Dependent personality disorder
What are the DSM-5 diagnostic criteria for dependent personality disorder?
A pattern of excessive need to be taken care of that leads to submissive and clinging behavior. At least five of the following must be present: 1) Difficulty making everyday decisions without reassurance from others. Often will not initiate things or may volunteer for unpleasant tasks. 2) Needs others to assume responsibilities for most areas of his or her life. 3) Difficulty expressing disagreement because of fear of loss of approval. 4) Difficulty initiating projects because of lack of self-confidence. 5) Goes to excessive lengths to obtain support from others. 6) Feels helpless when alone. Quickness to enter a relationship after one ends. 7) Urgently seeks another relationship when one ends. 8) Preoccupied with fears of being left to take care of self.
What are cluster C personality disorders?
Cluster C: "anxious, worried and fearful." -Avoidant personality disorder -Dependent personality disorder -Obsessive-compulsive personality disorder
What is dependent personality disorder?
Patients with DPD have poor self-confidence and fear of separation. They have an excessive need to be taken care of and allow others to make decisions for them. They feel helpless when left alone. Characterized by the inability to assume responsibility, dependent or submissive behavior, fear of being alone and difficulty making day-to-day decisions.
What is the epidemiology of dependent personality disorder?
Prevalence: approximately <1%. Women are more likely to be diagnosed with DPD than men.
How is dependent personality disorder managed?
Psychotherapy, particularly cognitive-behavioral, assertiveness, and social skills training, is the treatment of choice. Pharmacotherapy may be used to treat associated symptoms of anxiety or depression.
What is the course of dependent personality disorder?
Usually has a chronic course. Patients are prone to depression, particularly after loss of a person on whom they are dependent. Difficulties with employment since they cannot act independently or without close supervision.
