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Psychiatry > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What are Cluster C personality disorders?

A

Avoidant, Dependent, Obsessive-Compulsive

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2
Q

An individual with this personality disorder constantly seeks attention and reassurance from others. They are overly dramatic, have strong opinions, are influenced by others, and are obsessed with self-image. They also tend to believe relationships are closer than they actually are.

A

Histrionic Personality Disorder

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3
Q

This personality disorder has high comorbidity with substance abuse, injury, suicide, and homicide.

A

Antisocial Personality Disorder

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4
Q

This cluster of personality disorders is characterized by dramatic, overly emotional, and unpredictable thinking and behavior.

A

Cluster B (antisocial, borderline, histrionic, narcissistic)

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5
Q

What is the goal of DBT?

A

To promote acceptance and provide patients with skills to cope with their emotions and feelings

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6
Q

This disorder is characterized by a pervasive, inflexible, and maladaptive manner in which an individual views the world.

A

Personality Disorder

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7
Q

With one exception, there are no proven psychotherapies to treat personality disorders. What is the exception and treatment?

A

Borderline personality disorder treated with DBT

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8
Q

What non-pharmacologic treatment options are used for personality disorders?

A

CBT, group therapy, psychoeducation, psychanalytic/psychodynamic therapy

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9
Q

An individual with this personality disorder must have a history of a conduct disorder before the age of 15yo. They disregard others, persistently lie and deceive others, have problems with the law, exhibit aggressive and impulsive behavior, and have no remorse for their behavior.

A

Antisocial Personality Disorder

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10
Q

What personality disorder has increased incidence in families with schizophrenia?

A

Paranoid Personality Disorder

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11
Q

What is the clearest risk factor for borderline personality disorder?

A

Child abuse

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12
Q

There is no FDA-approved drug available for the treatment of personality disorders. What class of drugs may be useful to treat such patients?

A

Anti-depressants, anti-anxiety medications, mood-stabilizers

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13
Q

This cluster of personality disorders is characterized by odd and eccentric thinking and behavior.

A

Cluster A (paranoid, schizoid, schizotypal)

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14
Q

What are the four skill modules of DBT?

A

Mindfulness, interpersonal skills, emotional regulation, distress tolerance

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15
Q

What are Cluster A personality disorders?

A

Paranoid, Schizoid, Schizotypal

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16
Q

A person with this personality disorder may have peculiar dress, thinking, speech, or behavior. They generally have flat or inappropriate emotional responses and believe in magical thinking and hidden messages. They also present with social anxiety and are more likely to become involved with cults.

A

Schizotypal Personality Disorder

17
Q

A person with this personality disorder believes they are more important than others and is obsessed with power. They are arrogant, exaggerate their achievements, expect praise, and overlook the needs of others.

A

Narcissistic Personality Disorder

18
Q

Avoidant Personality Disorder is most associated with what psychiatric comorbidities?

A

Depression, social phobia

19
Q

A person with this personality disorder has pervasive distrust and suspicion of others. They believe others are trying to harm them and may respond angrily to perceived insults.

A

Paranoid Personality Disorder

20
Q

What factors are associated with an increased risk of Dependent Personality Disorder?

A

Childhood separation anxiety, child abuse, chronic illness

21
Q

Personality disorders affect these four areas of functioning.

A

Cognition, affectivity, interpersonal relationships, impulse control

22
Q

An individual with this personality disorder is preoccupied with details, expects perfection, is inflexible, wishes to be in control, and neglects others to focus on projects. They may also exhibit hoarding behaviors.

A

Obsessive-Compulsive Personality Disorder

23
Q

What symptoms are associated with Avoidant Personality Disorder?

A

Sensitivity to criticism and rejection, social inhibition and shyness, avoidance of social activities, and feelings of inadequacy.

24
Q

What criteria are required for a diagnosis of antisocial personality disorder?

A

At least 18yo with a diagnosis of a conduct disorder by age 15yo

25
Q

Borderline personality disorder may present as what other psychiatric disorder?

A

Bipolar Disorder

26
Q

What is the most commonly seen personality disorder in a clinical setting?

A

Borderline Personality Disorder

27
Q

Dependent Personality Disorder is most associated with what psychiatric comorbidities?

A

Depression, substance abuse

28
Q

What are Cluster B personality disorders?

A

Antisocial, Borderline, Histrionic,
Narcissistic

29
Q

A person with this personality disorder has no interest in personal relationships with others, displays a limited range of emotions, and lives a solitary lifestyle.

A

Schizoid Personality Disorder

30
Q

True/False. Personality disorders are defined as ego-dystonic.

A

False. They are ego-syntonic. There is no conflict between self and the outside world and the individual does not believe there to be a problem.

31
Q

What pathophysiologic changes are associated with borderline personality disorder?

A

Low serotonin, frontal lobe dysfunction, smaller amygdala and hippocampal regions

32
Q

This cluster of personality disorders is characterized by anxious and fearful thinking and behavior.

A

Cluster C (avoidant, dependent, obsessive-compulsive)

33
Q

Schizoid personality disorder may overlap with what other disorder in adolescence?

A

Autism

34
Q

True/False. Self-care and coping strategies are helpful for people with personality disorders.

A

True - get active, avoid drugs and alcohol, journal, join a support group, stay connected

35
Q

When is the onset for most personality disorders?

A

Adolescence

36
Q

An individual with this personality disorder excessively depends on others and fears caring for oneself. They lack self-confidence and are at higher risk of physical and social abuse.

A

Dependent Personality Disorder

37
Q

What symptoms may an individual with borderline personality disorder present?

A

Impulsive and risky behavior, mood swings, intense and unstable relationships, fragile self-image, fear of being alone, suicidal behavior, displays of anger

Psychiatry (20 decks)

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