Cannot be diagnosed before the age of 18 or due to an underlying medical condition. And cannot be diagnosed because a patient is difficult or we don't like them.
PD Diagnoses can be different because the categories may not be as useful as a 'dimensional' model in which certain personality traits (ie sociability) are considered separately. Patients often fit more than one category, and patients with an untreated Axis I disorder can lead to personality symptoms.
PD diagnoses can also be used in a negative, stigmatizing way.
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