Psychiatric Research Interview for Substance and Mental Disorders (PRISM) evaluates for which of the following distinct personality disorders?

The Psychiatric Research Interview for Substance and Mental Disorders (PRISM) is specifically designed to assess a range of psychiatric conditions found in individuals with substance use disorders, including personality disorders. The correct answer, which includes antisocial and borderline personality disorders, highlights two significant framework issues within clinical settings.

Antisocial personality disorder is characterized by a pervasive pattern of disregard for the rights of others, violation of societal norms, and a lack of empathy. This disorder is often assessed within the context of substance abuse because individuals with this diagnosis frequently engage in risky behaviors, including substance use, and may find themselves involved in the criminal justice system.

Borderline personality disorder is marked by instability in interpersonal relationships, self-image, and affects, and marked impulsivity. Individuals with borderline traits may also exhibit significant substance misuse as a form of coping with their emotional dysregulation, making this assessment relevant for understanding their broader psychological profile.

This distinct pairing is significant because both disorders can influence substance use patterns and treatment responses, highlighting the necessity for clinicians to have a comprehensive understanding of these disorders during assessments.

The focus of PRISM on these particular personality disorders supports an integrated approach to assessment and treatment in the context of co-occurring mental health and substance use disorders.