Cluster B Personality Disorders


Personality Disorders are characterized by inflexible and maladaptive personality traits that significantly interfere in how a person perform, behave or act within the society.


The Diagnostic and Statistical Manual of Mental Disorders 4th Edition, Text Revision (DSM-IV-TR) categorizes personality disorders into clusters based on the major or identifying symptom.

CLUSTER A: people with odd and eccentric behavior.

CLUSTER B: people who are dramatic, emotional and erratic.

CLUSTER C: people who appear anxious and fearful.

Cluster B: Personality Disorders

  • Antisocial Personality Disorder

Antisocial Personality disorder is characterized by a persistent pattern of violation and disregard for the rights of others, deceit and manipulation

Clinical Manifestations:

  1. Violation of the rights of others
  2. Lack of remorse for behaviors
  3. Shallow emotions
  4. Lying
  5. Rationalization of own behavior
  6. Poor judgment
  7. Impulsivity
  8. Irritability and aggressiveness
  9. Lack of insight
  10. Thrill seeking behaviors
  11. Exploitation of people in relationships
  12. Poor work history
  13. Consistent irresponsibility
  • Borderline Personality Disorder

Borderline personality disorder is the most common personality disorder found in clinical settings. This disorder is characterized by a persistent pattern of unstable relationships, self image, affect and has marked impulsivity. It is more common in females than in males. Self-mutilation injuries such as cutting or burning are noted in this type of personality disorder.

Clinical manifestations:

  1. Fear of abandonment (real or perceived)
  2. Unstable and intense relationship
  3. Unstable self-image
  4. Impulsivity or recklessness
  5. Recurrent self-mutilating behavior or suicidal threats or gestures
  6. Chronic feelings of emptiness and boredom
  7. Labile mood
  8. Irritability
  9. Splitting
  10. Impaired judgment
  11. Lack of insight
  12. Transient psychotic symptoms such as hallucinations demanding self-harm
  • Narcissistic Personality Disorder

A person with a narcissistic personality disorder shows a persistent pattern of grandiosity either in fantasy or behavior, a need for admiration and a lack of empathy.

Clinical Manifestations:

  1. Arrogant and haughty attitude
  2. Lack the ability to recognize or to empathize with the feelings of others
  3. Express envy and begrudge others of any recognition of material success (they believe it rightfully should be theirs)
  4. Belittle or disparage other’s feelings
  5. Expresses grandiosity overtly
  6. Expect to be recognized for their perceived greatness
  7. Preoccupied with fantasies of unlimited success, power, brilliance, beauty or ideal love
  8. Compares themselves with famous or privileged people
  9. Poor or limited insight
  10. Fragile and vulnerable self-esteem
  11. Ambitious and confident
  12. Exploit relationships to elevate their own status
  • Histrionic Personality disorder

Excessive emotionality and attention-seeking behaviors are pervasive patterns noted in people with a histrionic personality disorder.

Clinical manifestations:

  1. Exaggerate closeness of relationships or intimacy
  2. Uses colorful speech
  3. Tends to overdress
  4. Concerned with impressing others
  5. Emotionally expressive
  6. Experiences rapid mood and emotion shifts
  7. Self-absorbed
  8. Highly suggestible and will agree with almost anyone to gain attention
  9. Always want to be the center of attraction

Daisy Jane Antipuesto RN MN

Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.

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