Miloš Židanik
Health centre Maribor
Sodna ulica 13
2000 Maribor

 Abstract: Background. Personality disorders are frequently hidden behind other mental disorders and have an influence on treatment response and prognosis of the disorder we are treating. There is also a higher risk of psychotic decompensations and suicidal attempts, therefore at least a longer treatment is needed. Besides, personality disorders have an negative impact on social communications, a deeper patient-therapist relationship is less common and they are frequently leaving therapy without warning. In this article we are stating the frequency and the sort of personality disorders at patients I met in psychiatric ambulatory care.

Methods. We divided all patients in two groups – patients with personality disorders and the others without, regarding sex, age and diagnosis.

Results. The percentage of patients with a personality disorders among all patients in psychiatric ambulatory care was 44,8% (n=500). In 97.3% there was a comorbidity, most frequently with psychosomatic (in 57.14%) and affective disorders (in 42.4%). Patients with a personality disorder come to the psychiatrist in an earlier life period (p <0,01). The most common personality disorders were dependent (32,1%), depressive (29.5%), obsessive-compulsive (9.8%), dissocial (7,6%) and mixed (9,4%).

Conclusions. Patients with a personality disorders present from a psychiatric point of view a population at high risk for development different mental disorders (depression, anxiety, brief psychotic disorders) and therefore we have to direct our attention to phenomena, that may lead us to different personality disorders at every single psychiatric patient for a better treatment plan.