relations with their family and people around them and have faced unnatural events are at a higher risk of developing such conditions. A person should seek medical help when if he has any of the following problems :

Inability to perceive or interpret oneself, other people and events.

Inappropriate emotional responses

Being Impulsive

Who is not eligible for the treatment?

Any person who suffers from a type of personality disorder can undergo the treatment. As the treatment primarily consists of therapy and counselling, it is suitable for all. The only part of the treatment where people might face certain problems is the medications that are given for treating the individual symptoms. Pregnant women have been seen to have a slight risk in taking antidepressants as they can cause birth defects. People who have serotonin syndrome too cannot take such medications as this could cause a string of effects like rapid heart rate, panic attacks, shivering, loss of muscle coordination and others.

People who have tumour in the adrenal gland and those in coma cannot be given antipsychotic drugs.

Are there any side effects?

The side effects in the treatment of personality disorders pertain only to the medication. The medicines used commonly in supportive treatment and their side effects are listed below:

Antidepressants – nausea, weight gain due to an increased appetite, decreased sexual desire, erectile dysfunction, fatigue, constipation, insomnia and blurring of the vision.

Antipsychotic – blurring of the vision, dryness of the mouth, muscle spasms, weight gain, tremors and drowsiness.

Mood Stabilisers – Diarrhoea, nausea, trembling, increased thirst, drowsiness and increased urination.

Anti-Anxiety Medications – Restlessness, drowsiness, dizziness, nausea, constipation, vomiting and weight gain.

What are the post-treatment guidelines?

Info Not Available

How long does it take to recover?

These conditions have been seen to develop mostly in the teenage and the early years of adulthood. Some of these disorders decrease with age. The medications prescribed for the different symptoms of personality disorder must be taken for over long period of time and at a regular basis to get the desired result.

What is the price of the treatment in India?

The cost of the treatment of any form of personality disorder can be divided into two parts – therapy and medication. The usual consultation fees per session of a psychologist are anywhere between Rs.500-1500, and it can go up to about Rs.4000. The medication prescribed for the different symptoms come at a cost of about Rs.300-1500 per pack.

Are the results of the treatment permanent?

The treatment of personality disorders tries to manage the symptoms and does not give a definite cure. This means that the medications help to reduce the overall condition and make your life as close to normal as possible. But the chances of a relapse cannot be negated.

What are the alternatives to the treatment?

You can treat the different symptoms of personality disorder without prescription drugs too. Many natural ingredients have been seen to be useful in such conditions. Consuming kava to fight anxiety and sleep disorders, valerian root to promote sleep, St. John’s wort to enhance moods and combat depression are some examples of how natural ingredients help.

Safety: Medium Effectiveness: Medium Timeliness: Low Relative Risk: High Side Effects: High Time For Recovery: Very High Price Range:

Rs.800 – Rs. 5,000

Popular Health Tips

Post Traumatic Stress Disorder - Know The Detailed Symptoms Of The Problem!

MBBS, DNB
Psychiatrist, Jaipur
Post Traumatic Stress Disorder - Know The Detailed Symptoms Of The Problem!

This post-traumatic stress disorder is a mental health condition, which gets triggered by a terrifying event. It can happen either through experiencing it or by witnessing it. The symptoms include flashbacks of the events, nightmares leading to severe anxiety and thoughts related to the events, which you are unable to control. Going through traumatic events is quite normal and each and every individual goes through phases, where they encounter events filled with trauma and those who have long-lasting effect on their minds. If the symptoms get worse and go on to last for months and sometimes stretch up to years, then that might be of clear indication a person suffering from Post-traumatic Stress Disorder.

Let us discuss about the symptoms in detail

  • The symptoms related to the Post-traumatic Stress Disorder might start within a month after coming across a traumatic sequence.
  • All these symptoms pose major problems in society, work situations and also in relationships. One’s ability to go about doing any normal daily task might also get hampered.
  • Post-traumatic Stress Disorder symptoms are usually grouped into four types. Different symptoms of each type are:

Intrusive Memories: The symptoms are included under intrusive memories are

  • Utterly disturbing memories of any particular traumatic event on a recurring basis.
  • Feel as if you are reliving the traumatic sequence
  • Dreams which might upset or nightmares related to the horrifying incident.

Avoidance: Symptoms related to avoidance include, trying to avoid thinking or talking about a traumatic event and also avoid going to places or interacting with people, who might remind a person of a particular traumatic event.

Thinking pattern might turn negative: Symptoms of negative thinking patterns may include:You start thinking about yourself and the world in general negatively.There is a sense of hopelessness about the future.You start to get aloof from family and friends.

Physical and emotional reactions change: Symptoms of changes in physical and emotional reactions include

  • You tend to get scared easily
  • Unable to sleep peacefully
  • You cannot concentrate on a particular job
  • Sense of guilt and shame eats you from inside

Causes

Doctors are not really sure why people suffer from Post-traumatic Stress Disorder. Like most of the health problems, this disorder is in all probability caused by a mix of:

  • Stressful experiences which a person has to go through while bearing any severe trauma.
  • Mental health risks inherited, if any of the family members suffered from anxiety and depression.
  • A person’s temperament.

Treatment

The treatment for this Post-traumatic Stress Disorder can help people to take control of their lives once again. Psychotherapy is the primary mode of treatment followed for getting rid off this problem. Along with this, medication can also take an active part in the healing process.  A combination of these treatments can help in improving the symptoms by:

  • Showing the skills on how to address the symptoms
  • Counselling, through which people would be made to think better about themselves and others.
  • Different ways to help cope up, in case the symptoms arise in future.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2343 people found this helpful

Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

  1. Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
  2. Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
  3. Lack of identity. You don’t know who you are and do not have a strong sense of your being.
  4. Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
  5. You feel empty from within all the time.
  6. Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
  7. You inflict pain on yourself or have suicidal feelings.
  8. You have anger issues which are very difficult to control.
  9. You get paranoid or dissociate when you’re stressed.
  10. You experience all your emotions very intensely be it anger, happiness or sadness.

Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

  1. When you are angry and frustrated
    1. Rip a newspaper
    2. Hit a pillow
    3. Listen to your favourite music
    4. Go for a walk or do some vigorous exercise
  2. When you are depressed and lonely
    1. Wrap yourself in a blanket and watch your favourite movie or TV show.
    2. Write all the negative feelings on a piece of paper and tear the paper.
    3. Use positive affirmations to comfort yourself.
    4. Cuddle a pillow/pet/soft toy
  3. When you are tensed and anxious 
    1. Try to shift your focus to something else like music, yoga or meditation.
    2. Take a deep breath, use relaxation techniques and focus on your breaths.
    3. Take a warm bath to help soothe your mood.
  4. When you want to harm yourself
    1. Rub ice over the parts where you want to hurt yourself.
    2. Take a cold-water bath to cool yourself.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3867 people found this helpful

Borderline Personality Disorder - When To Seek Help?

MBBS, MD Psychiatry, DPM Psychological Medicine
Psychiatrist, Kolkata
Borderline Personality Disorder - When To Seek Help?

Borderline Personality Disorder (BPD) is a mental disorder with side effects of enthusiastic fits like sudden, wild and eccentric emotional episodes and scenes. Individuals experiencing BPD are unreliable about their picture and character and face trouble in keeping up a steady mental self-image and interpersonal connections. This issue is generally acquired by different variables like domestic mishandle, youth disregard and absence of affection from the parents in there young age.

Some of the most common symptoms of BPD include:

  1. Fear of rejection
  2. Unsteady and short-term relationships
  3. Poor self-image
  4. Tendency to cause self-harm

Here are some of the homeopathic solutions for treating BPD with varying signs and symptoms:

  1. BPD with sudden burst of outrage: Chamomilla is among the top common homeopathic medications for patients of BPD who usually get furious and irritated, without considering the sentiments of the other people. The sudden upheavals of outrage on account of inconsistency or when the sentiments are harmed can be best cured by homeopathic solution Chamomilla. This cure is also of great help to patients who believe that they cannot remain calm. It is useful for the people who need to do everything according to their desire and get irritated if their desire is not satisfied.
  2. BPD with sudden emotional episodes: Crocus Sativus is the most basic homeopathic medication for sudden mind-set changes in patients of BPD. The patient has a sudden and regular change in feelings from outrageous reactions to misery. The patient requiring the homeopathic drug Crocus Sativus is blissful and warm in one minute and the very next minute, he or she suddenly blasts out into outrage. The patient soon feels frustrated about their conduct. Homeopathic medicine Valeriana is additionally useful for managing sudden emotional episodes in patients of BPD.
  3. BPD with symptoms of touchiness: Sepia is a fantastic homeopathic drug for BPD patients who get disturbed over no reason and feel anxious. Just their own particular assessment matters for such patients and they cannot stand to be restricted. Another side effect alongside fractiousness for this homeopathic prescription to be used is a feeling of dislike towards family and being repelled for any work, be it mental or physical.
  4. BPD patients with ruinous and hasty conduct: Nux Vomica is the top characteristic homeopathic solution to manage any hasty conduct of BPD patients who are delicate and need to constrain things as they feel. In case they are restricted, such patients have dangerous driving forces like the motivation to crush their significant other, to tear things and to toss their child. If someone invades their space, they can take severe actions to claim that space back. In case you have a concern or query you can always consult an expert & get answers to your questions!
4208 people found this helpful

Borderline Personality Disorder - How It Manifests In Your Life?

M.Sc - Psychotherapy
Psychologist, Bangalore
Borderline Personality Disorder - How It Manifests In Your Life?

One of the most common personality disorders, BPD or borderline personality disorder often remains undiagnosed or repressed and gets passed off as mood swings or a volatile disposition. However this disorder is much more than just mood swings as it can seriously affect the quality of a person’s life. The primary manifestation of this disorder is in the way you think about yourself and others which result in the work that you need to do on a daily basis.

How does BPD manifest in your life?
The most common ways Borderline personality disorder can manifest in your life is with extreme mood swings or emotions, a discernable pattern in relationships becoming unstable after sometime, impulsive behavior, and a self–image which is distorted. BPD thus affects how you view yourself, how you feel about others and you resultant behavior in general. Some of the typical signs and symptoms of borderline personality disorder are mentioned below.

Persistent feelings of emptiness

  1. Anger in inappropriate or unnecessary places, losing your temper very frequently, resulting in physical fights
  2. Fearing abandonment intensely, whether it is real or imagined and thus going huge lengths to stop it from happening
  3. Extreme instability in relationships which may cause a partner to be liked one moment and then hated the next
  4. People with BPD also tend to be suicidal which is often caused by the fear of rejection or separation
  5. Engaging in risky and impulsive behaviors such as
    • Engaging in unsafe sex despite being aware of the implications
    • Splurging money on gambling
    • Leaving a good job suddenly
    • A tendency to indulge in drugs
    • Binge eating
    • Reckless driving
    • Suddenly terminating a healthy and positive relationship
  6. Sudden changes in values and self-identity and goals and feeling low about yourself as a result

Causes of Borderline personality disorder
In most cases borderline personality disorder can’t be exactly attributed to a single cause and in most cases, is a combination of factors. While genetic or hereditary predisposition can cause BPD it may also be triggered by other factors. Also, not curbing mal-traits in young children or encouraging such behaviors may lead to BPD as they grow up. Some of the factors that contribute to BPD are

  • Genetics
  • Abnormalities in the brain
  • Childhood incidents which were stressful
  • Personality traits which have worsened

If you think you have been displaying some of the symptoms for a fairly prolonged period, it is advisable that you visit a mental health professional for counseling and start with therapy as advised by them. In case you have a concern or query you can always consult an expert & get answers to your questions!

2550 people found this helpful

Acute Stress Disorder - Effective Ways To Manage It!

Ph.D Psychology, M.Phil - Psychology
Psychologist, Jaipur
Acute Stress Disorder - Effective Ways To Manage It!

While stress is very common in most people, acute stress disorder (ASD) is a condition which has the following features.

  • Occurs after a severe incident or trauma including death of a dear person, major accident, severe injury or incident, threat to oneself, etc.
  • Affects either the person affected by the trauma directly or by someone who witnessed the event from close quarters
  • Person goes through severe stress within a month after the event and can last anywhere between 1 day to beyond a month
  • Seen in people who have had trauma and can eventually lead to full-blown post-traumatic stress disorder

Symptoms:

  1. Emotionally feeling detached, numb, or unaffected
  2. Not very aware of the real surroundings, could be hallucinating also
  3. Feels disconnected with the people in the surrounding, both emotionally and physically
  4. Can have episodes of dissociative amnesia where they are not able to recollect the trauma
  5. They avoid stimuli which can induce the memory of the event including talking about related people, places, objects, thoughts, or activities.
  6. They could have recurrent images of the event, including illusions, flashbacks, and recurrent thoughts
  7. Anxiety including trouble sleeping, irritation, lack of focus, constantly tensed, becoming startled, etc.

Management:

  1. The first step is to make a diagnosis to confirm it is, in fact, ASD.
  2. This happens through detailed discussion with the patient and may take a couple of sittings
  3. Instances of drug abuse and other psychiatric problems should be ruled out
  4. People with suicidal tendencies need to be hospitalised to avoid injury to self and/or others
  5. Education about the condition and empathy to help them cope with the situation are very important
  6. Hypnotherapy may be used to uncover hidden feelings, emotions, fears, and thoughts which can help in arriving at a conclusion and also manage the condition
  7. If required, they may need to be provided assistance in terms of accommodation as staying alone may be detrimental. There are good chances of inflicting injury to self and to others.
  8. Staying with close friends or family not just helps in avoiding injury but also provides moral support for the person which can aid in recovery
  9. Medications like anti-anxiety drugs and selective-serotonin reuptake inhibitors which are used in treating depression are helpful depending on whether the person presents with anxiety or depression
  10. Cognitive therapy can help in faster recovery and also prevent the acute stress disorder from getting converted to a full-fledged post-traumatic stress disorder
  11. Prevention can be done by seeking professional help if a significant traumatic event has occurred. This will improve coping mechanisms and reduce the impact of the stress. In case you have a concern or query you can always consult an expert & get answers to your questions!
2729 people found this helpful

Popular Questions & Answers

I am in a relationship with a girl aged 26. She has acute borderline personality problem. She is from a separate family, she lived with her mother and her mother left her and her mother is missing from last 2 months. Now she is living with her father and elder brother. They are not affectionate to her. She has stated treatment from 1 week. Our marriage date is 19th nov, 2018. Doctor is diplomatic in this case. I am exhausted. What should I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear Friend, Thanks for the question. Borderline Personality Disorder is a mental disorder characterised by unstable moods, behaviour and relationships. The cause of borderline personality disorder isn't well understood. Diagnosis is made based on symptoms. Symptoms include emotional instability, feelings of worthlessness, insecurity, impulsivity and impaired social relationships. Treatments include talk therapy or, in some cases, medication. Hospitalisation helps if symptoms are severe.

I am 25 year old male having AAPD (anxiety avoidant personality disorder) Can you give me some guidance how to deal with this.

MD - Psychiatry
Psychiatrist, Chennai
By consulting a psychiatrist and clinical psychologist over a period of time to control the anxiety and treat with CBT (Cognitive behaviour therapy) to modify your personality. It can take between 12 to 24 months for the changes. All the best.
1 person found this helpful

The person who is suffering from OCD (obsessive compulsive disorder) are mainly having perfectionism ,which I have seen in many blogs/youtube/wikipedia of OCD .so I am asking with you here what perfection mean. Give some example ,pls,

MS (Counselling & Psychotherapy), Ph D ( NLP)
Psychologist, Chennai
You are right, they have a habit of prefecting a habit, there are cases where perfectionism and ocd does not go together if you have Seen the south movie "aparichit" remake of Tamil movie. The hero has a tendency for perfectionsm Perfectionism is a personality, where people wants to happen thing perfectly eg I keep pen in the almirah right side ev ery time if somebody keeps or removes without my knowledge I get disturbed.
2 people found this helpful

I am 22+ F. I go through a lot of emotional breakdowns. Moods swings are too frequent. I feel unsecured and down too much even though I try too much. I know a thing is bad but still, I repeat it again. I get panic attacks after a week or month which makes me mad. I cry and start to act weird. A friend suggested me I'm going through General Personality disorder. How to really know if I am going through it? Cz I go through suicidal tendencies and tried twice but don’t have so much guts.

MD - Psychiatry
Psychiatrist, Guwahati
The symptoms you are suffering from indicate the possibility of you suffering from some psychological disturbance or some underlying psychiatric condition. You need immediate help as the symptoms are hampering your normal day to day functioning, & the suicidal thoughts may be life threatening. Get yourself evaluated by a Psychiatrist at the earliest. The doctor will assess you, do your detailed mental status evaluation & physical examination, & make the diagnosis of what condition you are actually suffering from. Then he will advice you counseling sessions or prescribe you medicines accordingly. Stay positive. Treatment will definitely help you come out of your present situation.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Borderline Personality Disorder
Welcome to psycho-wellness centre and dignity clinic. I am Dr. RK Suri. I am having 34 years of experience in terms of providing psychological support and issues related to relationships, career counseling, psychodiagnostics, behavioral issues, lifestyle management, coaching, mentoring, child psychology and education, anxiety and stress, depression and OCD.

People have been coming to me for various sexual dysfunctions, personality disorders, anti-social personality disorders and the issues for poor performances in relationships. There has been a significant increase in terms of people having anxiety and depression issues. I am finding that in the last two decades and in the last one or two years, there is a tremendous interest in people to discuss, share their concerns about their well-being, happiness and whenever they are feeling something is not working out, maybe on account of not doing well in academics, not doing well in life, or not doing well in business.

They do come, consult and discuss. And over the time during consulting, my approach is to provide them a framework of understanding and diagnosing the key issues and the concerns and challenges which they are facing and then we do a behavioral assessment and psychological assessment. Psychometric evaluation is the core of my assessment and it has been a beautiful journey of last 34 years during which I have researched more than 5,00,000 people in different forms of their lives in different sectors predominantly for assessment for jobs, assessment for psychological issues. Even the senior management or senior leadership issues for behavioral assessment have been assessed and been provided solutions to reach the top of the ladder and they are happy.

Day in and day out, people are finding it useful to solicit psychological support at the time of crisis. The crisis intervention approach is coupled with relaxation therapy which I have introduced in different formats of my practice using cognitive behavioral therapy for anxiety, depression, OCD. It has been found to be very, very useful. Even the schizophrenic people who were dependent on drugs for more than 15 years, in a s

an of one year or so, many of them have eased on medications on account of cognitive behavioral therapy. The relationship issues of partners before marriage also called premarital relationship issues, post-marital relationship issues have been deliberately discussed by the patients and they found solutions. The overall process of soliciting the help and easing out their problems; the insight is becoming a useful mechanism and one of the things that I focus on is wellness. For that we have retreat programmes for couples and couples with spirituality try to link all the five dimensions of life like physical health, social & economic health, psychological health and the spiritual health. All these five components will try to balance it out in terms of the functionality and providing divinity and happiness to my valued customers. Thank you very much
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