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Severe and dangerous personality disorder

So I've tried googling this but couldn't find a list of symptoms. Jenny, have you learned anything about this?

yes

That's odd. I completed my MD thesis on personality disorders and depression and I never came across this. Apparently neither has ICD-10. Gonna check DSM-V for the sake of it as well.

all I found is this: http://apt.rcpsych.org/content/9/5/349

EDIT: Nothing in DSM-V eiter. If you want, I can drop a mail to my assistant-professor of psychiatry and ask her. Btw, I might have a study about personality disorders and depression published soon.

"The White Paper Reforming the Mental Health Act. Part II: High Risk Patients (hereafter referred to as the White Paper) identified these individuals as dangerous and severely personality disordered (DSPD) (Department of Health, 2000). This phrase has been attacked as �a neologism that has no legal or medical status� (Farnham & James, 2001)"

Here we go again.

quote:

Originally posted by Chimney That's odd. I completed my MD thesis on personality disorders and depression and I never came across this. Apparently neither has ICD-10. Gonna check DSM-V for the sake of it as well. all I found is this: http://apt.rcpsych.org/content/9/5/349 EDIT: Nothing in DSM-V eiter. If you want, I can drop a mail to my assistant-professor of psychiatry and ask her. Btw, I might have a study about personality disorders and depression published soon. "The White Paper Reforming the Mental Health Act. Part II: High Risk Patients (hereafter referred to as the White Paper) identified these individuals as dangerous and severely personality disordered (DSPD) (Department of Health, 2000). This phrase has been attacked as �a neologism that has no legal or medical status� (Farnham & James, 2001)"

I've read some of the contents of the link you posted. That's pretty damned scary. I'd be interested in reading your study, if you'd like to share it.

dude if i were you I'd just cope his mixtape. Even if it isnt straight fiyah!

In all truthfulness, this entire 'mental patients are dangerous' has been completely exaggerated by pop-culture. I've done anamnesis on a couple of people suffering from antisocial personality disorder (i.e psychopaths) and they were relaxed as hell. Sure, one of them tried to kill his brother with a knife, but other than that, most were ok. The most dangerous - according to psychiatric guidelines - are maniacs (or bipolars during manic phase) and epileptics after the crisis due to confusion. Schizophrenics, which I�ve probably spoken to the most, have never exhibited any violent behaviour, although they were into remission and there was history of some stuff during psychosis episodes.

quote:

Originally posted by Chimney In all truthfulness, this entire 'mental patients are dangerous' has been completely exaggerated by pop-culture. I've done anamnesis on a couple of people suffering from antisocial personality disorder (i.e psychopaths) and they were relaxed as hell. Sure, one of them tried to kill his brother with a knife, but other than that, most were ok. The most dangerous - according to psychiatric guidelines - are maniacs (or bipolars during manic phase) and epileptics after the crisis due to confusion. Schizophrenics, which I�ve probably spoken to the most, have never exhibited any violent behaviour, although they were into remission and there was history of some stuff during psychosis episodes.

Thanks for sharing.

quote:

Originally posted by Vivid Boy dude if i were you I'd just cope his mixtape. Even if it isnt straight fiyah!

haha

that reminds me..

Wouldn't this just be like, antisocial personality disorder?


edit: nm, just read Chimney's post up there.

Out of curiosity, in the US are all physicians allowed to prescribe antipsychotic medication or only psychiatrists?

Like in Canada I think GPs or family doctors in the US can prescribe stuff like anti-depressants, but I doubt they know enough about psychosis/schizo/bi-polar to be able to get the dosage right and stuff.

My GP here thought I was depressed and put me on some medication I forget the name of (anti-depressant) but it turns out I wasn't depressed, just crazy

the medical diagonistic manuals are all silly and doctors dont know anything about what mental uillness is really like....unless they have a disorder themselves...the entire psych drug industry is a scam, just created to create another market for consumption.

misdiagnosis is so common its not even funny.....anyone can now go into a docotor and manufacture some disorder and the doc will give them medication and thats how you do business ninn this market....its just a market..

which gives people with actual illnes and disorder a bad name...

quote:

Originally posted by Chimney Out of curiosity, in the US are all physicians allowed to prescribe antipsychotic medication or only psychiatrists?

Only psychiatrists.

quote:

Originally posted by soulstar606 ...doctors dont know anything about what mental uillness is really like....unless they have a disorder themselves... misdiagnosis is so common its not even funny.....

There is definitely truth to that.

I sort of agree with soulstar.

Psychiatrists in Canada are obligated to monitor you for 6 months to a year before making a formal diagnosis. Which to me means they are pretty cautious about diagnosing.

But ya, they don't know EVERYTHING about mental illness because like soulstar said if you've never experienced it yourself you don't understand to the same extent.

futurama is the greatest if disagree you agree you are mentally ill

Althought hopefully by this time next year I'll be a resident in it, I agree with the criticism psychiatry gets. Medicine is based on em empirical knowledge. Got a cardiac insufficiency and don't trust your doctor? They'll show you the ventricular ejection rate its dilation/hypertrophy. Got hyperthyroidism and don't believe it? Doctor will show you the TSH/T3 values. Got a psychiatric disease? Just take his word for it. Totally flawed.

Reason why I always said it's necessary to go up the biology field and work towards proving these disorder and providing better treatment than pumping people full of neurotransmitting drugs for decades on end.

......but then a bird of prey dropped me some meat, and i felt much better about life.

Maybe this could work to his advantage. Aren't women attracted to guys who are a little dangerous?

quote:

Originally posted by Jon_Snow Maybe this could work to his advantage. Aren't women attracted to guys who are a little dangerous?

Or even very dangerous: http://www.sfgate.com/news/article/No-shortage-of-women-who-dream-of-snaring-a-2689657.php

Can't believe nobady said IBOGA.

What I don't understand is how a psychiatrist can tell one they have psychotic symptoms but also have a personality disorder. Surely if the psychotic symptoms weren't present, then the personality may appear more "in order." Ridiculase!!

But yeah, in the US, they often make a diagnosis in the very first visit. I heard this is a very convenient way for the psychiatrist to bill the insurance companies. Sometimes they don't make a diagnosis at all.

quote:

Originally posted by AlphaStarred What I don't understand

Most of life.

quote:

Originally posted by Dykes_on_Jay Can't believe nobady said IBOGA.

It's the 800lbs elephant in the room we're doing our best to pretend isn't there. And no I'm not talking about Juan.

quote:

Originally posted by AlphaStarred What I don't understand is how a psychiatrist can tell one they have psychotic symptoms but also have a personality disorder. Surely if the psychotic symptoms weren't present, then the personality may appear more "in order." Ridiculase!! But yeah, in the US, they often make a diagnosis in the very first visit. I heard this is a very convenient way for the psychiatrist to bill the insurance companies. Sometimes they don't make a diagnosis at all.

Many people don't seem to understand (not referring to you, but generally) that personality disorders are not diseases per se, but traits etched in our personogenesis. As an example, theory says that people suffering from anti-social personality disorders have a lower activity of their amygdala hence the lack of empathy.

Personality disorders cannot be treated by means of medication, but in cases where there is deviant behaviour (borderline cutting themselves or multiple sexual partners without protection, drug use as an example)psychotherapy can be performed. However this is not possible without the full co-operation of the person. Many times these are not written in the chart of patients, or written under secrecy, because the stigma of attaching anything related to psychiatry on a young person can be devastating.

Certain personality disorders can be precursors to diseases. It's know that Cluster A (Paranoid/Schizoid/Schizotypal) are more prone towards developing schizophrenia. Schizophrenia has different methods of expressing itself with either positive or negative symptoms etc. But this is seldom the case. Anankast personality disorder is prone towards OCD and so forth.

In Europe, many countries have the rule that regardless if a person presents episodes of psychosis, a time-period of 6 months must pass before putting the final diagnosis.

It's sad to see that so many people feel contempt towards psychiatrists. Hopefully by this time next year I'll be a resident in it as well and it certainly isn't my intention to hurt people or keep them sedated for decades on end.

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