"Emotions are temporary states of mind. Don't let them permanently destroy you." ~ Anonymous
Personality: how a person perceives the world through attitudes, thoughts, & feelings (Morin, 2024).
Personality Disorders: characterized by inflexibility and inability to modify behavior to fit a situation caused by rigid, maladaptive patterns in thoughts, behaviors, and feelings to life situations (Morin, 2024).
6-10% of the population are diagnosed with a personality disorder
sustaining relationships is one of the most significant impairments
multiple personality disorder diagnoses are common; same cluster disorders can co-occur
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
Personality Clusters
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
*distorted thinking
*social awkwardness/withdrawal
*restricted emotional expression
Paranoid
Schizoid
Schizotypal
*dramatic
*erratic thinking
*lack of impulse control
*emotion regulation difficulty
Antisocial
Borderline
Narcissistic
Histrionic
*avoidance of interpersonal interactions
*dependency & passivity
*high anxiety
*orderly & perfectionistic
Avoidant
Dependent
Obsessive-Compulsive
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
Pugle, M. (2024). Personality disorders: Types and characteristics. VeryWell Health. https://www.verywellhealth.com/personality-disorders-5100910
Personality Disorders
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
Anwar, N. (2023). Paranoid personality disorder. Fajar Magazine. https://www.fajarmag.com/paranoid-personality-disorder/#google_vignette
*belief that someone is out to get them (eg. steal, deceive)
*impacts socialization and participation in activities
hypervigilance
distrust & suspicious
emotional detachment
Ethans, L. (2023). 10 behaviors of someone with schizoid personality disorder. Power of Positivity. https://www.powerofpositivity.com/schizoid-personality-disorder-spd/
*extreme introversion
*minimal emotional range & affect
*decreased eye contact
preference for solitude
emotional intimacy challenges
Bhatia, P. (2024). How to recognize Schizotypal personality disorder. WikiHow. https://www.wikihow.com/Recognize-Schizotypal-Personality-Disorder
*socialization & relational difficulties
*abnormal facial expressions & flat affect
delusions
emotionally distant
Casarella, J. (2022). Schizotypal personality disorder. WebMD. https://www.webmd.com/mental-health/schizotypal-personality-disorder
Colby, B. (2021, May 22). Antisocial personality disorder: DSM-5 diagnostic criteria. YouTube. https://www.youtube.com/watch?v=ckqeTqo28oo
*manipulative
*lack of regard for others
failure to conform to lawful behaviors
repeated lying
impulsivity
Susilo, D. (2022). Borderline personality disorder (BPD): Overview. HubPages. https://discover.hubpages.com/ health/Borderline-Personality-Disorder-BPD-Overview
*intense emotional reactions
*poor impulse control
*rigid thinking
chronic feelings of emptiness & boredom
limited stability
Guy-Evans, O. (2024). Narcissistic personality disorder (NPD): Symptoms & treatment. Simply Psychology. https://www.simplypsychology.org/narcissistic-personality-disorder.html
*unempathetic
*grandiose behavior
exploitation of others for personal gain
over-exaggeration of successes
Histrionic personality disorder. (n.d.). Mind Help. Retrieved November 20, 2024, from https://mind.help/topic/histrionic-personality-disorder/
*need for reassurance
*persistently seeking attention
*sensitive to criticism
sudden mood swings
rapidly changing & shallow emotions
Avoidant personality disorder. (n.d.). Mind Help. Retrieved November 20, 2024, from https://mind.help/topic/avoidant-personality-disorder/#symptoms-of-avoidant-personality-disorder
*fears of rejection or embarrassment inhibit socialization
preoccupations of one's weaknesses
hypersensitive to negative evaluation
people-pleasing tendencies
persistent feelings of loneliness and isolation
Dependent personality disorder. (n.d.). Mind Help. Retrieved November 20, 2024, from https://mind.help/topic/dependent-personality-disorder/
*extreme fear of separation
*causes submissive or clingy behaviors
excessive need for reassurance
decision-making difficulties
lack of self-confidence
tolerance of abuse treatment
Kelly, O. (2024). OCPD vs. OCD: What's the difference?. Very Well Mind. https://www.verywellmind.com/ocd-vs-obsessive-compulsive-personality-disorder-2510584
*obsessions with perfectionism
*desire for control
Inflexible, rigid patterns
difficulty empathizing & maintaining intimate relationships
problems with self-identity & self-direction
Mood Disorders
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
Mood Disorders: how a person perceives the world through attitudes, thoughts, & feelings (Morin, 2024).
Depressive Episode: how a person perceives the world through attitudes, thoughts, & feelings (Morin, 2024)
Manic Episode: how a person perceives the world through attitudes, thoughts, & feelings (Morin, 2024)
Hypomanic Episode: how a person perceives the world through attitudes, thoughts, & feelings (Morin, 2024)
Anhedonia: how a person perceives the world through attitudes, thoughts, & feelings (Morin, 2024)
6-10% of the population are diagnosed with a personality disorder
sustaining relationships is one of the most significant impairments
multiple personality disorder diagnoses are common; same cluster disorders can co-occur
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
Madormo, C. (2024). Seasonal affective disorder: How to recognize and manage symptoms. Very Well Health. https://www.verywellhealth.com/seasonal-affective-disorder-8549291
Castaneda, R. (2022). Postpartum depression: Signs and symptoms of postpartum. U.S. News. https://health.usnews.com/health-care/patient-advice/slideshows/signs-of-postpartum-depression
Mills, C. (n.d.). What is melancholic depression?. Overcomers Counseling. https://overcomewithus.com/depression/what-is-melancholic-depression
Melancholic
anhedonia
early morning awakening with depression worst in the morning
excessive guilt
Atypical
worsening symptoms at night
paralysis
excessive sleeping
hypersensitive to rejection or criticism
Psychotic
MDD symptoms
delusions of grandeur
hallucinations
Anxious Distress
unusual restlessness
tension
poor concentration
fear of losing control
Peripartum Onset
onset during pregnancy or within 4 wks of delivery
can include hallucinations & delusions
Seasonal Pattern
recurrent during a particular time each year
MDD symptoms
Types of bipolar disorder. (2021). Carolina Psychiatry. Retrieved November 20, 2024, from https://coastalcarolinapsychiatry.com/stress-management
Bipolar I "Manic Depression"
cycle of mania & depression
abnormally euphoric or irritable mood
grandiosity
decreased sleep
rapid speech
high-risk activities
Types of bipolar disorder. (2021). Carolina Psychiatry. Retrieved November 20, 2024, from https://coastalcarolinapsychiatry.com/stress-management
Bipolar II
cycle of hypomania & depression
depressive moods occur more often than in BP I
decreased intensity of manic episodes
decreased impact on function
Morin, A.M.F. (2024). Personality & mood disorders. [PowerPoint slides]. Microsoft Powerpoint. https://kodiak.wne.edu/d2l/le/content/114052/viewContent/1700886/View?ou=114052
Hoffman, M. (2023). Bipolar II disorder. WebMD. https://www.webmd.com/bipolar-disorder/bipolar-2-disorder
Intervention #1: Mood Playlists
How long is a good playlist?. (n.d.). MusConv. Retrieved November 20, 2024, from https://musconv.com/how-long-is-a-good-playlist/
Audience: Client
Diagnosis(es)/Condition(s): Mood Disorders, Anxiety Disorders, Schizophrenia, ADHD, Stress-related Disorders
Age Range/Population: All ages
Purpose: This intervention will allow the client to identify favorited genres as well as explore new options to curate a collect of songs that are meaningful and applicable for mood management. Depending on the desired emotional state, the tool can be used for mindfulness, self-soothing, energy-boosting, or motivation. This is an easily accessible way to help clients recognize their shifts in emotions and use the music to actively regroup and reground themselves in the moment to assist.
Instructions: The client will identify their mood states, triggers, and the desired or targeted response when they experience fluctuations in mood. The response would guide the goal of the playlist while having the client identify favorite artists, songs, or genres that can evoke the targeted emotion. The songs will then be organized into specific playlists for the specific need such as a relaxation list for stress with slower-tempo or instrumental songs or motivating lists for fatigue or low moods with upbeat songs. The client will be taught how to integrate the use of the playlist into their daily routine like during the morning for motivation or relaxation before bed.
Rationale & Impact on Function: This intervention will allow clients to regulate emotions through the tempo, rhythm, and lyrics of the songs within each specific playlist. This can also assist with self-expression when clients have difficulties verbally displaying their emotions. Music has been shown to reduce stress while also energizing individuals so these will be beneficial for clients experiencing fatigue or depressive symptoms. In turn, this intervention addresses leisure, health management, social participation, work, and education by allowing clients to manage their symptoms and reduce their impact on daily functioning. **Home management ** Rest & Sleep
Reference: American Psychiatric Association. (2023). The transformative power of music in mental well-being. Psychiatry.org. https://www.psychiatry.org/News-room/APA-Blogs/Power-of-Music-in-Mental-Well-Being
Intervention #2: Situational Role Playing
Audience: Client
Diagnosis(es)/Condition(s): Personality Disorders, Anxiety Disorders, Mood Disorders, ADHD, ASD
Age Range/Population: Pediatrics, Young Adult & Adult
Purpose: The intervention will improve emotional regulation by practicing responses to challenging scenarios in a safe, supportive environment. The hope is to develop problem-solving skills, mindfulness, and enhance interpersonal skills such as effective communication, conflict resolution, and self-awareness.
Instructions: Starting with creating a comfortable, judgment-free environment, the client will be introduced to the concept of role-playing, and then discuss various scenarios, exercises, and roles that the client experiences and wants to address. There are different role approaches such as top dog-underdog, CBT-based intellectual-emotional role, or the "Aha" experience. After acting and coaching are concluded, each scenario will be debriefed with the client about what went well, emotions that arose, and changes that could be made in the future. Strategies can be repeated with different outcomes for the generalization of skills or adjusted to reflect real-life events as homework assignments for further application.
Rationale & Impact on Function: For individuals with personality disorders, role-playing interventions can significantly improve their occupational performance and performance skills by enhancing emotional regulation, communication, and social interaction. By practicing emotional control in challenging scenarios, clients develop better coping mechanisms, reducing emotional dysregulation that may hinder participation in work, school, or social settings. Improved interpersonal skills enable more effective communication and collaboration, essential for success in both professional and personal occupations. Additionally, practicing mindfulness helps clients stay focused and present, which can boost their ability to engage in daily tasks and manage stress, ultimately improving overall functional independence and occupational engagement.
Reference: Sutton, J. (2022). Role play in therapy: 21 scripts & examples for your session. PositivePsychology.com. https://positivepsychology.com/role-playing-scripts/#role-playing-activities-scripts-games-exercises
Additional Resources