The dependent personality disorder is to be cared characterized by a pervasive, excessive need, leading to submissiveness and clinging behavior iron. Diagnosis is based on clinical criteria. The treatment consists of psychotherapy and possibly antidepressants.
(See also personality disorders overview.)
The dependent personality disorder is to be cared characterized by a pervasive, excessive need, leading to submissiveness and clinging behavior iron. Diagnosis is based on clinical criteria. The treatment consists of psychotherapy and possibly antidepressants. (See also personality disorders at a glance.) In patients with a dependent personality disorder need to be cared leads to a loss of autonomy and interests. Because they worried watch intensively, they become overly dependent and submissive. about 0.7% of the population have estimated a dependent personality disorder; it is more common in women. Comorbidities are common. Patients often have a depression (major depression or dysthymia), an anxiety disorder, a disorder of alcohol or other personality disorders (eg. B., Borderline, histrionisch). Etiology information on the causes of the dependent personality disorder are limited. Cultural factors, negative early experiences and biological vulnerabilities associated with anxiety seem to contribute to the development of dependent personality disorder. Family characteristics such as humility, insecurity and selfless behavior can also help. , Symptoms and discomfort patients think with dependent personality disorder that they can not take care of themselves. They use subservience to try to get other people to look after them. Patients with this disorder usually need a lot of reassurance and advice when making ordinary decisions. Often let others, often a person to take responsibility for many aspects of their lives. For example, they may be dependent on their spouse that he tells them what they should wear, what kind of job you are looking for and who they should get together. These patients see themselves as inferior and tend to belittle their abilities; they take any criticism or rejection as proof of their disability, which further undermines their confidence. It is difficult for them to bring disagreements with others to express for fear of losing support or acceptance. Rather, they may slightly agree, they know that it is wrong, as they risk losing the help of others in. Although anger is appropriate, they will not get angry to lose friends and colleagues for fear their support. Because these patients are sure that they can not accomplish everything themselves, they find it difficult to start a new task and work independently, and avoid tasks that require it to assume responsibility. They present themselves as incompetent and need constant help and reassurance. When they are sure that a competent person to supervise and recognizes these patients tend to function adequately. However, they do not want to appear to be competent, so as not to be left. As a result, their careers could be harmed. They get their dependence upright, because they tend to learn any skills of independent living. These patients go to great lengths to obtain care and support (eg. B. Apply of unpleasant tasks received unreasonable demands, toleration of physical, sexual or emotional abuse). being alone gives them an extremely unwell feeling or makes them anxious, because they fear that they can not take care of themselves. Patients with this disorder tend to interact socially with only the few people from whom they depend. When a close relationship ends, try Patients with this disorder immediately to find a replacement. Because of their desperate need to be cared for, they are not picky when choosing a replacement. These patients fear that they will be abandoned by the people from whom they are dependent, even if there is no reason to do so. Clinical diagnostic criteria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For the diagnosis of dependent personality disorder patients must be considered a persistent, excessive need have, leading to submissiveness and staples as ? 5 of the following shown: difficulty making everyday decisions without an excessive amount of advice and confirmation from other people a need to blame others for the most important aspects of their lives, to bring difficulties disagreement with other express because they loss of support or confirmation fear difficulty enterprises to start alone because they are not safe in their judgment and / or their skills (not because they do not have the motivation or energy) the willingness to strive hard (for. example, unpleasant tasks are performed) in order to obtain the support of other Feelings of discomfort or helplessness when they are alone, because they fear that they are not to take care of yourself to be able to address the urgent need for a new relationship with someone who takes over the supply and support when a close relationship comes to an end Unrealistic to be left employment with the fear itself and to take care of themselves Additionally symptoms in early adulthood must have begun. Differential diagnosis Several other personality disorders are characterized by hypersensitivity to rejection. However, they can be on characteristics such as the following distinguished from the dependent personality disorder based: borderline personality disorder: Patients with this disorder are too frightened to give the same degree of control as do the patients with dependent personality disorder. Patients with borderline personality disorder, as opposed to those with dependent personality disorder, vary between submission and furious hostility. Avoidant personality disorder: Patients with this disorder are too scared to make the same level of control as patients with dependent personality disorder. Patients with anxious avoidant personality disorder retire until they are sure that they are accepted without criticism; In contrast, those who are looking for with dependent personality disorder relationships with others and try this maintain. Histrionic personality disorder: Patients with this disorder seek attention rather than calming (as those dealing with dependent personality disorder), but they are uninhibited. They are extravagant and actively seek attention; those with dependent personality disorder are reserved and shy. Dependent personality disorder should be distinguished from the dependence which exists in other psychiatric disorders (eg. B. mood disorders, panic disorder, agoraphobia). Therapy Cognitive behavioral therapy psychodynamic psychotherapy may antidepressants The general treatment of dependent personality disorder is similar for all personality disorders. Psychodynamic psychotherapy and cognitive behavioral therapy aimed to investigate the fears of independence and difficulties with assertiveness, can help patients with dependent personality disorder. Doctors should be careful and do not promote dependency in the therapeutic relationship. Proof of drug therapy in dependent personality disorder is sparse. Monoamine oxidase inhibitors (MAOIs), which are effective in a avoidant personality disorder can be effective, as well as SSRIs. Benzodiazepines are not used because patients with dependent personality disorder have an increased risk of drug addiction.