Who’s afraid you’ll leave them but then leaves you first?

Who crumples into a pile of tears at a moment’s notice and cuts as a way to cope with emotional pain?

Someone with Schizotypal Personality Disorder will just sit in their room by themselves reading subversive books and ordering prayer rocks online, but a raging narcissist can make your life a living hell.

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For example, say your boss is a real jerk who’s always giving you a hard time, and all you can think is “Hey, this guy’s a jerk.” But if you understand he has traits of Narcissistic Personality Disorder, you start to see certain small interactions with him as part of a larger pattern of psychopathology, which can help you realize not to take stuff he says or does so personally, because he has a different way of interacting with the world than you. We are currently on version IV (so DSM-IV), although version V is in the works and supposedly will reframe how we diagnose personality disorders.

So the following is accurate as of now, but may change when the new version of the Manual comes out.

One of the things we learn in psychiatry is that when a person with a certain personality invokes a strong reaction in us, is helps give us insight into what their issues are but also tells us a lot about ourselves.

Instead of just talking about liking or disliking a person, we talk about countertransference.

There are 3 “Clusters” of personality disorders in the DSM-IV.

Now I’m just going to focus on the Cluster B disorders because people with these disorders tend to be the most difficult to deal with.You’re not going to be able to convince them that they’re not, so don’t waste your energy trying.Unsurprisingly, Narcissists aren’t usually too eager to seek treatment for their condition from a psychiatrist or therapist.It is very common for people with BPD to have a history of childhood abuse, leading to feelings of severe insecurity and fear of abandonment. It’s a complicated disorder often treated with a combination of medications and therapy.They’re so afraid of being abandoned that they lash out at others as a way to protect themselves from feeling hurt. It’s much more common in women, but men can have it too.It can be difficult to have a meaningful friendship or relationship with this type of person.