TRANS 057 Personality and Somatoform Disorders

Question 1

egosyntonic vs egodystonic

Answer 1

Egosyntonic, it feeds their ego instead of, a supposed to egodystonic, which your anxiety disorders are, it where you become anxious. But in egosyntonic they are not anxious

Question 2

in personality disorders, what age should you be?

Answer 2

18 years old

Question 3

in personality disorders, enduring inflexible behavior pattern that deviates from culturally expected as manifested in at least 2/4:

Answer 3

o Cognition (ways of perceiving/ interpreting) 
o Affectivity (range, intensity, lability, appropriateness) 
o Interpersonal functioning 
o Impulse control

Question 4

(T/F) Distresses others but not person with PD.

Answer 4

T

Question 5

most prevalent personality disorder?

Answer 5

Anti social personality disorder

Question 6

what are the 3 types or cluster of personality disorder?

cluster A, B, C?

Answer 6

o Cluster A = Odd or eccentric behavior ▪ Paranoid, schizoid, and schizotypal

o Cluster B = Dramatic, emotional, or erratic behavior ▪ Antisocial, borderline, histrionic, and narcissistic

o Cluster C = Anxious or fearful behavior ▪ Avoidant, dependent, and obsessive-compulsive

Question 7

CLUSTER A: ODD OR ECCENTRIC BEHAVIOR

what are the disorder under this?

Answer 7

A.) PARANOID PERSONALITY DISORDER
B.) SCHIZOID PERSONALITY DISORDER
C.) SCHIZOTYPAL PERSONALITY DISORDER

Question 8

criteria of paranoid personality disorder?

Answer 8

• Paranoid SID Reluctant kay MAG

• At least 4/7:
o Suspiciousness of others without basis
o Unjustified suspiciousness about infidelity of partner o Unjustified doubts about disloyalty
o Reluctance to confide in others
o Reading threatening meanings into benign events
o Tendency to feel attacked and counterattack
o Persistently bears grudges

Question 9

B.) SCHIZOID PERSONALITY DISORDER criteria?

Answer 9

“• SIR SAFE “

• At least 4/7
o Almost always chooses solitude
o Indifferent to praise or criticism
o Neither desires nor enjoys close relationships
o Little if any interest in sexual relationships
o Takes pleasure in few activities
o Lacks close friends
o Emotional coldness, detachment, or flatness

Question 10

C.) SCHIZOTYPAL PERSONALITY DISORDER Criteria?

Answer 10

“UFO AIDER”

Unusual perceptions
Friendliness except for family
Odd beliefs, thinking, speech

affect - inappropriate, constricted
Ideas of reference
Doubts others - suspicious
Eccentric - appearance/ behavior
Reluctant in social situations, anxious

Question 11

CLUSTER B: DRAMATIC, EMOTIONAL, OR ERRATIC BEHAVIOR

what are the disorders under this? (4)

Answer 11

A.) ANTISOCIAL PERSONALITY DISORDER
B.) BORDERLINE PERSONALITY DISORDER
C.) HISTRIONIC PERSONALITY DISORDER
D.) NARCISSISTIC PERSONALITY DISORDER

Question 12

The symptoms must be solid already around the time when you are 15 years old, but you only diagnosed them at 18 years old

 Usually, those who are suffering from_________________personality disorder are already suffering from CONDUCT DISORDER….. they have criminal minds. Yan yung mga may masamang balak pa lang nung maliliit

Answer 12

Antisocial personality disorder

Question 13

Criteria for anti social personality disorder?

Answer 13

o Deceitfulness
o Failure to conform to lawful behavior (unlawful)
o Reckless disregard for safety of self and others
o Irritability or aggressiveness
o Consistent irresponsibility
o Lack of remorse (remorseless) o Impulsivity
• Conduct disorder before 15 years old

” 15 DURA IRI “

Question 14

Criteria for borderline personality disorder?

Answer 14

• At least 5/9: 
o Unstable and intense relationships 
o Unstable self image 
o Affective instability 
o Transient paranoia or dissociation 
o Chronic feelings of emptiness 
o Suicidal behavior 
o Frantic efforts to avoid abandonment 
o Inappropriate, intense anger 
o Impulsivity (self-destructive) 

” U3 bantayan si TESA AI borderline “

Question 15

HISTRIONIC PERSONALITY DISORDER criteria?

Answer 15

At least 5/8:
o Suggestible
o Uncomfortable if not the center of attention
o Rapidly shifting and shallow emotions
o Inappropriately seductive or provocative
o Considers relationships more intimate than they are o Use of appearance to draw attention
o Self-dramatization, theatrical
o Speech is impressionistic and lacking in detail

Question 16

Criteria of narcissistic personality disorder?

Answer 16

• EE UGALE SAtanas

• At least 5/9: 
o Interpersonally exploitive 
o Sense of entitlement 
o Preoccupied with fantasies of unlimited success, power, brilliance, etc. 
o Grandiose sense of self-importance 
o Requires excessive admiration 
o Lacks empathy 
o Often envious 
o Belief that he or she is “special” 
o Arrogant or haughty

Question 17

Avoidant personality disorder criteria?

Answer 17

At least 4/7:
o Unwilling to get involved with people unless certain of being linked
o Avoids activities due to fear of criticism, disapproval, or rejection
o Restrained in relationships due to fear of being shamed or ridiculed
o Preoccupied with criticism or rejection in social situations
o Reluctant to take personal risks
o Inhibited in new situations due to feelings of inadequacy
o Views self as inept, unappealing inferior

Question 18

Criteria Dependent personality Disorder

Answer 18

At least 5/8:
o Difficulty expressing disagreement
o Difficulty initiating or doing things on own
o Feels helpless when alone, due to exaggerated fears of being unable to care for self
o Excessive need for advice and reassurance to make decisions
o Need others to assume responsibility for most areas of life o Goes to excessive lengths for nurturance or support o Urgently seeks new relationship if close relationship ends o Preoccupied with fears of being left to care for self

Question 19

Criteria OCD?

Answer 19

• At least 4/8:
o Preoccupation with rules, lists, order, schedules, etc. o Perfectionism
o Excessive devotion to work and productivity
o Over-conscientious, scrupulous, inflexible about morality
o Inability to discard worn-out or worthless objects
o Reluctance to delegate tasks or work with others unless they submit to exactly his or her way of doing things
o Miserly spending style o Rigidity and stubbornness

Question 20

These are the one who feel pain anywhere and everywhere even the labs were normal

Answer 20

Somatic Symptom Disorder

Question 21

Afraid of becoming ill

Answer 21

Illness Anxiety Disorder

Question 22

 May have pseudo-seizure when they are upset or stress, may have headache.  No neurologic deficit or pathology that can explain why they are manifesting neurologic symptoms

Answer 22

Conversion Disorder (Functional Neurological Symptom Disorder)

Question 23

(Munchausen Syndrome

Answer 23

Factitious Disorder

Question 24

These are illnesses in their body that are not in them  They just like being sick, no secondary gain unlike in malingering

Answer 24

Factitious Disorder (Munchausen Syndrome)

Question 25

Treatment for Somatoform disorders?

Answer 25

o Psychotherapy
o Antidepressants

 Also, anti-anxiety agents because it stabilizes serotonin and norepinephrine.

Question 26

• Impairment due to preoccupation with illness
• More females
• Previous generation population – 5-7%
• Asians → stomach aches

Answer 26

Somatic symptom disorder

Question 27

Criteria of somatoform symptom disorder

Answer 27

• At least 1 for at least 6 months:
o Disproportionate and persistent thoughts about the seriousness of one’s symptoms
o Persistently high anxiety about health or symptoms
o Excessive time and energy devoted to symptoms or health concerns

Question 28

• Preoccupation with having or acquiring a serious illness • No somatic symptoms • Excessive health-related behaviors or maladaptive avoidance • At least 6 months

Answer 28

Illness Anxiety Disorder

Question 29

• Neurologic manifestation of anxiety • At least 1 day • Motor or sensory symptoms incompatible with labs/tests o Normal labs

Answer 29

C. CONVERSION DISORDER ; functional neurological Symptom Disorder

Question 30

factitious d/o vs malingering?

Answer 30

factitious - no secondary gain; malingering - with secondary gain

Question 31

Under the umbrella of Schizophrenia Spectrum Disorder will be your:

Answer 31

• Brief Psychosis Disorder
• Schizophrenic form Disorder
• Schizophrenia Disorder
• Delusional Disorder
• Caused by Medical condition

Question 32

(T/F) For you to say that the person is Psychotic, you have to have 2/5 symptoms, unless bizarre, you only need 1.

Answer 32

T

Question 33

The 5 symptoms to consider psychosis?

Answer 33

5 symptoms:
- Hallucination- pertains to the 5 senses (Auditory, Visual, Gustatory, Olfactory, Tactile)

• Delusion- unshakeable belief (paranoid delusion, erotomanic delusion)
• Disorganized Speech- looseness of association
• Disorganized Behavior- namumulot ng mga upos ng sigarilyo, the way taong grasa behave
• Negative Symptoms- Alogia, they want to be by themselves, they don’t want to speak

Question 34

If the symptoms for psychosis are present for
o 1 day- 29 days=
o 1-5 months and 29 days=

o 6 months and above=

o If the predominant symptom is a delusion=

o If the predominant symptom is a Catatonia=

Answer 34

Brief Psychosis Disorder, yan yung sapi

Schizophrenic form disorder

Schizophrenia

Delusional Disorder

Catatonic Disorder, which is a negative symptom

Question 35

Anxiety and Depression is all about what neurotransmittter?

Answer 35

Serotonin and Norepinephrine

Question 36

Depression mnemonics?

Answer 36

• Depression 
o SADCWEEPS
 ▪ Sleep disturbance 
▪ Anhedonia 
▪ Depressed mood 
▪ Concentration problem 
▪ Weight changes (loss or gain) 
▪ Excessive guilt 
▪ Energy loss
 ▪ Psychomotor agitation/retardation 
▪ Suicidal ideation

Question 37

Mania mnemonics?

Answer 37

Mania 
o GRAFID Talkative manic manic talaga ito 
▪ Grandiose
 ▪ Risky behavior
 ▪ Agitation 
▪ Flight of ideas
 ▪ Irritable
 ▪ Distractable 
▪ Talkative

Question 38

Psychosis mnemonics?

Answer 38

Psychosis

o HaD PSYCHOSIS at Don Salvador Benedicto Ne

▪ Hallucination 
▪ Delusion 
▪ Disorganized  
• Speech
 • Behavior 
▪ Negative symptoms