Difference between revisions of "Know if Someone Has a Dependent Personality Disorder"

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{{fa}}Dependent Personality Disorder is characterized by an excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation.<ref>http://psychcentral.com/disorders/dependent-personality-disorder-symptoms/</ref> It is found in persons who have never been able to form a strong sense of self and who find purpose (and safety) living in the shadow of another. Often commencing in early adulthood (by which time the person should have a fairly stable sense of self), this condition can result in anxious, fearful, and insecure behavior than can prevent the sufferer from leading a full and fulfilling life. This tendency to "cling" can cause those targeted by the dependent individual to feel suffocated or — if being manipulative — to seek to control the sufferer's every move and thought. If you're concerned that someone you know might have dependent personality disorder, it is important to learn to spot the signs and to encourage the sufferer to seek help.
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{{fa}}Dependent Personality Disorder is characterized by an excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation.<ref name="rf1">http://psychcentral.com/disorders/dependent-personality-disorder-symptoms/</ref> It is found in persons who have never been able to form a strong sense of self and who find purpose (and safety) living in the shadow of another. Often commencing in early adulthood (by which time the person should have a fairly stable sense of self), this condition can result in anxious, fearful, and insecure behavior than can prevent the sufferer from leading a full and fulfilling life. This tendency to "cling" can cause those targeted by the dependent individual to feel suffocated or — if being manipulative — to seek to control the sufferer's every move and thought. If you're concerned that someone you know might have dependent personality disorder, it is important to learn to spot the signs and to encourage the sufferer to seek help.
 
[[Category:Mental Disorders]]
 
[[Category:Mental Disorders]]
 
[[Category:Avoidant Dependent and Obsessive Compulsive Personality Disorders]]
 
[[Category:Avoidant Dependent and Obsessive Compulsive Personality Disorders]]
 
== Steps ==
 
== Steps ==
 
=== Assessing the Situation ===
 
=== Assessing the Situation ===
#Understand a possible cause of Dependent Personality Disorder. The person's [[Understand  the Effects of Childhood Experiences|childhood]] may have laid the foundations for developing dependent personality disorder. Overly anxious or insecure parents are often the cause of a child's inability to individuate from them.<ref>http://psychcentral.com/lib/what-causes-dependent-personality-disorder/</ref> If she was constantly punished or made to feel [[Eliminate Guilt|guilty]] for seeking independence as a child, she may feel that independent thought and action is a bad thing. While she ultimately needs to move on from her childhood experiences, recalling how they may have brought on her dependent personality can be helpful in elucidating the cause of her disorder.
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#Understand a possible cause of Dependent Personality Disorder. The person's [[Understand  the Effects of Childhood Experiences|childhood]] may have laid the foundations for developing dependent personality disorder. Overly anxious or insecure parents are often the cause of a child's inability to individuate from them.<ref name="rf2">http://psychcentral.com/lib/what-causes-dependent-personality-disorder/</ref> If she was constantly punished or made to feel [[Eliminate Guilt|guilty]] for seeking independence as a child, she may feel that independent thought and action is a bad thing. While she ultimately needs to move on from her childhood experiences, recalling how they may have brought on her dependent personality can be helpful in elucidating the cause of her disorder.
 
#*If you can take the time to listen to her and gently ask questions about her childhood, a pattern of unhappy attachment might be revealed.
 
#*If you can take the time to listen to her and gently ask questions about her childhood, a pattern of unhappy attachment might be revealed.
#*Note that there may be a combination of genetic, biological, and environmental factors that lead to this disorder.<ref>https://my.clevelandclinic.org/services/neurological_institute/center-for-behavioral-health/disease-conditions/hic-dependent-personality-disorder</ref>
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#*Note that there may be a combination of genetic, biological, and environmental factors that lead to this disorder.<ref name="rf3">https://my.clevelandclinic.org/services/neurological_institute/center-for-behavioral-health/disease-conditions/hic-dependent-personality-disorder</ref>
#Recognize the signs. You will need to look for '''five or more''' of the following characteristics to be able to draw an initial conclusion that someone might be suffering from Dependent Personality Disorder.<ref>http://psychcentral.com/disorders/dependent-personality-disorder-symptoms/</ref> The following traits in combination are indicative (although, to be sure, the sufferer will still need professional diagnosis):<ref>http://psychcentral.com/disorders/dependent-personality-disorder-symptoms/</ref><ref>http://umm.edu/health/medical/ency/articles/dependent-personality-disorder</ref>
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#Recognize the signs. You will need to look for '''five or more''' of the following characteristics to be able to draw an initial conclusion that someone might be suffering from Dependent Personality Disorder.<ref name="rf1" /> The following traits in combination are indicative (although, to be sure, the sufferer will still need professional diagnosis):<ref name="rf1" /><ref name="rf4">http://umm.edu/health/medical/ency/articles/dependent-personality-disorder</ref>
 
#*Does he constantly experience difficulty in [[Make Decisions|making everyday decisions]]? Needing an excessive amount of advice and reassurance from others before undertaking any task is a sign of deep dependence. However small these tasks may be, if he is unable to initiate or complete these tasks on his own, this is indicative.
 
#*Does he constantly experience difficulty in [[Make Decisions|making everyday decisions]]? Needing an excessive amount of advice and reassurance from others before undertaking any task is a sign of deep dependence. However small these tasks may be, if he is unable to initiate or complete these tasks on his own, this is indicative.
 
#**Ask him these questions: Some people enjoy making decisions; others prefer to have someone they trust guide them; which do you prefer? Do you seek advice for everyday decisions? Do you often need help to get started on a project?
 
#**Ask him these questions: Some people enjoy making decisions; others prefer to have someone they trust guide them; which do you prefer? Do you seek advice for everyday decisions? Do you often need help to get started on a project?
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#*Does he go to excessive lengths to obtain nurturing and support from others? This may even occur to the point of him doing unpleasant things.
 
#*Does he go to excessive lengths to obtain nurturing and support from others? This may even occur to the point of him doing unpleasant things.
 
#**Ask him these questions: Do you volunteer to do unpleasant things for others so they will take care of you when you need it? Are you uncomfortable when you are alone? Are you afraid you will not be able to take care of yourself? Do you worry about important people in your life leaving you?
 
#**Ask him these questions: Do you volunteer to do unpleasant things for others so they will take care of you when you need it? Are you uncomfortable when you are alone? Are you afraid you will not be able to take care of yourself? Do you worry about important people in your life leaving you?
#*Does he urgently seek another relationship as a source of care and support when a close relationship comes to an end? <ref>http://www.mayoclinic.org/diseases-conditions/personality-disorders/basics/symptoms/con-20030111</ref> Does he jump into [[Know if You're in a Rebound Relationship|rebound relationships]], for example, meaning he must find someone new to date quickly after a breakup? Does he feel helpless when alone because of exaggerated fears of being unable to take care of himself, whether financially, emotionally, or even physically?
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#*Does he urgently seek another relationship as a source of care and support when a close relationship comes to an end? <ref name="rf5">http://www.mayoclinic.org/diseases-conditions/personality-disorders/basics/symptoms/con-20030111</ref> Does he jump into [[Know if You're in a Rebound Relationship|rebound relationships]], for example, meaning he must find someone new to date quickly after a breakup? Does he feel helpless when alone because of exaggerated fears of being unable to take care of himself, whether financially, emotionally, or even physically?
 
#**Ask him this question: Have you found that you are desperate to get into another relationship right away when a close relationship ends? Even if the new relationship might not be the best for you?
 
#**Ask him this question: Have you found that you are desperate to get into another relationship right away when a close relationship ends? Even if the new relationship might not be the best for you?
 
#*Does he constantly have difficulty in expressing disagreement with others? If he fears disapproval, rejection and a loss of support from others, he will likely try too hard to please people. Note that this must exclude realistic fears of retribution.
 
#*Does he constantly have difficulty in expressing disagreement with others? If he fears disapproval, rejection and a loss of support from others, he will likely try too hard to please people. Note that this must exclude realistic fears of retribution.
 
#**Ask him these questions: Is it hard for you to express a different opinion from someone you are close to? What do you think might happen if you did? Do you often pretend to agree with others even if you do not? Why? Could it get you into trouble if you disagree?
 
#**Ask him these questions: Is it hard for you to express a different opinion from someone you are close to? What do you think might happen if you did? Do you often pretend to agree with others even if you do not? Why? Could it get you into trouble if you disagree?
#Check additional criteria. Sometimes people seem like they have Dependent Personality Disorder when they really don't. If the above criteria are met, see if she also meets the following criteria before considering a diagnosis of dependent personality disorder. Note that if any of these are not met, she does not have dependent personality disorder:<ref>http://psychcentral.com/disorders/dependent-personality-disorder-symptoms/</ref>
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#Check additional criteria. Sometimes people seem like they have Dependent Personality Disorder when they really don't. If the above criteria are met, see if she also meets the following criteria before considering a diagnosis of dependent personality disorder. Note that if any of these are not met, she does not have dependent personality disorder:<ref name="rf1" />
 
#*Do her behaviors deviate significantly from the norms of her culture in at least two of the following areas:
 
#*Do her behaviors deviate significantly from the norms of her culture in at least two of the following areas:
 
#**Cognition (perceiving and interpreting things, people, and events, and forming attitudes and images of self and others).
 
#**Cognition (perceiving and interpreting things, people, and events, and forming attitudes and images of self and others).
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#*Can other adult mental disorders be excluded as possible causes for her symptoms of dependency?
 
#*Can other adult mental disorders be excluded as possible causes for her symptoms of dependency?
 
#*Can organic brain disease, injury, or dysfunction be excluded as possible causes for her symptoms of dependency? A frail grandmother who cannot take care of herself does not have dependent personality disorder.
 
#*Can organic brain disease, injury, or dysfunction be excluded as possible causes for her symptoms of dependency? A frail grandmother who cannot take care of herself does not have dependent personality disorder.
#Consider how the sufferer appears to feel when left alone. Does he feel [[Be Strong|helpless]], uncomfortable, and anxious? Does he feel indecisive and angry with himself for not knowing what to think or do? Think about how he reacts when the person he's attached to returns. Does he leap on this person straight away expecting immediate attention and even scold this person for leaving him by himself? Feeling helpless, abandoned, and uncomfortable when on his own frequently occurs as a result of exaggerated fears of not being able to take care of himself. <ref>http://psychcentral.com/disorders/dependent-personality-disorder-symptoms/</ref>
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#Consider how the sufferer appears to feel when left alone. Does he feel [[Be Strong|helpless]], uncomfortable, and anxious? Does he feel indecisive and angry with himself for not knowing what to think or do? Think about how he reacts when the person he's attached to returns. Does he leap on this person straight away expecting immediate attention and even scold this person for leaving him by himself? Feeling helpless, abandoned, and uncomfortable when on his own frequently occurs as a result of exaggerated fears of not being able to take care of himself. <ref name="rf1" />
 
#*Pay heed to people who are unrealistically preoccupied with thoughts and [[Overcome Fear|fears]] of being left alone to take care of themselves. It is a warning signal that they don't feel able to cope alone, no matter how easy the task or the life they're leading.
 
#*Pay heed to people who are unrealistically preoccupied with thoughts and [[Overcome Fear|fears]] of being left alone to take care of themselves. It is a warning signal that they don't feel able to cope alone, no matter how easy the task or the life they're leading.
 
=== Assisting Someone With Dependent Personality Disorder===
 
=== Assisting Someone With Dependent Personality Disorder===
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#*Talk to her about things she enjoys doing. Whenever she is about to be left alone, suggest that she become involved in that activity for the duration of the other person's absence.
 
#*Talk to her about things she enjoys doing. Whenever she is about to be left alone, suggest that she become involved in that activity for the duration of the other person's absence.
 
#*Help her learn to [[Build Trust|trust]] herself more. Offer her books on improving self-confidence, book her into a course on improving self-confidence, and spend time telling her what you have noticed she's really good at doing.
 
#*Help her learn to [[Build Trust|trust]] herself more. Offer her books on improving self-confidence, book her into a course on improving self-confidence, and spend time telling her what you have noticed she's really good at doing.
#*Get her exercising, eating balanced meals, and reducing her stress. If she's addicted to any substance, this will need to be treated. Be careful that she doesn’t disengage from others too much, as social support itself does act to reduce stress.<ref>http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/social-support/art-20044445</ref>
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#*Get her exercising, eating balanced meals, and reducing her stress. If she's addicted to any substance, this will need to be treated. Be careful that she doesn’t disengage from others too much, as social support itself does act to reduce stress.<ref name="rf6">http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/social-support/art-20044445</ref>
 
#*Be alert to the possibility of abuse being perpetrated on the sufferer. Her neediness makes her extremely vulnerable to a manipulative or unstable personality. Make sure you ask yourself honestly whether you are playing a role in encouraging her dependency.  
 
#*Be alert to the possibility of abuse being perpetrated on the sufferer. Her neediness makes her extremely vulnerable to a manipulative or unstable personality. Make sure you ask yourself honestly whether you are playing a role in encouraging her dependency.  
 
#Encourage the sufferer to read as much as possible about the disorder. Having an understanding of his disorder and seeing that he's not alone can be an immense relief for him, as well as showing him that there is a way forward.
 
#Encourage the sufferer to read as much as possible about the disorder. Having an understanding of his disorder and seeing that he's not alone can be an immense relief for him, as well as showing him that there is a way forward.
#Encourage the sufferer to get professional help. Dependent personality disorder can be treated through psychotherapy or psychoanalysis. It is not a life sentence for the sufferer. However, many sufferers are likely to resist getting therapy because they refuse to see that there is anything wrong with how they live their lives or they're so depressed or [[Overcome an Addiction|addicted]] that they're avoiding facing the issues at all. It is important to motivate the person to seek help.<ref>https://www.psychologytoday.com/conditions/dependent-personality-disorder#treatments</ref>
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#Encourage the sufferer to get professional help. Dependent personality disorder can be treated through psychotherapy or psychoanalysis. It is not a life sentence for the sufferer. However, many sufferers are likely to resist getting therapy because they refuse to see that there is anything wrong with how they live their lives or they're so depressed or [[Overcome an Addiction|addicted]] that they're avoiding facing the issues at all. It is important to motivate the person to seek help.<ref name="rf7">https://www.psychologytoday.com/conditions/dependent-personality-disorder#treatments</ref>
 
#*Part of how you can help her to be convinced that getting help is worth it is to explain how this will also help the people she keeps relying on too much. Insist that she deserves to discover herself fully and to live a full life to the best of her own capacity without relying on others to dictate it.
 
#*Part of how you can help her to be convinced that getting help is worth it is to explain how this will also help the people she keeps relying on too much. Insist that she deserves to discover herself fully and to live a full life to the best of her own capacity without relying on others to dictate it.
#*Since the person suffering from dependent personality disorder may be so terrified that the person(s) on whom she's dependent will reject/leave her, it is important for the mental health professional to also assess any signs of [[Deal with Depression|depression]], anxiety, panic disorders, and somatic distress.<ref>https://www.psychologytoday.com/conditions/dependent-personality-disorder#treatments</ref><ref>Pamela Stephenson Connolly, ''Head case: treat yourself to better mental health'', p. 168, (2007), ISBN 978-0-7553-1721-9</ref>
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#*Since the person suffering from dependent personality disorder may be so terrified that the person(s) on whom she's dependent will reject/leave her, it is important for the mental health professional to also assess any signs of [[Deal with Depression|depression]], anxiety, panic disorders, and somatic distress.<ref name="rf7" /><ref name="rf8">Pamela Stephenson Connolly, ''Head case: treat yourself to better mental health'', p. 168, (2007), ISBN 978-0-7553-1721-9</ref>
 
#Avoid negative language. Don't use negative phrases or wording when encouraging him to seek therapy. Telling him that he's "too passive," "too dependent," or a "pain to deal with" will only make things worse.
 
#Avoid negative language. Don't use negative phrases or wording when encouraging him to seek therapy. Telling him that he's "too passive," "too dependent," or a "pain to deal with" will only make things worse.
 
#*Instead, try to focus on positive language. For example, you might say, "Becoming more independent will ultimately make you happier and more fulfilled."
 
#*Instead, try to focus on positive language. For example, you might say, "Becoming more independent will ultimately make you happier and more fulfilled."
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== Tips ==
 
== Tips ==
*This condition develops in early adulthood and refers specifically to adult or mature behavior. As children grow older, you should be helping them to think and act independently more and more by letting them make decisions. <ref>https://www.psychologytoday.com/blog/compassion-matters/201204/the-abuse-overparenting</ref>Also be sure to create a home environment where making mistakes is considered normal and show by example how you pick up and move on after making mistakes yourself.
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*This condition develops in early adulthood and refers specifically to adult or mature behavior. As children grow older, you should be helping them to think and act independently more and more by letting them make decisions. <ref name="rf9">https://www.psychologytoday.com/blog/compassion-matters/201204/the-abuse-overparenting</ref>Also be sure to create a home environment where making mistakes is considered normal and show by example how you pick up and move on after making mistakes yourself.
 
*The core characteristics of dependent personality disorder set out above serve as a guide for diagnosis of the condition. These characteristics need to be consistent or frequent in a person's disposition or actions before you can be certain that they have the disorder, and professional diagnosis should always be sought.
 
*The core characteristics of dependent personality disorder set out above serve as a guide for diagnosis of the condition. These characteristics need to be consistent or frequent in a person's disposition or actions before you can be certain that they have the disorder, and professional diagnosis should always be sought.
*Overly protective parenting can contribute to this disorder.  Find ways to become a balanced parent.<ref>http://psychcentral.com/lib/what-causes-dependent-personality-disorder/</ref>
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*Overly protective parenting can contribute to this disorder.  Find ways to become a balanced parent.<ref name="rf2" />
*Dependent personality disorder is typically grouped under the "Cluster C" type of personality disorders; these tend to display anxious and fearful behavior traits.<ref>http://www.mayoclinic.org/diseases-conditions/personality-disorders/basics/symptoms/con-20030111</ref>
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*Dependent personality disorder is typically grouped under the "Cluster C" type of personality disorders; these tend to display anxious and fearful behavior traits.<ref name="rf5" />
  
 
== Warnings ==
 
== Warnings ==