title: Personality disorders: review and clinical application in daily practice.
abstract: Personality disorders have been documented in approximately 9 percent of the general U.S. population. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders. Personality disorders are classified into clusters A, B, and C. Cluster A includes schizoid, schizotypal, and paranoid personality disorders. Cluster B includes borderline, histrionic, antisocial, and narcissistic personality disorders. Cluster C disorders are more prevalent and include avoidant, dependent, and obsessive-compulsive personality disorders. Many patients with personality disorders can be treated by family physicians. Patients with borderline personality disorder may benefit from the use of omega-3 fatty acids, second-generation antipsychotics, and mood stabilizers. Patients with antisocial personality disorder may benefit from the use of mood stabilizers, antipsychotics, and antidepressants. Other therapeutic interventions include motivational interviewing and solution-based problem solving.
authors.affiliation: Mayo Clinic College of Medicine, Rochester, MN 55905, USA. angstman.kurt@mayo.edu
authors.forename: Kurt B
authors.initials: KB
authors.lastname: Angstman
authors.forename: Norman H
authors.initials: NH
authors.lastname: Rasmussen
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005194:Family Practice; D006801:Humans; D062405:Motivational Interviewing; D010554:Personality Disorders / Q000175:diagnosis / Q000628:therapy; D011320:Primary Health Care; D011340:Problem Solving
chemical_list: D014150:Antipsychotic Agents