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ICD-10: F60.9

Personality Disorders Treatment Online

Personality disorders are a group of mental illnesses involving long-term patterns of thoughts, feelings, and behaviors that deviate significantly from cultural expectations and cause distress or impairment.

Hometown NP provides psychiatric evaluation and medication management via telehealth.

Available via telehealth in 40+ states — check current appointment availability

By the Numbers

Approximately 9% of US adults meet criteria for at least one personality disorder. BPD affects about 1.4% of the adult US population.

Personality disorders usually become apparent during the teen years or early adulthood. They affect men and women differently — BPD is more frequently diagnosed in women, while antisocial PD is more frequently diagnosed in men.

When to seek help

Seek evaluation if long-standing patterns of emotional dysregulation, relationship instability, or identity disturbance are significantly impairing your quality of life or causing repeated crises.

Understanding Personality Disorders

Personality disorders affect how a person thinks, feels, and relates to others in ways that are inflexible, pervasive, and cause significant distress. The DSM-5 recognizes 10 distinct personality disorders organized into three clusters: Cluster A (paranoid, schizoid, schizotypal), Cluster B (antisocial, borderline, histrionic, narcissistic), and Cluster C (avoidant, dependent, obsessive-compulsive).

Borderline Personality Disorder (BPD) is one of the most common personality disorders treated in psychiatric settings, characterized by intense emotions, unstable relationships, fear of abandonment, impulsivity, and chronic feelings of emptiness. BPD is highly responsive to Dialectical Behavior Therapy (DBT), developed specifically for this condition.

Personality disorders were historically seen as untreatable, but research over the past 30 years has completely changed this picture. Evidence-based treatments — particularly DBT for BPD and schema therapy for other personality disorders — produce significant, lasting change. Medication management targets specific symptoms like emotional dysregulation, depression, or anxiety that commonly co-occur.

Common Symptoms of Personality Disorders

Stormy, unstable relationships
Chronic feelings of emptiness
Fear of abandonment
Intense, dysregulated emotions
Impulsive behavior
Distorted self-image
Social isolation or extreme need for approval
Difficulty empathizing with others

Seek evaluation if long-standing patterns of emotional dysregulation, relationship instability, or identity disturbance are significantly impairing your quality of life or causing repeated crises.

How Personality Disorders Is Diagnosed at Hometown NP

Personality disorder assessment requires a careful longitudinal history, as the patterns must be enduring and traceable back to adolescence or early adulthood. Your Hometown NP PMHNP will use structured interviews, standardized personality scales, and explore your relationship history, emotional patterns, and coping styles. Diagnosis differentiates personality disorders from mood disorders, trauma responses, and medical conditions.

Treatment Options for Personality Disorders

General evidence-based options for Personality Disorders may include the approaches below. Hometown NP PMHNPs provide psychiatric evaluation and medication management; psychotherapy, when appropriate, is provided by a separately licensed therapist. Treatment plans are individualized based on your specific symptoms, history, and goals.

1

Dialectical Behavior Therapy (DBT)

2

CBT and Schema Therapy

3

Medication for co-occurring symptoms

4

Group skills training

Frequently Co-Occurring Conditions

Personality Disorders often occurs alongside other mental health conditions. Our PMHNPs provide integrated care for co-occurring diagnoses.

Frequently Asked Questions About Personality Disorders

Personality disorders are a group of mental illnesses involving long-term patterns of thoughts, feelings, and behaviors that deviate significantly from cultural expectations and cause distress or impairment. Approximately 9% of US adults meet criteria for at least one personality disorder. BPD affects about 1.4% of the adult US population.

Common symptoms of Personality Disorders include: Stormy, unstable relationships; Chronic feelings of emptiness; Fear of abandonment; Intense, dysregulated emotions; Impulsive behavior; Distorted self-image; Social isolation or extreme need for approval; Difficulty empathizing with others. Seek evaluation if long-standing patterns of emotional dysregulation, relationship instability, or identity disturbance are significantly impairing your quality of life or causing repeated crises.

Personality disorder assessment requires a careful longitudinal history, as the patterns must be enduring and traceable back to adolescence or early adulthood. Your Hometown NP PMHNP will use structured interviews, standardized personality scales, and explore your relationship history, emotional patterns, and coping styles. Diagnosis differentiates personality disorders from mood disorders, trauma responses, and medical conditions.

Hometown NP's board-certified PMHNPs evaluate Personality Disorders via telehealth and focus on psychiatric diagnosis and medication management. Psychotherapy, when appropriate, is provided by a separately licensed therapist. Treatment plans are individualized to your symptoms, history, and goals.

Personality disorders usually become apparent during the teen years or early adulthood. They affect men and women differently — BPD is more frequently diagnosed in women, while antisocial PD is more frequently diagnosed in men. Approximately 9% of US adults meet criteria for at least one personality disorder. BPD affects about 1.4% of the adult US population.

Personality Disorders Treatment by State

Hometown NP provides Personality Disorders treatment via telehealth in 40+ states. Select your state for state-specific information:

Medical Disclaimer

The information on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional about your specific situation. If you are experiencing a mental health emergency, call 911 or go to your nearest emergency room.

Explore your psychiatric care options

Looking for a psychiatrist? Hometown NP provides care with psychiatric nurse practitioners. Learn about the differences and what to expect before booking.

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