Under the DSM-5 approach, the first step in diagnosing a personality disorder is determining:

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The DSM-5 approach to diagnosing a personality disorder first involves determining an individual's level of functioning, particularly in interpersonal and occupational domains. This is because personality disorders are defined in part by impairments in these areas. While family history and physiological factors may be considered as part of the overall assessment, they are not the first step in the diagnostic process. Pathological traits are assessed later in the process, once a diagnosis has been tentatively identified based on an individual's level of functioning.

Under the DSM-5 Approach, the First Step in Diagnosing a Personality