In this paper I will be discussing how a particular Axis I disorder may relate to a coexisting Axis II disorder. I will explain how an Axis I disorder, can be easily confused with an Axis II disorders. I will compare and contrast, Personality Disorder, Schizophrenia, and Paranoid Type, and explain how I would differentiate the two conditions. I will also compare Obsessive Personality Disorder and Obsessive Compulsive Disorder, and explain the difference between both conditions.
Since the DSM III, the DSM classification has been used to describe the different parts of personality disorder. Every person is different in the way they think, feel and how they relate to others. Some people will have maladaptive personality traits, it becomes a personality disorder when the maladaptive behaviors become a problem and prevent them from leading a normal life. In the DSM –IV personality disorders and mental retardation are diagnosed on Axis II. A personality disorder can predispose a person to suffer with an Axis I disorder. (Widiger, 2003) According to the authors of the multiaxial system they wanted to draw attention to personality disorder because of the “accumulating evidence that the quality and quantity of preexisting personality disturbance may…influence the predisposition, manifestation, course, and response to treatment of various Axis I conditions”.
Paranoid Personality Disorder and Schizophrenia
Paranoid Personality Disorder is defined in the DSM-V –TR as a pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent. (DSM-IV-TR 2005) Schizophrenia, Paranoid Type is defined as a type of schizophrenia in which the following criteria are met: A. Preoccupation with one or more delusion or frequent auditory hallucinations. The two disorders have many similarities but one thing that makes them different is that people that suffer with Paranoid Personality disorder do not have hallucinations.
Obsessive -Compulsive Personality Disorder and Obsessive Compulsive Disorder
Obsessive-Compulsive Personality Disorder is a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control. Obsessive Compulsive Disorder is defined as a person having either obsessions or compulsions. (DSM-V-TR 2005) People that suffer from OCD suffer from disturbing thoughts, or images and they have obsessions that interfere with their daily life. Some of these behaviors are irrational, ritualistic and repetitive. People that suffer from OCPD are worried about being perfect, and being in control mentally and interpersonally. People who suffer with OCPD are very problematic, unhappy, and experience issues with family, friends, and at work. The main difference in these two disorders is that people with OCD have actual obsessions and compulsions. People with OCDP don’t have obsessions and compulsions.
(2005). DSM-IV-TR. Washington, DC: American Psychiatric Association. Widiger, T. (2003, Oct). Personality disorder diagnosis. World Psychiatry, 2(2), 13