Can you think of a person you may have met or treated whose usual mood was gloomy and unhappy, were they critical of themselves and did they brood and tend to worry? Did they tend to be negative and judgmental toward others? Were they pessimistic and prone to feeling guilty or remorseful? Did this person have an abrasive personality or maybe Depressive Personality Disorder?
The DSM-5 does not include Depressive Personality Disorder. There was too much disagreement and debate among the DSM-5 Personality
Disorders workgroup. In fact, two of the personality disorder work group members RESIGNED over the proposed changes. In the end, cooler heads prevailed at the top.
However, a proposal was included in the back of the DSM-5 that includes essentially neuroticism (negative affectivity). However, you can still read the book that criticized this approach even before the first DSM-5 draft was released.
What is Depressive Personality Disorder?
If you are looking for a simple definition:
Depressive personality disorder is a psychiatric diagnosis that indicates a personality disorder with depressive features. Although it is no longer listed as a personality disorder, the diagnosis is included under the section “personality disorder not otherwise specified”.
Cognitive vulnerabilities and other underlying maladaptive personality characteristics should not simply be viewed as part of depression. To do so opens the door to treatment failure and recurring episodes of depression and other difficulties.
These stable traits are present even if a mood disorder is currently absent, and are personality variables which lead to distress and interpersonal problems themselves. These trait-like structures can be viewed dimensionally and when creating functional impairment, can be treated as depressive traits and depressive personality disorder.
Learn why depressive personality disorder can help call attention to important maladaptive personality variables and should be included in DSM-V and ICD-11. DPD can be coded as Personality Disorder NOS and depressive traits can also be noted on Axis II.
Maladaptive personality characteristics that make an individual vulnerable to depression can be viewed dimensionally, and when they collect together in an individual to a sufficient degree to create interpersonal difficulties and functional impairment the results are depressive traits and depressive personality disorder.
Depressive personality disorder may be at work in some individuals with chronic mood and anxiety problems who have evidenced treatment resistance and/or frequent recurrence of problems or co-occurrence of other problems. Recognizing depressive personality disorder in DSM-V will help call attention to these difficulties.
Depressive Personality Disorder Resources
This blog post is a collection of great resources for Depressive Personality Disorder, dysthymia (dysthymic disorder) and early onset chronic depression
Know of a resource you’d like to see featured here for free? Let me know about it
- American Psychiatric Associations
- Science Direct
- Wiki overview of the 5 factor model of personality
- An article from Andrew E. Skodol, M.D. and others in the American Journal of Psychiatry: Dimensional Representations of DSM-IV Personality Disorders: Relationships to Functional Impairment
- The Borderline Personality Disorder information site
You should really checkout the book: Depressive Personality Disorder: Understanding Current Trends in Research and Practice by Todd Finnerty
Hopefully this article by Know Your Archetypes is helpful