Antisocial personality disorder occurs in 5 % of men and about 1% of women, but these numbers are believed to be under estimates. As the disorder progresses, there is severe depression, anxiety, suicidal and reckless behavior, violence, risky and impulsive behavior, incarceration, alcohol and drug abuse and difficult interpersonal relationships. The majority end up being loners. The diagnosis of antisocial personality is based on the history.
Like many mental disorders, the treatment of anti social personality disorder is multidisciplinary. Treatment options vary from psychotherapy, stress and anger management and use of medications.
Psychotherapy and anger management are widely used to treat antisocial personality disorder but most of these individual have very little insight into their behavior and are not compliant with therapy. These individuals never voluntary seek treatment but only come to treatment when compelled to do so by law enforcement or risk incarceration.
Unfortunately there are no medications to cure this disorder. However, those who are depressed or anxious may be prescribed anti depressants or mood stabilizers. Extreme agitation or psychosis is often treated with anti psychotics. Those who are not able to manage themselves or in danger of harming themselves or others are often admitted to the hospital.
The prognosis for antisocial personality disorder is poor. Most treatments do not work chiefly because these individuals are not compliant with therapy and refuse to seek help. Because there is no way to prevent this disorder, experts recommend identifying those at the highest risk such as children who are abused or neglected. Taking steps at an early age can help boost self esteem and increase confidence. Both parents and teachers may be able to spot signs of trouble in early childhood and this is the point in time when behaviour therapy can help make a big difference in outcomes.
Friday, March 5, 2010
Antisocial Personality Disorder Part 1
Antisocial personality disorder is a chronic mental disorder where one’s thinking, perceiving things and relationship with others is impaired. Individuals with antisocial personality disorder do not care about what is right or wrong, they do whatever they please. The one current theme in their behavior is violating the rights of others and consistently ending up in conflicts. These individuals continue to lie, are angry, violent and also abuse alcohol and drugs. The majority of these individual have problems at home, school and at work.
Typical signs of this disorder include
Disregard and violating rights of others
Persistent lying, cheating or fraudulent behavior
Manipulative
Persistent legal problems
Threatening or intimidating others
Aggressive and violent tendencies
Lack of remorse
Impulsive behavior
Abusive relationships
Irresponsible at work
Anti social personality disorder peaks in the 20s and then the behaviour diminishes over time. The chief reason for this decline is that many individuals end up in prison for their violent acts.
Why the disorder occurs is a mystery but believed to be related to bad genes, bad environment or just bad luck. Individuals at greatest risk for antisocial personality are those who have a family history of mental problems, history of childhood sexual or physical abuse, having a chaotic or unstable childhood or loss of a parent at an early age.
Typical signs of this disorder include
Disregard and violating rights of others
Persistent lying, cheating or fraudulent behavior
Manipulative
Persistent legal problems
Threatening or intimidating others
Aggressive and violent tendencies
Lack of remorse
Impulsive behavior
Abusive relationships
Irresponsible at work
Anti social personality disorder peaks in the 20s and then the behaviour diminishes over time. The chief reason for this decline is that many individuals end up in prison for their violent acts.
Why the disorder occurs is a mystery but believed to be related to bad genes, bad environment or just bad luck. Individuals at greatest risk for antisocial personality are those who have a family history of mental problems, history of childhood sexual or physical abuse, having a chaotic or unstable childhood or loss of a parent at an early age.
Monday, February 22, 2010
Passive-aggressive behavior disorder: Part 2
Features of the disorder include:
- Repeatedly putting things off
- Deliberately forgetting to do things
- Being stubborn and acting dumb
- Having intense dislike of people in authority
- Frequently complaining and whining about mundane things
- Intentionally working slowly
- Feel unappreciated and want to be constantly praised
- Always blaming others for their misfortunes
- Dislike novel ideas even when practical and useful
- Continuously arguing for no apparent reason
Treatment
There is no easy way to treat this disorder because the individuals are very stubborn and never see themselves as the problem. Unless someone forces them into therapy such as family, friends or employers, the behavior continues for life. These individuals have minimal insight into their negative behavior and always see fault in others. Some individuals may seek therapy after realizing they are not getting anywhere in life.
There are no drugs that can cure passive aggressive behavior. Counseling and supportive therapy do help, but relapse is common. In rare cases, anti depressant drugs may help control the negative attitude but many individuals are not compliant. When the individual is aware of his/her behavior, it is recommended that one stop drinking alcohol as it can make the negative attitude worse. Other methods which have yielded partial success include yoga, family and cognitive behavior therapy.
The prognosis for individuals with passive aggressive behavior is poor. Many end up lonely, isolated, become paranoid and develop depression.
- Repeatedly putting things off
- Deliberately forgetting to do things
- Being stubborn and acting dumb
- Having intense dislike of people in authority
- Frequently complaining and whining about mundane things
- Intentionally working slowly
- Feel unappreciated and want to be constantly praised
- Always blaming others for their misfortunes
- Dislike novel ideas even when practical and useful
- Continuously arguing for no apparent reason
Treatment
There is no easy way to treat this disorder because the individuals are very stubborn and never see themselves as the problem. Unless someone forces them into therapy such as family, friends or employers, the behavior continues for life. These individuals have minimal insight into their negative behavior and always see fault in others. Some individuals may seek therapy after realizing they are not getting anywhere in life.
There are no drugs that can cure passive aggressive behavior. Counseling and supportive therapy do help, but relapse is common. In rare cases, anti depressant drugs may help control the negative attitude but many individuals are not compliant. When the individual is aware of his/her behavior, it is recommended that one stop drinking alcohol as it can make the negative attitude worse. Other methods which have yielded partial success include yoga, family and cognitive behavior therapy.
The prognosis for individuals with passive aggressive behavior is poor. Many end up lonely, isolated, become paranoid and develop depression.
Passive-aggressive behavior disorder: Part 1
Passive aggressive behavior is frequently used to describe individuals who always make up some type of excuse when demands are made of them. The majority of individuals with passive aggressive behavior will indicate that they will perform a task but later respond by making a passive excuse like procrastination, waste time, be stubborn, show intentional deliberate carelessness, pretend to forget and then make irrational condemnation of individuals in high authority. It is estimated that this behavior occurs in at least 1/7 individuals and is most common in both young men and women.
Passive aggressive personality disorder is a chronic disorder where the individual always initially agrees to meet the desires and demands of others, but in reality he/she passively oppose the tasks and then becomes very irate or hostile. These individuals have a long history of negative thoughts when demands are made to perform a duty both at work and in the social environment. This behavior is commonly first seen in the workplace, but in retrospect many families will admit that the behavior has been of long standing at home. Almost always the negative behavior results in breakdown of interpersonal relationships.
The behavior is expressed by repeated postponements, inattentiveness obstinacy, and intentional incompetence. Without fail, this behavior arises when a task is assigned by someone in higher authority.
No one know what causes this passive aggressive behavior but it is most likely related to bad genes or the environment.
Passive aggressive personality disorder is a chronic disorder where the individual always initially agrees to meet the desires and demands of others, but in reality he/she passively oppose the tasks and then becomes very irate or hostile. These individuals have a long history of negative thoughts when demands are made to perform a duty both at work and in the social environment. This behavior is commonly first seen in the workplace, but in retrospect many families will admit that the behavior has been of long standing at home. Almost always the negative behavior results in breakdown of interpersonal relationships.
The behavior is expressed by repeated postponements, inattentiveness obstinacy, and intentional incompetence. Without fail, this behavior arises when a task is assigned by someone in higher authority.
No one know what causes this passive aggressive behavior but it is most likely related to bad genes or the environment.
Monday, February 15, 2010
Treatment of Borderline Personality Disorder
The treatment of individuals with borderline personality disorder (BPD) is quite difficult. Despite a better understanding of the disorder, most treatments do not live up to expectations. Both group and individual therapy have been shown to be only partially effective in a few patients.
In the last decade, a new psychosocial treatment known as dialectical behavior therapy (DBT) has been used to treat patients with BPD. The treatment combines the standard cognitive behavior techniques for emotional balance and reality testing. The treatment encourages tolerance awareness and acceptance of others. DBT has been derived from the Buddhists meditative ideology and is probably the first therapy to have had any significant benefit in BPD patients.
Drug therapy is often prescribed to treat specific symptoms of the BDP individual. The most commonly used drugs to treat BPD patients include anti-depressants which help alleviate the depressed or labile moods. When there are features of distorted/delusional thinking, anti-psychotics are also often prescribed.
There is now some evidence that the cause of BPD may be partly related to genetic factors and the environment. A number of these individuals do reveal a history of abuse (physical, emotional, sexual), neglect or separation as children. This abuse is most often perpetrated by a non caregiver. There is a strong belief that BPD may be triggered when the individual is re-exposed to any one of the prior abusive factors. Another aspect of BPD therapy is family support. However, these individuals create persistent havoc in the lives of people who try to help them.
When the triggers are identified, avoidance of these factors can make the disorder a lot easier to control with cognitive behavior therapy. Despite all the advances in therapy, majority of individuals with BPD lead a poor quality of life with frequent labile moods, spontaneous anger and impulsivity. Most are loners and make lives of everyone around them miserable.
In the last decade, a new psychosocial treatment known as dialectical behavior therapy (DBT) has been used to treat patients with BPD. The treatment combines the standard cognitive behavior techniques for emotional balance and reality testing. The treatment encourages tolerance awareness and acceptance of others. DBT has been derived from the Buddhists meditative ideology and is probably the first therapy to have had any significant benefit in BPD patients.
Drug therapy is often prescribed to treat specific symptoms of the BDP individual. The most commonly used drugs to treat BPD patients include anti-depressants which help alleviate the depressed or labile moods. When there are features of distorted/delusional thinking, anti-psychotics are also often prescribed.
There is now some evidence that the cause of BPD may be partly related to genetic factors and the environment. A number of these individuals do reveal a history of abuse (physical, emotional, sexual), neglect or separation as children. This abuse is most often perpetrated by a non caregiver. There is a strong belief that BPD may be triggered when the individual is re-exposed to any one of the prior abusive factors. Another aspect of BPD therapy is family support. However, these individuals create persistent havoc in the lives of people who try to help them.
When the triggers are identified, avoidance of these factors can make the disorder a lot easier to control with cognitive behavior therapy. Despite all the advances in therapy, majority of individuals with BPD lead a poor quality of life with frequent labile moods, spontaneous anger and impulsivity. Most are loners and make lives of everyone around them miserable.
Borderline Personality- Symptoms
Individuals with borderline personality often develop symptoms from acute events like loss of a job, failure at work, breakup of friendship, lack of career goals and most of all, a sense of having no identity
Many of these individuals view themselves as worthless or bad. Often they feel as they have been mistreated or deceived. They often complain of feeling bored, empty and lack of self recognition is quite common.
The symptoms of BPD generally are more severe when the individuals have little family support and no friends. The individual in turn makes desperate attempts to socialize.
Because of the persistent negative feelings or emotional traits, BPD individuals have few friends. While they do develop intense attachments, these are often stormy. These individuals are very labile in their feelings with emotions switching from love to hate in a matter of minutes. Loyalty to a friendship is rare because they constantly switch their feelings at the slightest hint of feeling poorly treated. Being highly sensitive to rejection, they often react with anger, self injury and spontaneous unrealistic decisions. In the middle of a vacation, they many cancel the trip and return back home. Sudden changes in plans are not common with these individuals.
Like manics, BPD individuals also act with impulsivity and may go on a spending spree, practice risky behaviors like sex with strangers, binge eating and drinking. In most cases BPD occurs as an isolated disorder but can occur in association with other mental health disorder like depression, substance abuse, mania and anxiety,
Many of these individuals view themselves as worthless or bad. Often they feel as they have been mistreated or deceived. They often complain of feeling bored, empty and lack of self recognition is quite common.
The symptoms of BPD generally are more severe when the individuals have little family support and no friends. The individual in turn makes desperate attempts to socialize.
Because of the persistent negative feelings or emotional traits, BPD individuals have few friends. While they do develop intense attachments, these are often stormy. These individuals are very labile in their feelings with emotions switching from love to hate in a matter of minutes. Loyalty to a friendship is rare because they constantly switch their feelings at the slightest hint of feeling poorly treated. Being highly sensitive to rejection, they often react with anger, self injury and spontaneous unrealistic decisions. In the middle of a vacation, they many cancel the trip and return back home. Sudden changes in plans are not common with these individuals.
Like manics, BPD individuals also act with impulsivity and may go on a spending spree, practice risky behaviors like sex with strangers, binge eating and drinking. In most cases BPD occurs as an isolated disorder but can occur in association with other mental health disorder like depression, substance abuse, mania and anxiety,
Borderline Personality- just what is it? part 2
At any one point in time, at least 1/5 individuals afflicted with BPD need long term mental health services and/or repeated admissions to psychiatric facilities. If help is sought out early, many individuals can improve with time, and lead fairly normal and productive lives.
Unlike individuals who have depression or manic disorder, BPD individuals develop similar but more intense feelings of anger, depression, anxiety and sadness –but the feelings only last a few hours. Associated with these symptoms are spontaneous acts of impulsive behaviors such as anger, self injury, drug or alcohol abuse.
Unlike individuals who have depression or manic disorder, BPD individuals develop similar but more intense feelings of anger, depression, anxiety and sadness –but the feelings only last a few hours. Associated with these symptoms are spontaneous acts of impulsive behaviors such as anger, self injury, drug or alcohol abuse.
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