personality disorders Flashcards

1
Q

cluster A

A
  • eccentric, peculiar, w/drawn
  • familial assoc with psychotic d/os

schizoid, schizotypal, paranoid

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2
Q

cluster B

A
  • emotional, dramatic, inconsistent
  • familial assoc with mood d/os

antisocial, borderline, narcissistic, histrionic

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3
Q

cluster C

A
  • anxious, fearful
  • familial assoc with anxiety d/os

avoidant, dependent, OCPD

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4
Q

paranoid personality do: diagnosis

A
  • general distrust of others in variety of contexts

4+ of:

  • suspicion that others are plotting to exploit/deceive
  • preoccupation with doubts of loyalty/trustworthiness of acquaintances
  • reluctance to confide in others
  • interpretation of benign remarks as threatening or demanding
  • persistence of grudges
  • perception of attacks on his/her character
  • recurrence of suspicions regarding fidelity of spouse
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5
Q

paranoid personality do: epidem

A
  • 0.5-2.5% prevalence
  • men > women
  • higher incidence w/family hx of SCZ
  • misdiagnosed in minority groups, immigrants, deaf people
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6
Q

paranoid personality do: treatment

A
  • psychotherapy

- short term: antianxiety or antipsychotics

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7
Q

schizoid personality do: diagnosis

A
  • VOLUNTARY social withdrawal and restricted range of emotional expression

4+ of:

  • not desiring close relationships
  • choosing solitary activities
  • little interest in sex
  • pleasure in few/no activities
  • few close friends
  • indifference to praise/criticism
  • emotional coldness, detachment, flat affect
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8
Q

schizoid personality do: epidem

A
  • 7% prevalence
  • men&raquo_space; women
  • no increased risk with family hx of schizophrenia
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9
Q

schizoid personality do: treatment

A
  • psychotherapy
  • group therapy often helpful
  • short term low-dose anti-psychotics
  • antidepressants if comorbid MDD
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10
Q

schizotypal personality do

A
  • pattern of eccentric behavior, cognitive/perceptual distortions, discomfort with close relationships

5+ of:

  • ideas of reference
  • odd beliefs or magical thinking
  • unusual perceptual experiences
  • suspiciousness
  • inappropriate/restricted affect
  • odd/eccentric appearance/behavior
  • few close friends
  • odd thinking or speech
  • excessive social anxiety
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11
Q

schizotypal personality do: epidem

A

3% prevalence

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12
Q

schizotypal personality do: treatment

A
  • psychotherapy
  • short course of low dose antipsychotics
  • risk of development of SCZ
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13
Q

antisocial personality do: diagnosis

A
  • pattern of disregard for others and violation of rights of others since age 15
    (conduct do in children)

3+ of:

  • unlawful acts
  • deceitfulness/lying/manipulation for personal gain
  • impulsivity
  • irritability and aggressiveness/fights
  • recklessness
  • irresponsibility
  • lack of remorse
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14
Q

antisocial personality do: epidem

A
  • 3% in men, 1% in women
  • higher incidence in poor urban areas and prisoners
  • 5x risk in first degree relatives
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15
Q

antisocial personality do: treatment

A
  • psychotherapy INEFFECTIVE - DBT and behavioral therapy best choice
  • pharmacotherapy to treat sx of anxiety/depression - CAREFUL FOR ADDICTION (high incidence of comorbid substance abuse and/or major depression)
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16
Q

borderline personality do: diagnosis

A
  • pattern of impulsivity and unstable relationships, affects, self image, behaviors

5+ of:

  • desperate efforts to avoid abandonment (real/imagined)
  • unstable intense relationships
  • unstable self image
  • impulsivity in 2+ harmful ways
  • recurrent suicidal threats/attempts/self-mutilation
  • unstable mood/affect
  • feeling of emptiness
  • difficulty controlling anger
  • transient, stress-related paranoid ideation or dissociative sx
17
Q

BPD: epidem

A
  • 1-2% prevalence
  • women&raquo_space; men
  • suicide rate 10%
18
Q

BPD: tx

A
  • PHARMACOTHERAPY more useful than in other personality dos - treat psychotic/depressive sx as necessary
  • DBT is treatment of choice
19
Q

histrionic personality do: diagnosis

A
  • excessive emotionality and attention seeking

5+ of:

  • uncomfortable when not center of attn
  • inappropriately seductive or provocative
  • physical appearance to draw attention to self
  • speech is impressionistic and lacking in detail
  • theatrical and exaggerated
  • easily influenced by others or situation
  • perceives relationships as more intimate than they actually are

defense mechanism: regression

20
Q

histrionic personality do: epidem

A
  • 2-3% prevalence

- women > men

21
Q

histrionic personality do: tx

A
  • psychotherapy

- pharmacotherapy for assoc depressive/anxious sx

22
Q

narcissistic personality do: diagnosis

A
  • grandiosity, need for admiration, lack of empathy

5+ of:

  • exaggerated sense of self importance
  • preoccupation with fantasies of unlimited money, success, brilliance
  • believes that he/she is special, only associate with high status individuals
  • needs excessive admiration
  • sense of entitlement
  • takes advantage of others for self gain
  • lacks empathy
  • envious of others/thinks others are envious of him
  • arrogant/haughty
23
Q

narcissistic personality do: epidem

A

<1%

24
Q

narcissistic personality do: tx

A
  • psychotherapy
  • group therapy may help them learn empathy
  • antidepressants/lithium as needed
25
Q

avoidant personality do: diagnosis

A
  • social inhibition, hypersensitivity, feelings of inadequacy

4+ of:

  • avoids occupation involving interpersonal contact
  • unwilling to interact unless certain of being liked
  • cautious of relationships
  • preoccupied with being criticized or rejected in social situations
  • inhibited in new social situations
  • believes self to be socially inferior
  • reluctant to engage in new activities
26
Q

avoidant personality do: epidem

A
  • 1-10%
27
Q

avoidant personality do: tx

A
  • psychotherapy, including assertiveness training
  • betaBs for anxiety sx
  • SSRIs for depression
28
Q

dependent personality do: diagnosis

A
  • submissive and clinging behavior

5+ of:

  • difficulty making everyday decisions w/o reassurance
  • needs others to assume responsibility for many aspects of life
  • cannot express disagreement
  • difficulty initiating projects
  • goes to excessive lengths to obtain support from others
  • feels helpless when alone
  • urgently seeks new relationship when one ends
  • preoccupied with fears of being left to take care of oneself
29
Q

dependent personality do: epidem

A
  • 1%

- women > men

30
Q

dependent personality do: prognosis

A
  • sx often decrease with age/therapy
  • prone to depression
  • difficulty with employment
31
Q

dependent personality do: treatment

A
  • psychotherapy, esp group and social skills training

- pharmacotherapy as adjunct

32
Q

OCPD: diagnosis

A
  • preoccupation with orderliness, control, perfectionism at expense of efficiency

4+ of:

  • details, rules, lists, organization
  • perfectionism that is detrimental to task completion
  • excessive devotion to work
  • excessive conscientiousness
  • will not delegate tasks
  • unable to discard worthless objects
  • miserly
  • rigid/stubborn
33
Q

OCPD: epidem

A
  • unknown prevalence
  • men > women
  • more often in first born child
  • increased incidence in 1st degree relatives
34
Q

OCPD: tx

A
  • psychotherapy, esp group and behaviour

- pharmacotherapy as needed