Adult Psychiatry
Personality difficulties refer to long-term patterns in the way a person thinks, feels, and behaves that can create emotional distress and make it difficult to maintain healthy relationships or function well in daily life. While these difficulties may not always qualify for a formal diagnosis of a personality disorder, their impact can be just as disruptive and affect one’s overall sense of wellbeing.
Personality difficulties often emerge from deep-rooted behavioural and emotional patterns that have developed over time. These patterns can influence how an individual sees themselves, relates to others, and manages life’s challenges. Unlike mood or anxiety disorders, which may come and go, personality difficulties tend to be more ingrained, affecting multiple areas of life over many years.
People living with these difficulties may feel stuck in repetitive patterns that cause frustration, misunderstanding, or emotional pain. They might experience intense emotions, unstable relationships, or struggle with identity and self-worth. These challenges can lead to social isolation, occupational issues, and difficulties in maintaining lasting personal connections.
Individuals may experience heightened emotional sensitivity, where feelings are more intense or long-lasting than others might expect. They may have difficulty adapting to new perspectives or situations, and may feel overwhelmed by stress or conflict. Self-esteem is often fragile, with individuals harshly criticising themselves or feeling a persistent sense of inadequacy. Coping strategies might include avoidance, impulsivity, or self-defeating behaviours, which can inadvertently maintain the cycle of distress.
These difficulties usually develop from a combination of inherited traits and early life experiences. Temperament, emotional sensitivity, or impulsivity may be present from a young age. Traumatic events, neglect, or inconsistent caregiving during childhood can influence how a person learns to relate to others and manage their emotions. Environmental stressors in adolescence or adulthood, such as relationship breakdowns or ongoing invalidation, may further entrench unhelpful coping strategies.
Support should be considered when emotional or interpersonal difficulties are persistent and distressing, or when recurring issues arise in relationships, work, or daily functioning. If emotional responses feel overwhelming or if there is a feeling of being “stuck” in destructive cycles, it may be time to seek help. Others may notice these patterns first and offer feedback, which can be an opportunity to reflect. A strong desire for change, coupled with difficulty achieving it independently, is often a helpful starting point for engaging in therapy.
Psychological therapy is central to addressing personality difficulties, with evidence-based approaches such as Dialectical Behaviour Therapy (DBT), Mentalisation-Based Therapy (MBT), Schema Therapy, and Cognitive Behavioural Therapy (CBT) frequently used. Therapy focuses on building emotional regulation, interpersonal skills, and coping strategies. Psychoeducation helps individuals understand how their current patterns developed and how to begin changing them. Supportive relationships—within therapy and beyond—are encouraged to create a safe and structured environment for growth.
At The Clinica, Dr. Arora offers expert assessment and therapy for adults experiencing personality difficulties. The initial consultation involves a comprehensive evaluation to understand your current challenges, personal history, and goals for change. A tailored treatment plan is then developed, with a focus on long-term emotional wellbeing and improved relationships.
No. Many people experience personality-related challenges without having a formal diagnosis. If your emotional or relational patterns are causing distress, therapy can still be beneficial.
Treatment is often longer-term, as personality difficulties are typically deep-rooted. However, meaningful progress can be made over time with consistency and the right therapeutic approach.
Yes. With therapy, individuals can learn new ways to manage emotions, relate to others, and develop more helpful patterns of thinking and behaviour.
Personality disorders meet specific diagnostic criteria and are generally more severe. Personality difficulties may share similar features but may not be as pervasive or disabling. Both can benefit from similar forms of support.
Often, yes. Exploring early experiences can help you understand how certain patterns developed. Therapy will also focus on how these patterns affect your current life and how they can be changed.
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