Personality Disorders

Characterized by enduring patterns of maladaptive behavior and cognition, personality disorders present a significant challenge to mental health professionals. This session investigates the spectrum of disorders outlined in the DSM-5, including borderline, narcissistic, antisocial, and avoidant personality disorders. The focus is on understanding the developmental and environmental contributors to personality pathology, including early trauma, attachment disruptions, and genetic predispositions. Emphasis is placed on diagnostic clarity, the overlap with other psychiatric conditions, and stigma reduction in clinical settings. Therapeutic modalities such as Dialectical Behavior Therapy (DBT), Mentalization-Based Therapy (MBT), and Schema Therapy are explored for their efficacy and integration. The session also addresses clinician burnout, transference-countertransference issues, and boundary management when working with individuals exhibiting intense emotional and behavioral patterns. Advancements in neuroimaging and psychodynamic theories provide new insight into identity formation and emotional regulation. Ethical dilemmas in managing risk, including self-harm and suicidality, are also discussed. This in-depth exploration aims to strengthen clinical insight, improve therapeutic outcomes, and foster empathy in managing complex personality dynamics.

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