Cluster A and Cluster C personality disorders

Your progress

Saved on this device.

Target exams

Red flags

• Late-onset personality change with cognitive, neurological or systemic red flags — investigate organic disease before locking a lifelong PD label
• Schizotypal deterioration with frank delusions, hallucinations or marked functional collapse — treat on a psychosis pathway, do not dismiss as 'just personality'
• Acute paranoid crisis with risk of violence, retaliatory planning, or total treatment refusal when capacity is impaired — safety and legal duties first
• Dependent patient in an exploitative or abusive relationship — safeguarding (adult/child) is part of the psychiatric plan
• Missed OCD, social anxiety disorder, autism spectrum disorder, or major depression while attributing all morbidity to personality
• Unreviewed polypharmacy for 'oddness' or chronic anxiety without a formulation, target symptom, or stop date