Advice Column: Answers to difficult questions

Answers to your questions about personality disorders, homelessness, friendship and more.

Dear Dr. E,

How can we recognize a personality disorder?

J, via e-mail

Dear J,

The boundary between normal and abnormal personalities is often fuzzy. Generally, we say someone has a personality disorder if they exhibit dysfunctional behavioral patterns for long periods of time. There are about a dozen such disorders in the current classification scheme, including the infamous "antisocial," "borderline" and "dependent" categories. The diagnostic process is itself somewhat fuzzy, even for professionals, so please resist the temptation to label your friends.

Dear Dr. E,

A man who has been missing for almost a year showed up recently at his home claiming he had been suffering from amnesia. Is it possible for someone to lose his or her memory for that length of time?

L, Brooklyn, NY

Dear L,

Yes, it's possible. Head trauma, for example, can lead to a dramatic loss of memory (epochal retrograde amnesia), which can persist for long periods. In most cases, some or all of the missing memories eventually return. As is the case with multiple-personality disorder, however, a properly motivated person can also fake the condition, and there's no easy way to tell who's fooling whom.

Dear Dr. E,

A guy I like recently learned that my brother is gay. Now he seems to be ashamed around me. Is he worth my time?

I, via e-mail

Dear I,

I can't tell you how to pick your friends, but just as your friend might decide that he doesn't want to associate with gays, you might also decide that you don't want to associate with bigots. On the other hand, perhaps you have more potential for tolerance than your friend does. It's your call.

Dear Dr. E,

I've been jobless for three years. Whenever I think about getting a job, I feel tense and cold, and I've even cried about it. I'm afraid of interviews, and I'm also afraid of what people think about me because I'm not working. I took a test I read about in your magazine, and it suggests I have mild depression. Can you help me?

M, via e-mail

Dear M,

Sometimes problems are just too overwhelming for us to handle on our own. Since your difficulties have been persisting for so long, it's important that you see a counselor or therapist as soon as possible. You can get referrals from our online directory at www.psychologytoday.com, your family physician or local professional associations. In many communities, local clinics offer free or sliding-scale services for those in need.

Dear Dr. E,

I live on the streets in Los Angeles. It isn't what I wanted, but I can't seem to change things. I have a high IQ, and I'm exceptionally sensitive, even to the point where I am attuned to women's menstrual cramps. My psychologist friends say I'm fine and even come to me with their own problems. Yet everything I try blows up in my face, perhaps because of self-sabotage. I have faith and pray, but I'm lost. Can I be helped?

P, via e-mail

Dear P,

Your letter implies that you know the answer to your own question. Yes, you can be helped, but only if you commit yourself to the process. When you're ready, truly ready, to move forward, find a good counselor and attach yourself to a supportive community, perhaps through a church where you feel comfortable. Then, like most of us do, grit your teeth and dig in for the long haul.

Tags: behavioral patterns, bigots, brooklyn, classification scheme, dramatic loss, e mail, getting a job, head trauma, homelessness, length of time, long periods of time, loss of memory, memories, multiple personality disorder, personalities, personality disorders, tens, tolerance

Current Issue

Everyday Creativity

How to start living creatively and reap the benefits.

Find a Therapist

Search our customized Directory for a licensed professional near you.