How Is Self-Defeating Personality Disorder Diagnosed?
Self-Defeating Personality Disorder (SDPD), also known as masochistic personality disorder, is characterized by a pervasive pattern of self-defeating behavior, where individuals consistently engage in actions that lead to negative outcomes or harm themselves. Diagnosing SDPD can be challenging as it involves differentiating between occasional self-sabotaging behavior and a chronic pattern that impacts various aspects of life. The diagnosis typically involves a thorough clinical evaluation by a mental health professional, including a detailed patient history, behavioral assessments, and standardized diagnostic tools.
The clinician will look for patterns of behavior such as avoiding pleasurable activities, rejecting help or positive feedback, choosing situations that lead to disappointment or failure, and an excessive need for self-sacrifice. It's important to rule out other mental health conditions that may exhibit similar symptoms, such as depression, anxiety disorders, or personality disorders like borderline or dependent personality disorder. The diagnostic process also involves understanding the individual's motivations and emotional state, as well as the impact of these behaviors on their personal, social, and occupational functioning.
