Dependent personality disorder

Causes of dependent personality disorder are unknown. The disorder usually begins in childhood. It is one of the most common personality disorders and is equally common in men and women.

People with this disorder do not trust their own ability to make decisions. They may be very upset by separation and loss. They may go to great lengths, even suffering abuse, to stay in a relationship.

Symptoms of dependent personality disorder may include:

• Avoiding being alone
• Avoiding personal responsibility
• Becoming easily hurt by criticism or disapproval
• Becoming overly focused on fears of being abandoned
• Becoming very passive in relationships
• Feeling very upset or helpless when relationships end
• Having difficulty making decisions without support from others
• Having problems expressing disagreements with others

Dependent personality disorder is diagnosed based on a psychological evaluation. The health care provider will consider how long and how severe the person's symptoms are.

Talk therapy is considered to be the most effective treatment. The aim is to help people with this condition make more independent choices in life. Medicines may help treat other mental conditions, such as anxiety or depression, which occur along with this disorder.

Improvements are usually seen only with long-term therapy.

Complications may include:

• Alcohol or drug abuse
• Depression
• Increased likelihood of physical, emotional, or sexual abuse

See your health care provider or a mental health professional if you or your child has symptoms of dependent personality disorder.