Chapter 24. Personality Disorders

Thomas E. Oxman, M.D.
DOI: 10.1176/appi.books.9781585623754.395394



The diagnosis and treatment of personality disorders are relatively difficult and time-intensive in comparison with those of many other psychiatric disorders. In elderly persons, these problems are confounded by a variety of additional issues, both negative and positive. The natural history of personality in later life is affected by the combination of increasing medical-neuropsychiatric comorbidity with ongoing normal psychosocial development.

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Table Reference Number
Table 24–1. Personality disorders and related aspects of aging
Table Reference Number
Table 24–2. Symptom areas and pharmacotherapy classes in personality disorders


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You are asked to evaluate a 75-year-old woman who was referred by her internist. She exhibits the following long-standing characteristics: sensitivity to rejection and chronic feelings of abandonment. You suspect that she has a personality disorder. Which of the following personality disorders is most likely?
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