There are nearly 300 mental disorders listed in the DSM-5 (Diagnostic
and Statistical Manual of Mental Disorders). This is a handbook
used by health professionals to help identify and diagnose mental illness.
Some of
the main groups of mental disorders are:
- mood disorders (such as depression or bipolar disorder)
- anxiety disorders
- personality disorders
- psychotic disorders (such as schizophrenia)
- eating disorders
- trauma-related disorders
(such as post-traumatic stress disorder)
- substance abuse
disorders
The diagnosis
of mental illness can be controversial. There have been many
debates in the medical community about what is and isn’t a mental illness. The
definition can be influenced by our society and culture, but most mental
illnesses occur across all countries and cultures. This suggests that they are
not just constructed by social norms and expectations, but have a biological
and psychological basis too.
Ø Paranoid
personality disorder: characterized by a pattern of irrational suspicion and
mistrust of others, interpreting motivations as malevolent.
Ø Schizoid
personality disorder: lack of interest and detachment from social
relationships, apathy, and restricted emotional expression.
Ø Schizotypal
personality disorder: pattern of extreme discomfort interacting socially, and
distorted cognition and perceptions.
Ø Cluster
B personality disorders
Antisocial personality
disorder: pervasive pattern of disregard for and violation of the rights of
others, lack of empathy, bloated self-image, manipulative and impulsive
behavior.
Borderline personality
disorder: pervasive pattern of abrupt mood swings, instability in
relationships, self-image, identity, behavior and affect, often leading to
self-harm and impulsivity.
Histrionic personality
disorder: pervasive pattern of attention-seeking behavior and excessive
emotions.
Narcissistic
personality disorder: pervasive pattern of grandiosity, need for admiration,
and a perceived or real lack of empathy. In a more severe expression,
narcissistic personality disorder may show evidence of paranoia, aggression, psychopathy,
and sadism, which is known as malignant narcissism.
·
Cluster C (anxious or fearful disorders)
Avoidant personality
disorder: pervasive feelings of social inhibition and inadequacy, extreme
sensitivity to negative evaluation.
Dependent personality
disorder: pervasive psychological need to be cared for by other people.
Obsessive-compulsive
personality disorder: characterized by rigid conformity to rules,
perfectionism, and control to the point of satisfaction and exclusion of
leisurely activities and friendships (distinct from obsessive-compulsive
disorder).
Ø Other personality types
Some types of
personality disorder were in previous versions of the diagnostic manuals but
have been deleted. Examples include sadistic personality disorder (pervasive
pattern of cruel, demeaning, and aggressive behavior) and self-defeating
personality disorder or masochistic personality disorder (characterized by
behavior consequently undermining the person's pleasure and goals). They were
listed in the DSM-III-R appendix as "Proposed diagnostic categories
needing further study" without specific criteria. The psychologist
Theodore Millon and others consider some relegated diagnoses to be equally
valid disorders, and may also propose other personality disorders or subtypes,
including mixtures of aspects of different categories of the officially
accepted diagnoses.
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