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Suggest Treatment For Dependent Personality Disorder

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Posted on Fri, 4 Apr 2014
Question: My mate is 60 years old. We have been together since 2002. When we met, my mate was very outgoing, involved in the church and did odd jobs to earn extra money. He has excellant social skills. However, our relationship has always been conflictual. The problems that contribute to our conflict is that my mate does not have a life. He has no hobbies, no long or short term goals, no vision. His daily activity is watching TV. His source of income is SSI, about $450 a month. He does not have a drug problem. He once did side jobs to supplement his income, but as stopped. I work full time and use our only car for community based visits to clients (social work). He had a chance to buy a car (recieved a settlement) and look for part time employment to stay busy, but instead he bought a lot of expensive clothes. I have made efforts to encourage him to find something to do so that he will not have to stay in the house all day, to no avail. He has a grown son, who lives in another state, whom he calls constantly, and looks rejected if he does not hear from his son. If I allowed him, he would follow (drive) me around on my job daily. I have to constantly tell him that it is not professional to allow my mate to accompany me on my job. It is very embarrassing when your mate follows his wife everywhere, even to all women functions. He seems to be living through me. Our sex life was always infrequent and unfulfilling for me, and began to decline after a couple of years. We currently have no sex life since 2010 (impotent), or close intimate connection, which has also been an issue in our relationship. I noticed that when he is home all day, he looks depressed. He exhibits a lot of immature behaiors,such as, taking money (small change) out of my purse when my back is turned. He does this even though he has money. He is very competitive, gets angry when he loses a game. He is very OCD-hates germs, constanty washes hands, demands that guest takes off shoes when visiting. He seems to connect with women, and appears uncomfortable in the company of strong confident men. FAMILY BACKGROUND: His father was very verbally and physically abusive toward his mother and siblings. His sisters and brothers all exhibit the same non existent life and seem to live through others. His two older brothers (now deceased) were both overly attached to the mother, I suspected that he was too (called mom daily, telling his personal business and possibly ours). His mother and sibings do not lead independent lifestyles (live with their children), and are overly enmeshed in each others lives. I need help in dealing with my mate. Thanks, XXXXXX
doctor
Answered by Dr. Srikanth Reddy (7 hours later)
Brief Answer: Personality Issues Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. The symptoms that you have stated appear to be some kind of personality disorder rather than being a primary psychiatric illness. These personality traits point towards dependent personality disorder. These people are generally not very independent and like to have a shoulder every where they go. They may work nicely in presence of a company like wife in your case but not work properly when asked to do that alone. Infact there is a lack of motivation as well. The reason this develops is partly due to the genetic makeup and secondly to the early upbringing. Now both cannot be changed at present and what can actually be changed is his current behaviour. Although it is difficult but not impossible. Behavioural therapy can help him in improving his work behaviour. This can be planned out by sitting with a psychologist nearby along with your husband. Its not a fit-all therapy and needs to be customized to the needs of your husband. By using some principles of token economy, your husband will be motivated to work harder. But firstly you need to communicate the probelm to him and need to stress on the need for psychological help for this problem. Bupropion is an antidepressant and it may act well on your husband. It comes in the strength of 150mg and is useful in managing such cases of amotivation. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (9 hours later)
Thanks for your response Dr. XXXXXXX Does dependent personality also consist of his immature behaviors and fear of intimacy. Also, why would'nt he buy a car when he had the financial means to better his situation, like any normal man would do? He bought expensive clothes instead. And why the connection to women and the fear of confident men? Thanks, XXXXX
doctor
Answered by Dr. Srikanth Reddy (13 hours later)
Brief Answer: MOst of them are part of his personality Detailed Answer: Hello Fear of intimacy can be associated with dependent personality disorder. They want to be dependent as well as have fear abandonment and hence are not very intimate. Its decision to buy expensive clothes is difficult to explain and it is not right on his part and should be an immature decision that he has taken. Women are always more comforting and less challanging. With men there could be a sense of incompetence as well as he is not performing like other men. Along with the personality problems there are other personality traits as well which have to be handled with him personally. Regards Dr. XXXXXXX Reddy MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (21 hours later)
Dr XXXXXXX my husband was outgoing and independent when we met. As I stated, he worked side jobs and I saw a lot of independence. But this independence began to decline. If a person has a dependent personality, why didn't it show when we met, unless I overlooked something. The only thing I noticed was his tendency to latch on to me early in he relationship (clingy and needy). Thanks, XXXXX
doctor
Answered by Dr. Srikanth Reddy (14 hours later)
Brief Answer: Its difficult to explain Detailed Answer: Hello I understand that its difficult to explain. The personality doesnt change over night. The only thing I can think of is probably during the early period he was not himself. Probably to win you, he was showing his best half. Then with time, the change could not sustain and the original personality has appeared. Regards Dr. Srikanth Reddy MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (12 minutes later)
Dr XXXXXXX what other disorders are associated with dependent personality disorder. I agree that my husband displays traits of dependent disorder, but something else is going on with him. As you stated, it is diffcult to explain. I see some form of regresion. Reason being, I am a strong independent woman with MSW. I am also an author. My prspective is that the more I progressed towards my career goals, the more he declined. He also gets SSI, an never shared reasons why. Do you know if mental conditions are one of the requirements for recieving SSI benefits? Thanks,XXXX
doctor
Answered by Dr. Srikanth Reddy (18 minutes later)
Brief Answer: Cognitive deficit disorder Detailed Answer: Hello I understand your concerns. In my clinical practice many times I see such patients of dementia initially appearing in such regressive symptoms and silly behaviours before they go on to manifest more noticeable memory disturbances. Regression is very common in dementia. Probably he can get a check up for the dementia to catch up if there are any early signs. One more thing I have noted is that these patients show significant improvement in their personality and behaviour by using escitalopram. Though its an antidepressants but it improves the functioning in elderly people presenting with such amotivation or silly behaviour. SSI benefits are extended to people with mental illnesses provided they have significant disability. But the law of land differs from country to country. I extend my apologies for ignorance about the law of your country of residence. Regards Dr. Srikanth Reddy MD
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Suggest Treatment For Dependent Personality Disorder

Brief Answer: Personality Issues Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. The symptoms that you have stated appear to be some kind of personality disorder rather than being a primary psychiatric illness. These personality traits point towards dependent personality disorder. These people are generally not very independent and like to have a shoulder every where they go. They may work nicely in presence of a company like wife in your case but not work properly when asked to do that alone. Infact there is a lack of motivation as well. The reason this develops is partly due to the genetic makeup and secondly to the early upbringing. Now both cannot be changed at present and what can actually be changed is his current behaviour. Although it is difficult but not impossible. Behavioural therapy can help him in improving his work behaviour. This can be planned out by sitting with a psychologist nearby along with your husband. Its not a fit-all therapy and needs to be customized to the needs of your husband. By using some principles of token economy, your husband will be motivated to work harder. But firstly you need to communicate the probelm to him and need to stress on the need for psychological help for this problem. Bupropion is an antidepressant and it may act well on your husband. It comes in the strength of 150mg and is useful in managing such cases of amotivation. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.