Personality disorders are pervasive tendencies and maladaptive coping mechanisms that control how a person thinks, feel, and responds. This is particularly relevant when talking about how a person deals with stress and what causes this stress. While there are only 10 verified personality disorders, it’s important to understand the worst of what they can do. It’s also important to understand which ones cause the most amount of pain and quality of life issues. These kinds of disorders can cause great damage and personal destruction to those around the sufferer as well. While the sufferer is in the middle of it, the effect it has on others can be just as bad much of the time. These are the 10 most devastating personality disorders.
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There are cluster A, B, and C personality disorders, each with their own distinct characteristics Cluster A personality disorders revolve around odd and eccentric behaviors and paranoia. A Cluster B personality disorders revolve around dramatic and emotional displays, as well as unpredictable behavior. Cluster C personality disorders revolve around fearful-based and avoidant behaviors and thinking. Every one of these personality disorders involve some form of anxiety, anger, and attachment problem. All of these personality disorders can be comorbid with another disorder among all of the clusters. If they are not comorbid in someone, they can still experience similar features, especially among other disorders in the same cluster.
10 Most Devastating Personality Disorders
1. Borderline Personality Disorder
Borderline personality disorder is quite honestly the worst personality disorder someone can have. The amount of suffering and pain experienced for anyone involved is through the roof. The flippant changes in mood and behavior of those suffering with it can change on a dime, as they feel alone. This ends up causing the sufferer intense pain, guilt, anger, and feelings of abandonment. The constant back and forth between depression, anxiety, and rage can lead a person with this disorder to not trust themselves; they will dissociate or become paranoid. People with BPD are also highly volatile in response to perceived rejection.
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Their interpersonal relationships can often struggle because of this, causing someone severe pain even if affection is involved. Those with this disorder do mean well, but they are so caught up in their negative emotions, they cannot control them. The black and white thinking, mixed with the tendency towards self-destruction and self-harm lead down a dark road. They will often become so confused by their emotions that they resort to drugs, isolation, indiscriminate sex, and suicide. This is why borderline sufferers are the most likely to kill themselves over all other personality disorders. It’s a cluster B personality disorder, which means that these displays of suicide are often there for reassurance.
2. Narcissistic Personality Disorder
Narcissistic personality disorder is one of the worst personality disorders to deal with because of it’s pervasiveness. It’s one of the two most talked about personality disorders, and it is so for a reason. Everything a person with this disorder does has an ulterior motive, and it usually means to benefit themselves. A narcissist typically thinks they are god’s gift to earth and never wrong. If a person with disorder is proven wrong or feels betrayed or slighted, they will respond with disrespect and rebuke. There’s also something called narcissistic supply, where a narcissist will require attention and admiration from those around them.
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If they feel left out or not in the limelight, it can create narcissistic rage. This is where a person becomes so angry they cannot control themselves. The biggest reason for this is because of how things did not go the way they expected, so they end up losing control. The chasm between what a narcissist expects and what reality ends up giving them is wide. This is because the narcissist will create problems that make their problems even worse. Since it’s a cluster B personality disorder, it’s often considered very dramatic.
10 Most Devastating Personality Disorders
3. Histrionic Personality Disorder
Histrionic personality disorder is not much different from the last two, as it’s about seeking attention and is a cluster B personality disorder. Someone with the personality disorder will seek approval from others, while also reveling in seduction and hedonism. They may also tend towards the dramatic and enthusiastic with a lively and vivacious mood. You may see this kind of behavior in people who do drama, as you can see it come through in dramatic performances. The problem is that it carries off stage with those with this disorder, and it can affect everyone differently.
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It does not only affect certain people, as it can affect anyone, even those who appear normal at times. Sufferers of this disorder always seem to be on display, as they exaggerate their behaviors, flirt, and crave stimulation. The worst part is that it will and can affect others, as the exaggerated display is present in ordinary life. They carry the weight of provocation, and a selfish desire in their excessive egocentrism is what they deem necessary. The biggest difference between this and BPD and NPD is the need to have displays as opposed to actually feeling them.
4. Obsessive-Compulsive Personality Disorder
Obsessive-compulsive personality disorder is a cluster C personality disorder that is very similar to OCD. The difference between OCD and this personality disorder is that it is egosyntonic, which means that it is reassuring. OCD is egodystonic, which means that it creates anxiety and fear that is unwanted by the sufferer. Those who struggle with OCPD find more reassurance and happiness in their desire to clean and neat. Even if it’s considered a fear-based disorder, it’s far less fear based than the actual mental disorder.
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It’s not to say that it cannot create problems for them and those around them, as it can. The disorder warrants a desire for cleanliness, control, and perfection. Those who deal with OCPD will show less visible distress, but they can still display self-destructive and abusive tendencies. They probably do not realize how self-destructive it is, because they fell as everything they do is warranted. Someone who struggles with this disorder favors routine over unpredictable action, as they display obsessive tendencies.
10 Most Devastating Personality Disorders
5. Antisocial Personality Disorder
Antisocial personality disorder is a cluster B personality disorder and one that displays a lack of consideration for others. The consequences be damned for those struggling with this mental disorder, as they will create destruction around them. Like other disorders under cluster B, substance abuse and disregard for the law are possible, but it’s worse here. APD is probably one of the most dangerous, as it often borders on psychopathy in it’s actual practical display of behavior. People with this disorder typically lack a conscience, and care little for the outcome of their actions.
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The good or bad are never considered because it’s a matter of simply doing what you want. Whatever happens happens is the core philosophy for people with APD. This can cause great problems for those in personal relationships and those looking for someone to trust. A violation of the rights of others, including theft, armed robbery, and even murder are common among APD sufferers. Even if they can cause great issues, the cause of this disorder comes mainly form abuse and attachment problems. There are few ways to fix this disorder, as they often avoid therapy, as it is far more common in males than females.
6. Paranoid Personality Disorder
Paranoid personality disorder is a cluster A personality disorder and involves long-standing questioning of other people’s motives. It’s fairly straightforward, as someone with this disorder will have pervasive delusions about others. People with PPD will be suspicious and often rely on confirmation bias to solve context clues. Those struggling with this personality disorder may also be hypersensitive and easily insulted, as attachment issues are a cause. They will habitually relate to the world by vigilant scanning of the environment. This is them searching for clues or suggestions that may validate their fears or biases.
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They are eager observers, so they are the kind of people who will be staring at you and looking and listening around. Most of the time, they think they are in danger and look for signs and threats of that danger. As a side effect, they are potentially not appreciating other interpretations or evidence to the contrary. A PPD sufferer will often try to close themselves off from others, as it is hard to gain their trust. They may become isolated and wish to seclude themselves by avoiding social situations all together. Strugglers with this mental disorder hold grudges, mistrust others, and perceive others as hostile in a pervasive sense of personal right. This social withdrawal causes them to have constricted lives and ends up worsening the symptoms of social isolation and fear.
10 Most Devastating Personality Disorders
7. Avoidant Personality Disorder
Avoidant personality disorder is a cluster C personality disorder that involves an avoidance of feared stimuli. This is a coping mechanism that ends up shutting them off from all social situations entirely. Those affected display a pattern of severe social anxiety, social inhibition, feelings of inadequacy, and inferiority. This leads to extreme sensitivity to negative evaluation and rejection, as they reinforce these fears by acting in avoidance to them. In spite of this avoidance, AvPD sufferers fear socially interacting with others, but they also have a strong desire for social interaction and intimacy.
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This can create problems for them, as they can have a hard time standing up for themselves. An explicit insecurity can rise from this, as they decide to run away from all of the problems they have in life. A strong predictor for this disorder is childhood emotional neglect or abuse from peers and caregivers. They will avoid having any kind of relationship unless they absolutely know that they are liked and accepted. Those with this disorder experience depression and anxiety as symptoms, but anger can take center stage as well.
8. Schizoid Personality Disorder
Schizoid personality disorder is a cluster A personality disorder, and it’s quite an interesting one as well. This disorder is characterized by a lack of interest in social relationships as it’s main coping mechanism and response. It also entails a tendency toward a solitary or sheltered lifestyle, secretiveness, emotional coldness, detachment, and apathy. Affected individuals may be unable to form intimate attachments to others because they do not want to. They simultaneously possess a rich and elaborate but exclusively internal fantasy world. It is similar to other cluster A disorders and is often comorbid with and similar to schizophrenia. It’s also very common among people with other personality disorders.
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SzPD (SPD) sufferers will often see themselves as observers rather than participants in life. They even feel as though they cannot stand the expectations of others, and care little for praise or criticism. Since schizoids are uninterested in connection with others, there’s typically a degree of asexuality. The beliefs and philosophies they have are typically idiosyncratic and always deviate from the norm. Their speech is often stilted, meaning they speak in an inappropriately pompous are different manner than others. They also suffer from anhedonia, where they find little enjoyment in pleasurable activities. There’s even something called a secret schizoid who completely dissociates from reality to preserve their inner fantasy world.
10 Most Devastating Personality Disorders
9. Schizotypal Personality Disorder
Schizotypal personality disorder is a cluster A personality disorder and is characterized by schizophrenia-like symptoms. STPD sufferers struggle with thought disorder, paranoia, a characteristic form of social anxiety, derealization, transient psychosis, and unconventional beliefs. People with this disorder often avoid interaction out of fear and hatred because of paranoid beliefs about others. They think that people hate them and are conspiring against them out of harbored negativity. Speech patterns are often strange, as well as choice in clothing being beyond the norm.
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Their interpretation of interaction with them will often be seen as strange or having self-referential and paranormal importance. Depression, anxiety, and anger are also very common among those with STPD, as it leaves them to their own conclusions. It’s very similar to paranoid and schizoid personality disorders, but it’s more similar to schizophrenia. The sufferer assumes the worst in others and feels as though people are watching and judging them harshly. This can lead to resentment and disgust in other people in general, which is why they prefer to be alone.
10. Dependent Personality Disorder
Dependent personality disorder is a cluster C personality disorder and entails a pervasive psychological dependence on other people. This personality disorder is a long-term condition in which people depend on others to meet their emotional and physical needs. Very few people with this disorder ever truly make it out on their own. If they do, it requires excessive help form others. This is similar to codependence, as almost all people with DPP suffer with this problem as well. Since it is a cluster C personality disorder, you can expect a lot of fear and anxiety, as well as depression, emotional pain, and anger.
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Other symptoms can include anything from extreme passivity to excessive devastation or helplessness when relationships end. Sufferers also deal with avoidance of responsibilities and severe submission to others in times of need. It’s typically associated with inadequate functioning and fear of social interaction. They lack the ability or desire to make up their minds and are indecisive, having others make hard decisions for them. This can lead to broken and dead end relations that go nowhere because of their inability to stand up for themselves.
10 Most Devastating Personality Disorders
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