MNEMONICS FOR DIAGNOSING PERSONALITY DISORDERS
Paranoid personality disorder
SUSPECT
Spousal infidelity suspected
Unforgiving (bears grudges)
Suspicious
Perceives attacks (and reacts quickly)
Enemy or friend? (suspects associates and friends)
Confiding in others is feared
Threats perceived in benign events
Schizotypal personality disorder
ME PECULIAR
Magical thinking
Experiences unusual perceptions
Paranoid ideation
Eccentric behavior or appearance
Constricted or inappropriate affect
Unusual thinking or speech
Lacks close friends
Ideas of reference
Anxiety in social situations
Rule out psychotic or pervasive developmental disorders
Borderline personality disorder
IMPULSIVE
Impulsive
Moodiness
Paranoia or dissociation under stress
Unstable self-image
Labile intense relationships
Suicidal gestures
Inappropriate anger
Vulnerability to abandonment
Emptiness (feelings of)
Histrionic personality disorder
PRAISE ME
Provocative or seductive behavior
Relationships considered more intimate than they are
Attention (need to be the center of)
Influenced easily
Style of speech (impressionistic, lacking detail)
Emotions (rapidly shifting, shallow)
Make up (physical appearance used to draw attention to self)
Emotions exaggerated
Narcissistic personality disorder
GRANDIOSE
Grandiose
Requires attention
Arrogant
Need to be special
Dreams of success and power
Interpersonally exploitative
Others (unable to recognize feelings/needs of)
Sense of entitlement
Envious
Dependent personality disorder
RELIANCE
Reassurance required
Expressing disagreement difficult
Life responsibilities assumed by others
Initiating projects difficult
Alone (feels helpless and uncomfortable when alone)
Nurturance (goes to excessive lengths to obtain)
Companionship sought urgently when a relationship ends
Exaggerated fears of being left to care for self
Schizoid personality disorder
DISTANT
Detached or flattened affect
Indifferent to criticism or praise
Sexual experiences of little interest
Tasks done solitarily
Absence of close friends
Neither desires nor enjoys close relationships
Takes pleasure in few activities
Antisocial personality disorder
CORRUPT
Cannot conform to law
Obligations ignored
Reckless disregard for safety
Remorseless
Underhanded (deceitful)
Planning insufficient (impulsive)
Temper (irritable and aggressive)
Borderline personality disorder
DESPAIRER*
Disturbance of identity
Emotionally labile
Suicidal behavior
Paranoia or dissociation
Abandonment (fear of)
Impulsive
Relationships unstable
Emptiness (feelings of)
Rage (inappropriate)
* Created by Jason P. Caplan, MD
Histrionic personality disorder
ACTRESSS*
Appearance focused
Center of attention
Theatrical
Relationships (believed to be more intimate than they are)
Easily influenced
Seductive behavior
Shallow emotions
Speech (impressionistic and vague)
* Created by Jason P. Caplan, MD
Avoidant personality disorder
CRINGES
Criticism or rejection preoccupies thoughts in social situations
Restraint in relationships due to fear of shame
Inhibited in new relationships
Needs to be sure of being liked before engaging socially
Gets around occupational activities with need for interpersonal contact
Embarrassment prevents new activity or taking risks
Self viewed as unappealing or inferior
Obsessive-compulsive personality disorder
SCRIMPER*
Stubborn
Cannot discard worthless objects
Rule obsessed
Inflexible
Miserly
Perfectionistic
Excludes leisure due to devotion to work
Reluctant to delegate to others
* Created by Jason P. Caplan, MD
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