Mental health articles

OF mental health care and mentally ill

Personality disorder treatment options

This section outlines the main treatment approaches adopted when working with people with personality disorders and discusses their relative efficacy. Behavioural and cognitive approaches There is evidence that behavioural and cognitive approaches can be effective in the treatment of people with personality disorders. The main approaches evaluated include schemafocused therapy, dialectical behaviour therapy  and long-term […]

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Assessment Tools for Personality Disorders

Below we comment on specific aspects of assessment that are most relevant to the person with suspected personality disorder. The methods with which health care professionals assess an individual for personality traits and disorders encompass a wide range of techniques, which invariably reflect professional background and agenda. Ideally, the assessment would bring together evidence from […]

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Co-morbidity of personality disorders

The co-morbidity of mental illness with personality disorder is a controversial topic, made difficult by disagreement over diagnosis and the fundamentals of personality structure. However, there would appear to be four possible points of view: 1Personality disorder and mental illness cannot exist simultaneously. This position perhaps provides the weakest argument, with little empirical evidence. However, […]

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Course of personality disorders

By definition a personality disorder is stable over time. As such once the features of a personality disorder have become recognized during adolescence or early adulthood it can be expected that the observed pattern of thinking, behaving and feeling will be relatively stable and unchanging. However, it has been found that particularly anti-social and borderline […]

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Prevalence of personality disorders

Measuring the prevalence of personality disorders is difficult. There is no consensus on the definition, diagnosis or classification of the specific disorders. There is also much debate on operational definitions of psychological traits inherent in personality disorder, but little agreement. As such varied estimates of the prevalence are published due to the variation in definition […]

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Diagnosis and classification of personality disorders

Currently personality disorders are diagnosed by the recognition of a set of diagnostic criteria. Within both DSM-IV  and ICD-10 personality disorders are described as a mixture of both psychological traits and overt behaviours. Each diagnostic system describes the concept of personality disorder upon which subsequent specific diagnoses should be based. DSM-IV describes a personality disorder […]

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Legal status of personality disorder

Within England and Wales there has been a legal classification of ‘psychopathic disorder’ since the Mental Health Act was passed into law. This included the concept of the compulsory admission of people deemed to have ‘persistent disorders of mind which resulted in abnormally aggressive or seriously irresponsible conduct on the part of the patient, and […]

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Definitions of personality disorder

Personality disorder is a clinical construct used to describe various clusters of human behaviour and experience that are generally regarded as functionally impaired or psychologically distressing, and that arise from inflexible and maladaptive personality traits. It should be noted that personality disorders are descriptions of a narrow section of generally recognizable personalities that are of […]

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Child and Adolescent Mental Health Services (CAMHS)

  There has been wide variation across the UK in the availability and type of mental health services for children and adolescents. Recent initiatives, including substantial increases in government funding specifi cally for CAMHS and the National Service Framework for Children (NSF-Children), should increase the range and uniformity of services. In the future, GPs should […]

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developmental disorders in children

Developmental disorders Level of intelligence is one of the strongest predictors of the presence or absence of child psychiatric disorders, with highly intelligent children being most resilient to psychiatric morbidity in the face of adversity and those with learning disability being at greatest risk. Up to 30–50% of children with a global learning disability also […]

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