The PRISM interview evaluates for which disorders?

• A. Antisocial and borderline
• B. Generalized anxiety and panic disorder
• C. Substance use disorders only
• D. Schizophrenia

Answer: (A)

PRISM is a structured interview designed to identify personality disorders that commonly co-occur with substance use disorders, with a focus on antisocial personality disorder and borderline personality disorder. These two disorders are especially prevalent in people with substance problems and have important implications for treatment planning, risk assessment, and prognosis, so the interview is tailored to reliably distinguish their diagnostic criteria even when substances can blur symptoms. It’s not a general screen for anxiety disorders or schizophrenia, and it isn’t limited to identifying substance use disorders alone—the emphasis is on the personality pathology that often accompanies and influences substance misuse.