New York & New Jersey Private Psychotherapy & Counseling Offices

| | | |

 Bergen County
 Essex County
 Hudson County
 Hunterdon County
 Morris County
 Passaic County
 Somerset County
 Sussex County
 Union County
 Warren County

 New York City
 Nassau County
 Rockland  County
 Suffolk County
 Westchester County

 Individual Therapy
 Marriage Counseling
 Couples Counseling
 Family Therapy
 Child Therapy
 Adolescent Therapy
 Group Therapy
 Legal Evaluations
 Psychological  Evaluations

 Cognitive-Behavioral  Psychodynamic
 Play Therapy

 Nurse Practitioner
 Marriage & Family Therapist
 Social Worker
 Substance Abuse Counselor


Personality Disorders


Definition of Personality Disorders

The word personality is difficult to define. Personality refers to an enduring of perceiving, thinking and relating to situations and oneself that occurs repetitively in a wide range of social and personal situations. An individual's personality is stable and predictable and characterizes that individual in most circumstances. The normal personality is flexible and adaptable. When the personality is disordered, it is maladaptive and distressing for the patient and others. Personality disorders are maladaptive patterns of perceiving, relating and thinking about one's surroundings and oneself. They are usually negatively impact one's work, family, and interpersonal relationships. 

The severity of personality disorders exists on a continuum, from mild to severe. While most people can live relatively normal lives with mild personality disorders, during times of increased stress, symptoms may become more severe and seriously interfere with emotional and psychological functioning. 

Personality disorders are characterized by several distinct psychological features including disturbances in self-image, appropriate range of emotion, impulse control, interpersonal relationships, and perceptions of oneself, others and the world. There are ten different types of personality disorders that exist, which all have various emphases. Personality disorders often overlap and there are not always clear cut boundaries between them. An individual can show characteristics of more than one personality disorder. For example, borderline and narcissistic features can coexist in the same individual.

Personality disorders are grouped into three clusters.

Cluster A: Paranoid, Schizoid and Schizotypal -- Odd and eccentric 

Cluster B: Antisocial, Borderline, Histrionic and Narcissistic– Dramatic emotional 

Cluster C: Avoidant, Dependent, Obsessive-Compulsive – Anxious and fearful 

Some of the more common personality disorders include the avoidant, dependent, paranoid, narcissistic, obsessive-compulsive and borderline. 

Avoidant Personality Disorder

The avoidant personality disorder is characterized by a long-standing and complex pattern of feelings of inadequacy, extreme sensitivity to what other people think about them, and social inhibition. It typically manifests itself by early adulthood and includes a majority of the following symptoms: avoiding occupational activities that involve significant interpersonal contact due to fears of criticism, disapproval, or rejection, being unwilling to get involved with people unless certain of being liked, showing restraint within intimate relationships because of the fear of being shamed or ridiculed, being preoccupied with being criticized or rejected in social situations, being inhibited in new interpersonal situations because of feelings of inadequacy, viewing oneself as socially inept, personally unappealing, or inferior to others, and being reluctant to take personal risks or to engage in any new activities because they may prove embarrassing. 

Dependent Personality Disorder

The dependent personality disorder is characterized by a long-standing need for the person to be taken care of and a fear of being abandoned or separated from important individuals in his or her life. This pervasive fear leads to "clinging behavior" and usually manifests itself by early adulthood. It includes a majority of the following symptoms: difficulty making everyday decisions without an excessive amount of advice and reassurance from others; needs others to assume responsibility for most major areas of his or her life; has difficulty expressing disagreement with others because of fear of loss of support or approval; has difficulty initiating projects or doing things on his or her own because of a lack of self-confidence in judgment or abilities; goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do things that are unpleasant; feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself or herself; and urgently seeks another relationship as a source of care and support when a close relationship ends

Paranoid Personality Disorder

The paranoid personality disorder includes a pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts. Some symptoms that may be shown include: suspiciousness, without sufficient basis, that others are exploiting, harming, or deceiving him or her; being preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates; being reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her; reading hidden demeaning or threatening meanings into benign remarks or events; persistently holding grudges and being unforgiving of insults, injuries, or slights; perceiving attacks on his or her character or reputation that are not apparent to others and being quick to react angrily or to counterattack; and having recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.

Narcissistic Personality Disorder

The narcissistic personality disorder includes a pervasive pattern of grandiosity, need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts. Persons with this disorder may have a grandiose sense of self-importance exhibited by exaggerating achievements and talents and expecting to be recognized as superior without reason. They may be preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love, and believe that they are "special" and unique and can only be understood by, or should associate with, other special or high-status people.  Such persons often require excessive admiration, have a sense of entitlement, are often interpersonally exploitative and take advantage of others to achieve their own ends. They have a sense of entitlement and believe they are entitled to things before others. They view everything as revolving around themselves. They often lack empathy, being unwilling to recognize or identify with the feelings and needs of others, are often envious of others, believe others are envious of them, and display arrogant behaviors and attitudes.

Obsessive-Compulsive Personality Disorder

Those with obsessive-compulsive personality disorder are preoccupied with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency. They may be preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost; have perfectionism that interferes with task completion; be excessively devoted to work and productivity to the exclusion of leisure activities and friendships; be over-conscientious, scrupulous, and inflexible about matters of morality, ethics, or value; have difficult discarding worn-out or worthless objects even when they have no sentimental value, and may be overly frugal, rigid and stubborn.

Borderline Personality Disorder

Persons with borderline disorders usually have labile interpersonal relationships characterized by volatility and instability. This pattern of interacting with others has persisted for years and is usually closely related to the person's self-image and early social interactions and may be marked by frantic efforts to avoid real or imagined abandonment. Impulsivity is a common feature. 


Potential causes of personality disorders include a combination of upbringing, personality and social development, as well as genetic and biological factors. Research has not narrowed down the cause to any factor at this time. These disorders will most often manifest themselves during increased times of stress and interpersonal difficulties in one's life.


Psychotherapy can be helpful in treating these disorders. Psychotherapy can effectively increase coping mechanisms and interpersonal skills. The main goal is to assist the patient in identifying and addressing the ways in which their personality style is maladaptive and achieve change by motivating them to discard these unacceptable behaviors. It has recently been found that medication, when carefully chosen, can be helpful. The biological dimensions of the personality which may respond to medication include aggression, impulsivity, anxiety and depression. Individual therapy and certain types of group therapy are helpful.

If you want more information about personality disorders, want to discuss your particular needs, or want to schedule an appointment, call our offices today. We can help match you with a therapist that best meets your needs.

Call Now for Your Free Phone Consultation

Hunterdon County, Morris County, Somerset County,
Sussex County, Union County, Warren County

Bergen County, Essex County,
Hudson County, Passaic County
800-213-HOPE (4673) 

New York City, Nassau County, Rockland County
Suffolk County, Westchester County

Psychotherapy & Counseling

Adult ● Adolescent ● Child Psychotherapy
Marriage Counseling ● Family Therapy ● Psychiatric Services
Psychological and Psychiatric Evaluations ● Hypnotherapy

Experienced, Licensed Professionals
Psychologists ● Psychiatrists ● Psychotherapists
Marriage Counselors ● Family Therapists
Psychiatric Nurse Practitioners

The Right Therapist Makes a Difference
Let us Match You with the Right Therapist

 We Match the Treatment to the Patient
Not the Patient to the Treatment.


Panic Attacks
Fears & Phobias
Social Anxiety
Compulsive Disorder
Chronic Worry
Traumatic Stress

Major Depression 
Bipolar Disorder 

Communication Problems
Loss of Love
Lack of Affection
Conflicting Values
Sexual Difficulties
Pre-marital Issues


Substance Abuse

Attention Deficit Disorder 
Child ADHD 
Adult ADHD 

Low Self-esteem 
Anger Management 
Mid-Life Crises 
Obsessive Love 
Excessive Worry 
Fear Of Flying
Speech Anxiety
Test Anxiety

Substance Abuse 
ACOA Issues 

 Behavioral Issues
Emotional Problems 
Learning Problems 
School Issues 


Parenting Issues
Family of Origin
Conflicting Values
Blended Family

Coming Out
Couple Issues 

Loss of independence
Loss of Friends
Adult Children
Family Issues
Caregiver Issues
Assisted Living 
Long Term Care

Death & Dying
Financial Loss 
Loss of Independence
Loss of Loved Ones
Loss of Job
Loss of Family

Adjusting to Illness
Adjusting to Disability
Chronic Pain
Caregiver Issues

Role Issues
Self Esteem
Work Stress
Financial Concerns
Career Issues
Relationship Concerns
Sexual Issues


Job Stress
School Stress
Relationship Stress
Separation & Divorce
Life Changes

Role Issues 
Fear of Success



Home  |  About Us  |  Fees & Insurance  |  Choose A Therapist  |  Contact Us

Designed, Developed & Promoted by
Higher Level Web Design