Personality disorder: ICD-11 dimensional model

Also known as ICD-11 personality disorder · Dimensional personality disorder · Personality disorder severity ICD-11 · Trait domain qualifiers · Borderline pattern ICD-11 · Personality difficulty

Exam-exhaustive fellowship reference on the ICD-11 dimensional model of personality disorder — severity grading (mild/moderate/severe), five trait domain qualifiers, optional borderline pattern, contrast with DSM-5-TR clusters and AMPD, clinical assessment tools, differentials, severity-guided management, and exam pearls. FRANZCP-primary, globally tagged.

high20 referencesUpdated 26 July 202618 min readVerification in progress

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10 MCQs

Meet the patient

The handover runs: "She's got borderline, plus avoidant, plus dependent traits, and probably a bit of narcissistic. Four personality disorders. Nothing much we can do." Three clinicians nod. Nobody has said how impaired she is.^[1]^[14]

She is 29. She has had four crisis presentations this year, cannot hold a job past three months, has one friendship she alternately idealises and cuts off, and describes herself as "nothing, really" when asked who she is.^[8]^[17]

Four labels have been stacked and not one of them tells you what to do on Monday. The whole point of ICD-11 is that the second paragraph — not the first — is the diagnosis.^[1]^[3]^[8]

References20Show

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