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Personality disorders and substance use

Personality disorders and substance use 2025

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The document discusses personality disorders, defining them as enduring patterns of behavior that deviate from cultural norms and lead to distress or impairment. It categorizes personality disorders into three clusters (A, B, and C) based on behavioral characteristics. The text highlights the high comorbidity of personality disorders with substance use, particularly in Cluster B types, and outlines management approaches for treating individuals with both conditions. It emphasizes the challenges in treatment due to impulsivity and risky behaviors associated with these disorders, while also addressing specific issues related to various substances such as cannabis, alcohol, opioids, stimulants, benzodiazepines, and inhalants.

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What personality disorder is most commonly associated with addictions?

Borderline personality disorder (BPD) affects 2.7% of adults. About 78% of adults with BPD also develop a substance-related disorder or addiction at some time in their lives. These persons are more impulsive and clinically less stable than BPD patients without substance dependency.

How does substance use affect personality?

Some personality changes are specific to certain substances. For example, using illicit stimulants could lead to restlessness, aggression, delusions or anxiety, and depression, while some opioid misuse could cause problems with attention, memory challenges, lack of awareness and coordination, or agitation.

Why do people with BPD have substance abuse issues?

Many people with BPD use substances to self-medicate, seeking relief from overwhelming emotions or aiming to feel dissociated. Social factors like peer pressure and negative interactions often drive substance use, which can lead to addiction.

What are personality disorders highly correlated with?

Childhood trauma. One study found a link between the number and type of childhood traumas and the development of personality disorders. People with borderline personality disorder, for example, had especially high rates of childhood sexual trauma.

What are the personality disorders caused by drugs?

Some common serious mental disorders associated with chronic drug abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, and antisocial personality

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What is the correlation between personality disorders and substance use?

Two specific PDs are particularly frequently diagnosed together with substance use problems: the borderline personality disorder (BPD) and the antisocial personality disorder (ASPD). Both disorders are associated with higher impulsivity and aggressive behavior (Walter, Wiesbeck, Dittmann, Graf, 2011).

Personality disorders and substance use 2025

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