How To Find Dependent Personality Disorder Support

Medically reviewed by Nikki Ciletti, M.Ed, LPC
Updated August 5, 2024by BetterHelp Editorial Team

Dependent personality disorder (DPD) is one of 10 personality disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Those with DPD often struggle with an intense fear of being alone and experience a constant need for reassurance. Understanding and recognizing the symptoms of this disorder may be the first step toward seeking the appropriate support, which usually involves therapy with a licensed mental health professional.

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What is dependent personality disorder?

Dependent personality disorder (DPD) is a mental health condition primarily characterized by an overwhelming and chronic need to be taken care of by others, often leading to submissive or clinging behavior. This excessive reliance on others for emotional support and decision-making often leads to considerable distress and difficulties in various aspects of life, such as personal relationships and professional environments.

DPD usually emerges in early adulthood and is typically marked by a consistent pattern of behavior. Individuals with this disorder often lack self-confidence and have an intense fear of abandonment. They might go to extreme lengths to maintain relationships, even enduring emotional abuse or neglect, due to a profound belief that they cannot function independently. This belief usually leads them to depend heavily on others for reassurance and guidance.

While DPD can share some symptoms with other personality disorders, such as borderline personality disorder (BPD), it is a distinct disorder. Unlike BPD, which normally involves intense and unstable relationships and emotions, DPD is primarily centered on a persistent need for support and care from others. 

Recognizing specific characteristics of DPD can be essential for accurate diagnosis and treatment.

Individuals with DPD may display several behavioral symptoms, including the following:

  • Difficulty making daily decisions without constant advice and reassurance
  • Trouble initiating projects independently
  • An intense fear of being unable to care for themselves
  • Performing uncomfortable tasks to gain support or care
  • Relying on others to take responsibility for many aspects of their lives
  • Avoiding disagreement or conflict in relationships out of fear of losing them
  • Experiencing a sense of discomfort when alone
  • Fear of abandonment and helplessness when relationships end

Though the exact causes of DPD are not fully understood, it is thought to result from a combination of genetic, environmental, and psychological factors. Research indicates that personality disorders, including DPD, may have a hereditary component, suggesting that individuals with a family history of personality disorders are usually at a higher risk of developing these conditions themselves.

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Understanding the impact of DPD

The impact of dependent personality disorder (DPD) on a person's life can be profound and far-reaching. Individuals with DPD often struggle with making decisions, even simple ones, without a great deal of advice and reassurance from others. This excessive need for support can make everyday tasks and responsibilities seem overwhelming, often leading to significant impairment in personal and professional aspects of life.

One of the major consequences of DPD can be difficulty maintaining healthy, balanced relationships. The constant need for reassurance and fear of abandonment can strain relationships, often leading to dependency on a single person or a small group of people. This dependency can be burdensome for both the individual with DPD and their loved ones, sometimes resulting in resentment or emotional strain within the relationship. In some cases, individuals with DPD might stay in unhealthy or abusive relationships due to their intense fear of being alone.

DPD can also contribute to the development of other mental health conditions, such as anxiety disorders and depression. The intense fear of abandonment and sense of helplessness associated with dependent personality disorder can exacerbate symptoms of anxiety and lead to persistent worry and stress. 

Furthermore, the lack of self-reliance and independence can lead to a sense of inadequacy and low self-esteem, which tend to be closely linked to depression. These additional mental health challenges can create a cycle of dependence and emotional distress, often making it even more difficult for individuals with DPD to seek and receive the help they deserve.

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How to find support for DPD

Finding the right dependent personality disorder support can be crucial for individuals with DPD to manage their symptoms and improve their quality of life. Support can come in various forms, from professional therapy to community resources, friends, and family. Understanding the available options can empower individuals with DPD to take the first steps toward healthier, more independent lives.

Therapy is typically regarded as one of the most effective support options for a variety of mental health conditions. Psychodynamic therapy, cognitive behavioral therapy (CBT), and assertiveness training are commonly used to help individuals with DPD specifically.

Psychodynamic therapy generally focuses on uncovering and understanding the underlying psychological conflicts contributing to a person’s dependent behaviors. CBT typically helps individuals identify and change negative thought patterns and behaviors, while assertiveness training can teach them to express their needs and desires confidently and appropriately.

The recent rise of online therapy can be said to have made finding support more accessible. While more research may be needed regarding the efficacy of online therapy specifically for dependent personality disorder, existing studies suggest that it can reduce personality disorder symptoms

Along with providing a safe space for individuals to discuss fears and anxieties, build self-confidence, and develop healthy interpersonal relationships, online therapy can offer added flexibility with a range of scheduling options and a wide selection of mental health professionals. Individuals can choose between phone call, online chat, and video conference for each session, empowering them to personalize the therapy process to suit their comfort levels.

Takeaway

Dependent personality disorder (DPD), which usually involves an intense fear of being alone and a pervasive need to be cared for by others, can significantly impact an individual's ability to function independently and maintain healthy relationships. However, with the right support, people with DPD can learn to manage their symptoms and lead more fulfilling lives. Therapy options like psychodynamic therapy, cognitive behavioral therapy, and assertiveness training, which can be accessed online or in person, can help those with DPD reduce difficult symptoms and cultivate a sense of independence.
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