Narcissistic Personality Disorder

Isabelle Kreydin

You’ve heard about bipolar personality obsessive-compulsive disorder, paranoia disorder, and probably a handful of other ones. One of the less uncommon and less discussed one is narcissistic personality disorder. This is a mental condition in which a person has an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others.

What lies behind the disorder? Behind the mask of extreme confidence, arrogance and/or pompousness there is a fragile self-esteem that’s vulnerable to the slightest criticism, insult, or contempt. They may find their relationships unfulfilling, and others may not enjoy being around them when they feel the persons need for superiority which can lead to actions and words of disrespect.

Why does this disorder get diagnosed? Most believe that the causes are due to genetics as well as social factors, and the person’s early development such as family, personal temperament, school system, and learned coping skills to deal with stress.

What are some more possible symptoms? It’s their way or the highway, they won’t ever be wrong in situations, and if they admit to be wrong, they will put another down just in order to convince themselves that they are in the right, they can have ease lying; they can charm, falsely accuse, mooch, betray, mirror, compete, destroy, and manipulate easily. They are known also to commonly abuse drugs, alcohol or nicotine.

What problems does this disorder cause? It causes unstable and trouble in relationships, work, school or financial affairs. People with narcissistic personality disorder may be generally unhappy, and may take this out on another human and gain the personality trait that is sadistic.

How can we help the issue? After acceptance, treatment of this personality disorder typically involves long-term therapy, possible medication, and continuing to relate better with others in relationships, working towards empathy, understanding the cause of ones emotions and what drives one to compete and distrust, practicing tolerance, and trying to release ones desire for unattainable goals and ideal conditions.If you or a person you know is struggling with a narcissistic personality disorder, or any personality disorder, it may be beneficial to have them contact a mental health professional and receive therapy for their illnesses. The psychologists, psychiatrists, and therapists at Arista Counseling and Psychiatric Services can help.  Contact the Bergen County, NJ or Manhattan offices at (201) 368-3700 or (212) 722-1920.  Visit for more information.

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Paranoia / Paranoid Personality Disorder


Paranoia / Paranoid Personality Disorder

By Denice Vidals

Paranoia or paranoid personality disorder is characterized by unjustified suspicion and extreme distrust. An individual suffering from paranoid personality disorder commonly misinterprets the actions and intentions of others as being spiteful and always “out to get them.” They will rarely confide in others because of the fear of being betrayed and exploited.

Common symptoms of paranoia or paranoid personality disorder include, but are not limited to, suspicion, a concern with hidden motives, an inability to collaborate, social isolation, detachment, hostility, and a poor self image.

Medication and psychotherapy have been found to alleviate symptoms of paranoia. Medication should be used for specific conditions of the disorder that disrupt normal functioning, such as anxiety. Psychotherapy has been found to be the most beneficial as a strong trusting therapist-client relationship can be established.

If you or someone you know is suffering from paranoia, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit

Paranoid Personality Disorder. (2017, February 14). Retrieved February 15, 2018, from

Dependent Personality Disorder

Dependent Personality Disorder

By: Cassie Sieradzky

Dependent Personality Disorder is characterized by a pervasive and excessive need to be taken care of that could lead to clingy behavior and a fear of separation. These behaviors stem from a perception that the individual is unable to function properly on their own. People with dependent personality disorder have a difficult time making everyday decisions on their own and require an excessive amount of reassurance and advice from others. They often let others make major life decisions for them. The need of advice from others goes far beyond the appropriate amount for the individual’s age and situation at hand. Individuals with dependent personality disorder may go to extreme lengths to get the nurture they need and are preoccupied with worries of being left to take care of themselves.

Individuals suffering from dependent personality disorder do not trust their own decision making and often feel as though others are more competent. They have difficulty making decisions without reassurance from others, are extremely passive, have difficulty expressing disagreements with others, and avoid taking personal responsibility. They try and avoid being alone, feel helpless when a relationship ends, are easily hurt by disapproval from others, and are sometimes willing to tolerate mistreatment and abuse from others. Some possible risks associated with Dependent Personality Disorder are depression, addiction, and susceptibility to abuse by others.

The recommended treatment for dependent personality disorder is psychotherapy and medication if needed. Cognitive behavioral therapy is successful in altering the maladaptive thinking patterns and behaviors associated with this disorder, such as the belief that one is unable to make decisions on their own.

If you or a loved one appears to be suffering from Dependent Personality Disorder, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit

Dependent Personality Disorder. (2017, April 19). Retrieved January 30, 2018, from

Histrionic Personality Disorder

By: Cassie Sieradzky

Histrionic personality disorder is characterized by constant attention-seeking behaviors, a tendency to describe situations in an emotional manner, and discomfort when not the center of attention. Someone with this disorder may appear to be self-centered, flirtatious in inappropriate situations, and overly dramatic. Individuals with histrionic personality disorder may use their appearance to draw attention and their over the top emotions seem shallow and frequently shifting.

For a diagnosis of histrionic personality disorder to be given, five or more of the following symptoms must be present:

  • Self-centeredness, uncomfortable when not the center of attention
  • Constantly seeking reassurance or approval
  • Inappropriately seductive appearance or behavior
  • Rapidly shifting emotional states that appear shallow to others
  • Overly concerned with physical appearance, and using physical appearance to draw attention to self
  • Opinions are easily influenced by other people, but difficult to back up with details
  • Excessive dramatics with exaggerated displays of emotion
  • Tendency to believe that relationships are more intimate than they actually are
  • Is highly suggestible

The cause for this disorder is unknown, but research suggests that early childhood experiences and genetics are involved. The recommended treatment for this disorder is psychotherapy.

If you or a loved one appears to be suffering from histrionic personality disorder, licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit

Histrionic Personality Disorder. (2017, April 19). Retrieved February 06, 2018, from

Borderline Personality Disorder

By Jennifer Guzman


Borderline Personality Disorder (BPD) is a common disorder categorized under “mood disorders” in the DSM. Although it is common, many individuals who have it are often misdiagnosed with Bipolar Disorder, as they share a few commonalities and may be easily confused. Very frequently, this may be the case, as studies have shown that a plethora of individuals who were diagnosed with Borderline Personality Disorder were previously diagnosed with Bipolar Disorder until they were properly diagnosed (Ruggero, Zimmerman, Chelminski, & Young, 2010). However, a key distinguisher between the two is that with Borderline Personality Disorder, mood shifts occur as a result of a situation, whereas mood shifts in a person with Bipolar Disorder may occur sporadically.

A few key symptoms for Borderline Personality Disorder are impulsive behavior, feeling as though you are unsure of your identity, frequent mood shifts, feeling bouts of extreme idealization or repulsion towards a person, place, or thing, extreme fear of abandonment, or difficulty/apprehension towards trusting in others.

Treatment procedures for Borderline Personality Disorder usually entail Dialectic Behavioral Therapy (DBT), which focuses on practicing mindfulness and the rewiring of harmful behaviors. Medication is provided as needed and varies from person to person. If you experience any of the above symptoms, please visit our psychologists, psychiatrists, psychiatric nurse practitioner, or psychotherapists. If you are in a crisis, please call 1-800-273-8255. For therapy, you can give Arista Counseling a call at (201) 368-3700, for our Paramus location, or (212) 722-1920 to set up an appointment.

Ruggero, C.J., Zimmerman, M., Chelminski, I., Young, D. (2010). Borderline Personality Disorder and the Misdiagnosis of Bipolar Disorder. Journal of Psychiatric Research. 44(6), 405-408.