Question

12. The personality disorders include symptoms that are sometimes shared by related disorders. Please compare and contrast the following pairs: (a) Obsessive-Compulsive Personality Disorder with Obsessive-Compulsive Disorder; (b) Paranoid Personality Disorder with Schizophrenia with paranoid delusions; (c) Borderline Personality Disorder with Bipolar Mood Disorder; and (d) Dissociative Amnestic Disorder from Major Neurocognitive Disorder of the Alzheimer's type. Be sure that your responses include the major defining aspects of each of these disorders (e.g., diagnostic criteria). DISith s

Answer 1

Obsessive compulsive personality disorder (OCPD) is characterised by extreme perfectionism, preoccupation with orderliness, excessive fixation to rules, mental and inetrpersonal control, severe need to impose ones standard on their outside environment, emotionally constricted and rigid and are great critics of self and others.Obsessive compulsive disorder(OCD) is not a personality disorder. It is characterised by recurring thoughts, repetititve bahaviors, unwanted thoughts or ideas. They are unable to control their thoughts and actions for short period of time. OCPD and OCD share some common symptoms such as being excessively fixated with rules, sense of perfectionism, it interferes with social functioning, rigidity in the action and behavior.Those suffering from OCD has insight while the OCPD patients lack insight.OCD affects in all the spheres of life but OCPD interferes with the interpersonal relationship.OCPD patients think they are perfect and do not seek medical help, on the other hand OCD patients willingly tend to seek medical help.

Paranoid personality disorder(PPD) is characterised by excessive suspicion and distrust. It involves odd and eccentric way of thinking. Schizophrenia with paranoid delusions include hallucinations and delusions. Hallucinations refer to strong belief of existance of a third person, in paranoid schizophrenia it is auditory hallucination in which third person control the action of the affected person. Delusions are false firm beliefs which are unshakable even after contradicting it.

PPD and paranoid schizophrenia both involve high degree of suspicion in the activity of others, sometimetimes even a friendly gesture is seen with suspicion, a sense of danger and harm from others is strong in both the disorders.There is absence of delusions and hallucination in paranoid personality disorder.

Bipolar mood disorder is the variations in the persistent state of an emotonal state, it is called bipolar as it can be either of the extremes, the extreme state of a low mood is depression, while the extreme state of a high mood is mania.Boderline personality is also the cause of ongoing patterns of varying moods. Their behavior is unpredicatble, while it is totally justified in the eyes of the affected person. Bipolar mood disorder is not continous, if one episode is manic the other will be depression or mania but after a period of recovery. Boderline personality disorder is ongoing and continous. Both disorders affect the social fucntioning.

Dissociative amenesic disorders is classified under dissociative disorders. People suffering from dissociative amnesia have difficulty in recalling the personal facts details or incidents caused due to stress or trauma. It affects the mental functioning.It can affect a person from hours to years.Major Neurocognitive Disorder is an acquired cognitive decline in one or more cognitive functioning.It interferes with daily activities. Both the disorders affect the cognitive functioning. It impairs their routine and social activities on the other hand though they are related to cognitive functioning, dissociative amnesia is caused as a result of stress or trauma while neurocognitive disorder is caused as an after result of medical illness such as Alzheimers, it is a gradual cognitive impairment. It affects not only memory unlike dissociative amnesia , it affects the reasoning ability, thinking ability and memory.