Living with a Paranoid Alcoholic

Alcoholics who are suspicious, distrustful or jealous are difficult to live with, whether drinking or sober. Here are some tips for surviving in such a household.

Whether or not an alcoholic has been diagnosed by a mental health professional as having PPD, he is likely to exhibit certain behaviors. According to the DSM-IV-TR, patients must display four of the following seven symptoms

SIGNS OF PARANOIA DEPRESSION

Paranoia and depression do not commonly occur together, but when they do they can be signs of a serious underlying psychiatric condition.

Signs of Paranoia

Paranoia refers to suspicion of others. While it is not unusual for someone to have the occasional paranoid thought, persistent paranoia can interfere with a person's work and social life. When it gets to this stage, paranoia is considered to be a true psychiatric disorder. The typical signs of paranoid disorder include isolation and detachment, hostility toward others, feelings that other people have hidden motives, and a low image of oneself. People who have paranoid disorder tend to consistently display these patterns of behavior for long periods of time. While the cause of paranoia is not entirely understood, it is often associated with other psychiatric disorders such as schizophrenia, bipolar disorder and psychotic depression.

Personality disorders

 

Personality disorders constitute a separate diagnostic category (Axis II) in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders ( DSM). Unlike the major mental disorders (Axis I), which are characterized by periods of illness and remission, personality disorders are generally ongoing. Often, they first appear in childhood or adolescence and persist throughout a person's lifetime. Aside from their persistence, the other major characteristic of personality disorders is inflexibility. Persons affected by these disorders have rigid personality traits and coping styles, are unable to adapt to changing situations, and experience impaired social and/or occupational functioning. A further difference between personality disorders and the major clinical syndromes listed in Axis I of DSM-IV-TR ( DSM , fourth edition, text revised) is that people with personality disorders may not perceive that there is anything wrong with their behavior and are not motivated to change it. Although the DSM-IV-TR lists specific descriptions of 10 personality disorders, these conditions are often difficult to diagnose. Some characteristics of the various disorders overlap. In other cases, the complexity of human behavior makes it difficult to pinpoint a clear dividing line between pathology and normality in the assessment of personality. In still other cases, persons may have more than one personality disorder, complicating the diagnosis . There also has been relatively little research done on some of the personality disorders listed in DSM-IV-TR.

اختلال شخصیت نمایشی Histrionic

افرادی که سابقه طولانی جلب توجه به خودشان را دارند و به نمایشهای هیجانی بر انگیخته ای میپردازند که رویدادهای بی اهمیتی انها را ایجاد میکند.این افراد در ظاهر جذاب و صمیمی و معاشرتی هستند اما معمولا دیگران انها را ریاکار و سطحی می انگارند. به نظر میرسد که به دنبال تحسین هستند و زمانیکه روابط برقرار میکنند پرتوقع و بی ملاحظه ، خود محور و در خود فرورفته میشوند و میتوانند شدیدا عشوه گر یا لوند باشند با این حال سازگاری جنسی آنها اغلب ابتدایی یا بسیار سرد است که از این خبر میدهد که رفتار عشوه گرانه آنها بیشتر در خدمت هدف جلب توجه است تا تمایلات جنسی و در بین زنان این اختلال بیشتر دیده شده است.بین این اختلال و اختلالهای دیگر همپوشانی زیادی وجود دارد که کار تشخیص این اختلال از سایر اختلالها را دچار اشکال میکند.

وقتی چنین شخصیتی وارد اتاق میشه حال و هواش اینه : به من نگاه کن به من توجه کن ببین من چقدر زیبا هستم ببین من چقدر سکسی هستم تو باید به من توجه کنی و عشق بورزی و از من نگهداری کنی و اگر نکنی یا مریض میشم یا مظلوم میشم یا عصبانی میشم و یک طوری مشخصا اینو بهت نشون میدم که تو مقصری و باید تاوانشو بدی.این تیپ در زنان بیشتر از مردان خودشو نشون میده