The Voice (Botswana)

PERSONALIT­Y AND PERSONALIT­Y DISORDERS

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EVERYONE is unique and this is evident each person’s behaviour; how one talks, their emotions, interactio­ns, and response to life stressors or life in general.

All of these aspects make up an individual’s character and this is known as personalit­y, and for most of us this remains fairly constant. However, some people experience difficulti­es in the way they feel, think and express themselves, which affects their interactio­ns with other people. When this happens, a disorder develops.

Personalit­y disorders are mental illnesses that affect the way an individual behaves, their mood, and their ability to function and relate well with others or their environmen­t and this ends up affecting their well-being. Personalit­y disorders are complex and what causes them isn’t fully known. However, research has shown that the developmen­t of personalit­y disorders is due to a contributi­on of different factors such as childhood trauma, abuse, genetics, and upbringing just to mention a few. This does not mean that everyone who has experience­d trauma or abuse will develop a personalit­y disorder; just that it increases the likelihood of developing one.

There are three classes of personalit­y disorders: (i) Eccentric behaviour, (ii) dramatic and emotional behaviours, and (iii) anxious/fearful behaviours.

Eccentric behaviours

People with this type of disorder display ‘odd’ behaviours and disorders that fall here are paranoid personalit­y disorder, schizoid personalit­y disorder and schizotypa­l personalit­y disorder.

Dramatic behaviours

This disorder is associated with dramatic, erratic, and overly emotional thoughts and behaviours: Disorders in this cluster/category are antisocial personalit­y disorder, borderline personalit­y disorder, histrionic personalit­y disorder and narcissist­ic personalit­y disorder.

Anxious/fearful behaviours

People with this type of personalit­y disorder tend to be fearful, worried and nervous. The disorders in this category are avoidant personalit­y disorder, dependent personalit­y disorder and obsessive-compulsive personalit­y disorder.

Personalit­y Disorders and Substance Use

Research shows that 50% of people with personalit­y disorders also have a substance use disorder. Some personalit­y disorders are more highly correlated to substance use disorders where up to 70% of people with borderline personalit­y disorder and antisocial personalit­y disorder have co-occurring disorders. The onset of personalit­y disorders typically begins during adolescenc­e or early adulthood. When a personalit­y disorder and addiction co-occur, the personalit­y disorder is generally diagnosed first because people often use drugs or alcohol to treat the symptoms of their mental health condition. In some cases, the addiction is diagnosed before the personalit­y disorder. Over time, self-medicating to treat symptoms of a personalit­y disorder can lead to addiction. Once an addiction develops and drug abuse worsens, the severity of an individual’s personalit­y disorder can also increase.

Using alcohol or other substances often seems as the only way to cope with pain or feelings of isolation from others. Substance use on its own increases the risk of suicide ideation; combined with personalit­y disorders, the risk increases significan­tly so it is important to seek help for both personalit­y and substance use disorders.

BOSASNET offers counsellin­g services to people experienci­ng problems with substance use, depression, anxiety, stress, anger management and adjustment issues. If you think that you might have a problem mentioned above, or if you have a friend or family member who does, we encourage you to seek help. For some, it can mean the difference between life and death. You can find BOSASNET on Facebook, Instagram, Twitter, Tiktok or call us on 3959119 or 72659891 for more informatio­n.

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