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What are Cluster A Personality Disorders?

Writer's picture: Judas RoseJudas Rose

Personality disorders in the DSM-5 are categorized into 3 separate clusters; Cluster A, B, and C. Cluster A personality disorders are characterized by perceived eccentric behaviors and atypical thinking patterns. Those with Cluster A personality disorders may appear cold, distant, untrusting, or disorganized.

Cluster A Personality Disorders include:

  1. Paranoid Personality Disorder - key traits may include but are not limited to pervasive distrust of others, unjustified recurrent suspicion of others' intentions, loyalty/and/or faithfulness in a romantic or sexual context, perceiving innocent remarks or non-threatening situations as personal insults or attacks, and tendency to hold grudges

  2. Schizoid Personality Disorder - key traits may include but are not limited to a lack of interest or pleasure in developing, maintaining, or participating in social relationships, including with family members, an inability to take pleasure in most activities, and a preference for solitude

  3. Schizotypal Personality Disorder - key traits may include but are not limited to "magical thinking" (the belief that you can control people or events with your thoughts), the belief that daily or casual events or incidents contain hidden messages meant only for you, social anxiety, and discomfort with close relationships

  • Ongoing difficulties adapting in 2 or more areas of life (areas of life may include social, physical, educational, routine, financial, etc.)

  • Symptoms have a severe negative impact on one's ability to function on a daily basis.

  • Symptomatic patterns that have developed over time

  • The presence of comorbid (or co-occurring) mental health conditions, and/or trauma


The causes of personality disorders have genetic and environmental influences. More specifically, people are typically born with a genetic predisposition for certain personality disorders that are then 'triggered' by environmental influences - specifically childhood trauma.


  • Psychopharmacology (Medicine)

  • Psychotherapy, especially Cognitive Behavioral Therapy (CBT)

  • Group Therapy

  • Psychoeducation (education for the individual and their support system about their condition and needs)

  • Holistic (focusing on the wellness of an entire person; physically, mentally, emotionally, and spiritually)

  • Multimodal (incorporating multiple methods to optimize treatment)


SOURCES:

“Personality Disorders - Cluster a Notes.” Osmosis From Elsevier, www.osmosis.org/notes/Personality_disoders_-_Cluster_A. Accessed 31 Dec. 2022.

“Personality Disorders - Symptoms and Causes.” Mayo Clinic, 23 Sept. 2016, www.mayoclinic.org/diseases-conditions/personality-disorders/symptoms-causes/syc-20354463.

“What Causes Personality Disorders?” American Psychological Association, www.apa.org/topics/personality-disorders/causes. Accessed 31 Dec. 2022.

“What Is Cluster a Personality Disorder?” WebMD, 21 May 2021, www.webmd.com/mental-health/what-is-cluster-a-personality-disorder.


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