Personality DOs

Question 1

You must be ____yo+ to be Dx with a Personality DO

Answer 1

18

Question 2

To be Dx with a Personality Dx, you must have 2+ abnormalities of which 4 main categories of ss

Answer 2

• Cognition
• Affectivity (Mood)
• Interpersonal Fn
• Impulse Control

Question 3

Cluster ___ Personality DOs are ODD & ECCENTRIC

Answer 3

A

• Paranoid
• Schizoid
• Schizotypal

Question 4

Cluster ____ Personality DOs are DRAMATIC & ERROTIC

Answer 4

B

• Antisocial (Sociopath)
• Borderline
• Histrionic
• Narcissistic

Question 5

Cluster ____ Personality DOs are SEVERE ANXIETY/FEAR

Answer 5

C

• Avoidant
• Dependent
• OCPD

Question 6

How is Paranoid different from Schizoid Personality DO?

Answer 6

Paranoid is hostile/holds grudges
Schizoid is socially aloof

Question 7

Tx for Paranoid and Schizoid Personality DO

Answer 7

Question 8

Tx for Paranoid and Schizoid Personality DO if Cognitive-Perceptual?

Answer 8

LOW Dose Antipsychotic

Question 9

Tx for Paranoid and Schizoid Personality DO if Impulsive/Behavioral?

Answer 9

Mood Stabilizer

Lithium
Lamotrigine
Carbamazepine

Question 10

Tx for Paranoid and Schizoid Personality DO if SELF HARMING

Answer 10

Mood Stabilizer + Omega-3

Question 11

Tx for Paranoid and Schizoid Personality DO if Affective (rapid mood changes)?

Answer 11

Mood Stabilizer or LOW Dose Antipsychotic

Question 12

Which Personality DO?
Introverted, socially inept, seems aloof, emotionally detached, indifferent to praise/criticism, not interested in sex, and no interest in friendship

Answer 12

Schizoid (Cluster A)

Question 13

Which personality DO?
Child believes in MAGIC and has other ODD BELIEFS. He is anxious, suspicious of others, and has immature defense mechanisms

Answer 13

Schizotypal (Cluster A)

Question 14

Tx for Schizotypal Personality DO
- 1st line?
- Psychotic ss?
- Anxiety?

Answer 14

• # 1 CBT, Psychotherapy
• Psychotic -> 2GA
• Anxiety -> Antidepressant

Question 15

To be Dx as Antisocial (Sociopath), SS must have started by ___yo. However, it cannot be Dx until you are ___yo+

Answer 15

Onset by 15yo
Dx at 18yo+

Question 16

Tx for Antisocial Personality DO
- Mild/Mod?
- SEVERE?

Answer 16

Question 17

IS CBT helpful for SEVERE Antisocial Personality DO?

Answer 17

NO, it is HARMFUL if SEVERE

Only for Mild/Mod

Question 18

Tx for Borderline Personality DO
- Cognitive & Perceptual?
- Impulsive/Behavior?
- Affective Dysreg?

Answer 18

• Cognitive & perceptual -> LOW Dose Antipsychotic
• Impulsive/Behavior -> **Mood Stabilizer (Omega-3) **
• Affective Dysreg-> Mood Stab or LOW Dose Antipsychotic

Question 19

Tx for Histrionic Personality DO

Answer 19

• Psychotherapy
• Tx comorbid anxiety/depression

Question 20

Which personality DO?
Always want to be the center of attention

Answer 20

Histrionic (Cluster B)

Question 21

When should you consider Pharm Tx for Narcassists?

Answer 21

SEVERE or SAFETY RISK

Question 22

Can you give Benzos for Antisocial personality DO?

Answer 22

NOOOOO Avoid all of those high risk abuse meds

Question 23

How is Avoidant Personality DO different from social anxiety?

Answer 23

Avoidant is where you want to be involved but avoid certain social situations in fear of judgement/rejection

Question 24

Tx for Avoidant Personality DO

Answer 24

1. Psychotherapy
2. SSRI + Therapy
3. Anxiolytics
4. MAOIs

Question 25

Tx for dependent personality DO?

Answer 25

1. Psychotherapy
2. SSRIs
3. MAOIs

Question 26

What do therapists have to be cautious of during CBT for Dependent personality DOs?

Answer 26

to NOT promote dependency on their therapist

Question 27

Tx for OCPD

Answer 27

Psychotherapy
+/- SSRIs

Question 28

How is OCPD different from OCD?

Answer 28

• OCPD is a PERSONALITY DO that revolves around PERFECTION. Pt is NOT self-aware
• OCD is an anxiety DO + Compulsions. Pt is self-aware