Dependent personality disorder

Definition

Dependent personality disorder is a chronic condition involving over-reliance on others to meet emotional and physical needs.

Causes, incidence, and risk factors

The cause of this disorder is unknown.It usually begins in early adulthood.

Symptoms

People with this disorder do not trust their own ability to make decisions. They may be devastated by separation and loss and may go to great lengths, even suffering abuse, to stay in a relationship.

Signs and tests

A person with dependent personality disorder may:

• Be unable to make decisions
• Avoid personal responsibility
• Avoid being alone
• Feel devastated or helpless when relationships end
• Be unable to meet ordinary demands of life
• Become preoccupied with fears of being abandoned
• Be easily hurt by criticism or disapproval
• Be extremely passive in relation to other people

Treatment

There is no specific treatment for this disorder. Psychotherapy may be useful in gradually helping a person with this disorder make more independent choices in life. Medication may also be helpful to treat any other underlying conditions.

Expectations (prognosis)

Improvements are usually seen only with long-term therapy.

Complications

• May suffer from depression
• May abuse alcohol or drugs
• May be susceptible to physical, emotional, or sexual abuse

Calling your health care provider

Call for an appointment with your health care provider or a mental health professional if you or your adolescent has symptoms suggestive of dependent personality disorder.

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