Cluster B personality disorders – Are They Actually Mental Illness?

Are personality disorders mental illness? A Personality disorder is a pattern of inner experience and behavior that deviates from the expectations of a person’s culture.

Although these patterns of behavior are considered disorders in the diagnostic and statistical manual, we don’t think of them as illnesses in the same way we think of schizophrenia, bipolar disorder, depression or even ADHD. With these illnesses we see disruptions in brain chemistry that are responsible for these illnesses. But the personality disorders are patterns of thinking and behavior that just develop with you. We all have characteristics of some of these personality disorders. We call it having certain personality features or traits. But if you have several of the traits of a particular disorder such that it causes dysfunction in all of these areas of your life, then it would be considered the disorder. So a person can have features of narcissism without having the full-blown narcissistic personality disorder.

In this video I discuss the 10 personality types and how they are clustered into groups based on characteristics they share. The 10 personality types are:
Cluster A (odd or eccentric):
Paranoid personality disorder, Schizoid personality disorder, Schizotypal personality disorder

Cluster B (dramatic or erratic):
Antisocial personality disorder, Borderline personality disorder, Histrionic personality disorder, Narcissistic personality disorder

Cluster C (anxious):
Avoidant personality disorder, Dependent personality disorder, Obsessive-compulsive personality disorder

Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

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29 Comments

  1. I'm wondering about Borderline Personality disorder with Bipolar type 2. My psychiatrist thinks I may have this combo, yet also believes it could be CPTSD. It's hard for me to track my emotional states, bc in the highs and lows I forget to track them, and can only remember when I'm feeling normal, or nonemotive.

  2. I was diagnosed with NPD a few years ago and received treatment, I have received feedback from family, friends and my doctors and therapists that I have improved and I am on the right track. What has helped me is that I truly want to be better and I am very honest with my doctors and therapists. I do not allow myself to lie or omit anything during sessions. I am also extremely determined to work on my mental health so that I can have fulfilling relationships. I think its possible for someone with NPD to get better if they want it badly enough and work hard. I also think it's very important to work with health care professionals who got extra training in dealing with NPD. I just want anyone who has been diagnosed with NPD to know their life is not over. If you work hard you will get better and your relationships will improve.

  3. I am a counselor, and my favorite thing about your videos is that you are so funny sometimes. Besides that, these videos are a great resource. I meet a lot of people who have been diagnosed with many things, and they know nothing about them. They say nobody took time to really explain them. That is probably true a lot of the time.

  4. There are actual biological differences that occurs for bpd episodes and bipolar. This world is broken. You guys destroy us and rpae us then want us to fix ourselves. FUCK YOU

  5. Thank you Dr. Marks. I had an instructor say don't give a person suffering from a severe P.D. hope. The traits are permanent. However, people can learn to modify the (trait) expression. How exactly is that expressed in treatment? "Learn to live with it."

  6. I'm 55,I have Borderline personality disorder, and I have always felt like I was cursed, or damned, or something all my life! I'm literally having my last Spravato treatment right now as I type this. I'm sad, because I'm a caregiver, and this thing I've been doing every Friday since February has felt so much like self-care. ☺️ Since my mother passed away back in August of 2022 I have been my father's sole caregiver. No one helps me, maybe my sister could help but she's on her own trip, ya feel me? Please pray for me! I feel so alone. 😔 God bless you and keep you well smart, beautiful lady! 😇🙏🏻🕊🌹💓

  7. I really love how you're honest even when it's something that will be very hard for most people to hear. These videos are EXTREMELY helpful, thank you!

  8. I was diagnosed with BPD at 17; I'm 32 now and have been through many types of therapy and medications. DBT saved my life several times when I was in the thick of it all in my early 20s and with my e4t!ng d!$0rder. I'm now 32 going on 33 next month and I've calmed WAY down with the BPD. then anxiety tho has gotten worse. I had a baby almost 4 years ago and the BPD really chilled out; she saved my life but I'm constantly on alert and worried something will take her from me/hurt her. the world is a scary place for a parent. but I definatly feel like my BPD has really tamed since having had her; I finally have a purpose greater than myself and she is the reason I'm still her and why I "recovered" from my e4t!ng d!$0rder (I still have the issue but can't do those behaviors anymore because I have impressionable little eyes on me and I don't want her to fall into that trap). I love her more than I hate myself.

  9. Neuroplasticity research, the demonstrated ability some have to develop cognitive empathy, and the fact that some people improve in other ways tells me that either some of it can be illness, and that people can manage personality disorders better when they’re not ill. I don’t have any personality disorders, but I think it’s sad that many clinicians won’t treat Cluster B disorders (according to what I’ve read, by people who have them). Many treat Borderline Personality Disorder, but I’ve heard these complaints from people with NPD & ASPD. Maybe they have an illness, as well, and need treatment. Thanks for helping us understand the difference, and when there may be some interplay. I have mental illness, and treatment has helped me. I hope people with personality disorders can also get help, when they need it.

  10. I had one psychiatrist diagnose me with ocd personality disorder and another said I don’t have it. How do I know if I actually have it? The doctor that diagnosed me actually told me that she also had it.

  11. It's insulting to people to tell them that their personality style is nothing but a disease 😠. The social constructionism of these DSM-3 disorders is even apparent in the definition given above: A PD "deviates from the expectations of a person's culture". Nobody says deviates from the expectations of a person's culture about leprosy, lupus, long QT syndrome, Lennox–Gastaut syndrome, Lou Gehrig's disease, lysosomal storage diseases or Lyme disease.

  12. That one guy is beneficial i am currently right wing and and am cool with trump. Idgaf about football teams i vote for whoever is actually better "subjective" but objective to me.

    I deal with drones on both side you can't possibly play devil's advocate without someone going dumb. Whatever you say what are we gonna do today i agree.

  13. I really appreciated all of the descriptions of the different personality disorders, etc…… Up until close to the end of the video, this was very helpful and informative. But toward the end, when you were addressing the commenter/questioner personally, it seems like some defensiveness crept in to your answer and it verged on being a bit passive-aggressive. I have subscribed so I can watch your other videos and am hoping that they continue with the professional and informational aspect, which I really enjoyed.

  14. 4:10 I don't have a personality disorder that I'm aware of. But this is why I endorse studying philosophy. If you change the way you think, i.e., Nobody Owes you anything, so the proper response is gratitude or don't fret about the aspects that are out of your control, it changes the way you express emotions, the way you relate to people, and impulse control.

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