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Personality disorders are characterized by enduring patterns of behavior, cognition, and internal experiences that deviate significantly from cultural expectations. These patterns are inflexible and pervasive across a wide range of personal and social situations. A key aspect of personality disorders is that these maladaptive behaviors and thought patterns often emerge in adolescence or early adulthood, becoming entrenched over time. This chronic nature of the disorders leads to significant distress and impairment in functioning.

Recognizing the origins of these disturbances in adolescence helps differentiate personality disorders from other mental health issues that may appear later in life or are more transient in nature. This understanding also underlines the developmental aspect of personality disorders, as behaviors tend to stabilize and become more pronounced as individuals transition into adulthood.

On the other hand, concepts such as inheritable genetic factors, temporary episodes of anxiety, and childhood-limited behavioral issues do not accurately capture the essence of personality disorders. While genetics may play a role in various mental health conditions, the defining characteristics and long-term implications of personality disorders are primarily linked to patterns established during adolescence rather than isolated biological factors.

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