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Dependent Personality Disorder

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Definition | Causes | Risk Factors | Symptoms | Diagnosis | Treatment | Prevention

Definition

Dependent personality disorder is characterized by dependent and submissive behavior. The person often defers the majority or all decision-making to someone else. People with this type of personality disorder are not aware that their thoughts and behaviors are inappropriate.

Causes

It is not clear what causes personality disorders, but it is likely a combination of genetic (inherited) factors and a person's environment.

The Central Nervous System

Brain face skull
A personality disorder is most likely a combination of chemical or electrical imbalances in the brain and a reaction to traumatic personal experiences.
Copyright © Nucleus Medical Media, Inc.

Risk Factors

A risk factor is something that increases your chance of acquiring a disease or condition.

Factors that increase the risk of dependent personality disorder include:

Symptoms

Symptoms of dependent personality disorder may include:

  • Anxiety
  • Irrational fear
  • Relying on others for guidance, decision-making, reassurance, and advice
  • Excessive sensitivity to criticism
  • A strong fear of rejection
  • Perception of oneself as powerless

Diagnosis

You will likely be referred to a psychiatrist or other mental health professional. You will be asked about your symptoms. A mental and medical health history will be taken. A diagnosis will be made after a complete psychiatric assessment that rules out other disorders.

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include:

Counseling may be beneficial for people with dependent personality disorder. Counseling sessions focus on learning how to manage your anxiety and be more assertive.

In some cases, medications, such as tricyclic antidepressants, monoamine oxidase inhibitors, or alprazolam, may help manage symptoms. For most patients, medications only provide a minimal amount of symptom relief.

Other treatments, such as group therapy and social skills training, can help you manage symptoms.

Prevention

There is no known way to prevent dependent personality disorder.

RESOURCES:

Mental Health America

http://www.nmha.org

National Institute of Mental Health

http://www.nimh.nih.gov

CANADIAN RESOURCES:

Canadian Mental Health Association

http://www.cmha.ca

Canadian Psychiatric Association

http://www.cpa-apc.org

References:

Bornstein RF. From dysfunction to adaptation: an interactionist model of dependency. Annu Rev Clin Psychol. 2012;8:291-316.

Dependent personality disorder. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Accessed December 15, 2011. Updated October 11, 2012.

Personality disorders. Mental Health America website. Available at: http://www.nmha.org/index.cfm?objectId=C7DF8E96-1372-4D20-C87D9CD4FB6BE82F. Accessed October 11 ,2012.

Last reviewed September 2012 by Rimas Lukas, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.