Recognizing and Responding to Patients with Personality Disorders - 15/11/23

Doi : 10.1016/j.emc.2023.06.015

Jillian L. McGrath, MD ^a,^⁎ , Maegan S. Reynolds, MD ^b,^c
^a Department of Emergency Medicine, The Ohio State University Wexner Medical Center, 750 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210, USA
^b Department of Emergency Medicine and Pediatrics, The Ohio State University Wexner Medical Center, Nationwide Children’s Hospital Division of Emergency Medicine, Columbus, OH, USA
^c Department of Emergency Medicine, 750 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210, USA

^∗Corresponding author. Department of Emergency Medicine, The Ohio State University Wexner Medical Center, 750 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210.Department of Emergency MedicineThe Ohio State University Wexner Medical Center750 Prior Hall, 376 West 10th AvenueColumbusOH43210

Résumé

Caring for patients with personality disorders and traits presents unique challenges for physicians and other providers. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, recognizes 10 personality disorders, which are organized into 3 clusters (A, B, and C) based on shared diagnostic features. Personality disorders or traits create difficulty in clinical and interpersonal interactions, promoting missed diagnosis or underdiagnosis, nonadherence to medical recommendations, or other dangerous outcomes. It is important to recognize patients with potential personality disorders and understand strategies to achieve optimal patient interactions and best possible medical outcomes.

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Keywords : Personality disorder, Personality trait, Cluster A, Cluster B, Cluster C, Borderline, Countertransference