Personality Disorders (Hill) Flashcards

1
Q

Name the Cluster A personality disorders and characteristics:

A

Paranoid personality disorder
Schizoid personality disorder
Schizotypical personality disorder

Cluster A=”Weird”-odd or eccentric disorders

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2
Q

This Cluster A personality disorder characterized by irrational suspicions and mistrust of others. They think others are exploiting or trying to be deceptive, friends and associates are untrustworthy, spouse or partner is unfaithful, etc.

A

Paranoid personality disorder

A=Accusatory

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3
Q

Paranoid personality disorder pts at risk for __

A

agoraphobia, major depression, OCD, substance abuse

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4
Q

This Cluster A personality disorder has a lack of interest in social relationships, seeing no point in sharing time with others. They appear indifferent to praise or criticism of others and seem cold or aloof. Marked by little pleasure in activities. Lack close friends other than 1st degree relatives

A

Schizoid personality disorder

A=Aloof

SIR SAFE
Solitary lifestyle
Indifferent to praise or criticism
Relationships of no interest
Sexual experiences not of interest
Activities not enjoyed
Friends lacking
Emotionally cold and detached
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5
Q

This Cluster A personality disorder characterized by odd behavior or thinking. They believe that public messages are directed personally at them, have odd beliefs or magical thinking, have excessive social anxiety that does not diminish with familiarity, and idiosyncratic perceptual experiences or bodily illusion

A

Schizotypical personality disorder

A=Awkward

these people CAN function

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6
Q

Name the Cluster B personality disorders and characteristics

A

Antisocial personality disorder
Borderline personality disorder
Histrionic personality disorder
Narcissistic personality disorder

Dramatic, emotional, or erratic

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7
Q

This Cluster B personality disorder is a pervasive disregard for the law and rights of others. They have repeated violations of the law, pervasive liars and deceiving, physically aggressive, reckless disregard for safety of self or others, consistent irresponsibility in work and family environments, have a lack of remorse

A

Antisocial personality disorder

B=Bad; AntiSOCial=SOCiopath

The Joker and Frank from House of cards

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8
Q

Antisocial personality disorder pts at risk for __

A

anxiety disorders
SUBSTANCE ABUSE
somatization disorder
pathological gambling

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9
Q

This Cluster B personality disorder shows extreme “black and white” thinking, instability in relationships, self-image, identity and behavior. They show frantic efforts to avoid expected abandonment, unstable and intense interpersonal relationships. Impulsive in at least 2 areas that are self-damaging (sex, substance abuse, reckless driving). Affective instability. Chronic feelings of emptiness. 3x more common in women than men

A

Borderline personality disorder

B=Borderline

Tx=Dialectical behavior tx

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10
Q

This Cluster B is characterized by people who are very manipulative by nature, immature personality traits (TEDDY BEAR SIGN AND TWEETY BIRD SIGN), try to “split” staff members/providers against each other. Often victims of sexual abuse or emotional abuse. High rate of comorbid major depression

A

Borderline personality disorder

B=Borderline

Tx=Dialectical Behavior Tx

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11
Q

This Cluster B personality disorder shows a pervasive attention-seeking behavior including inappropriate sexual seductiveness and shallow or exaggerated emotions

A

Histrionic personality disorder

B=flamBoyant

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12
Q

This Cluster B pt shows:

  • excessive emotionality and attn-seeking behavior
  • quite dramatic and sexually provocative or seductive
  • emotionally labile
  • Lady Gaga and miley cyrus
A

Histrionic personality disorder

B=flamBoyant

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13
Q

This Cluster B pt shows a pervasive pattern of grandiosity, need for admiration, and has a lack of empathy

A

narcissistic personality disorder

b=must be the Best

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14
Q

This cluster B pt shows:

  • exaggeration of own talents or accomplishments
  • sense of entitlement
  • exploits others
  • envious
  • arrogant, haughty attitude
  • Majority male
A

Narcissistic personality disorder

Trumpster, Gunners, Yeezy

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15
Q

Narcissistic personality disorder pts at risk for __

A

anorexia nervosa, substance abuse, depression

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16
Q

Name the Cluster C disorders and characteristics

A

Avoidant personality disorder
Dependent personality disorder
Obsessive compulsive Personality disorder

anxious or fearful disorders

17
Q

This Cluster C disorder shows social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation and avoidance of social interaction

A

Avoidant personality disorder

C=Cowardly

18
Q

This Cluster C pt shows:

  • Paralyzed by fear and sensitivity into social isolation
  • shy but not as odd as Cluster A types
A

Avoidant personality disorder

19
Q

How does Avoidant personality disorder differ from schizoid personality disorder?

A

Avoidant’s desire relationships with others

20
Q

This Cluster C pt shows pervasive psychological dependence on other people

A

Dependent personality disorder

21
Q

This Cluster C pt shows:

  • Difficulty making decisions without guidance and reassurance
  • need for others to assume responsibility for most major areas of persons life
  • unrealistic preoccupation with fears of being left to fend for self
A

Dependent personality disorder

22
Q

This Cluster C pt characterized by rigid conformity to rules, moral codes, and excessive orderliness

A

Obsessive compulsive personality disorder (not the same as OCD)

23
Q

This cluster C pt shows:

  • markedly preoccupied with perfectionism and control
  • lack of flexibility or openness
  • preoccupations interfere with efficiency despite focus on tasks
  • often stingy as well as stubborn
  • Dx 2x more in men
A

obsessive compulsive personality disorder

24
Q

This tx deals with how people think about their world and their perception of it. Typically limited to episodes of 6-20 wks, once weekly

A

Cognitive behavior therapy (CBT)

25
Q

This tx allows interpersonal psychopathology to display itself among peer pts. Usually 1x weekly over course that may range from several months to yrs. Borderlines do well with this

A

Group psycotherapy

26
Q

This type of tx is skills-based, both individual and group formats, applied to borderline personality disorder, manual-based tx on development of coping skills to improve affective stability and impulse control and on reducing self-harmful behavior. Also being used with other Cluster B disorders to reduce impulsive behavior

A

Dialectical Behavioral therapy

Star on this one

27
Q

reasonably effective meds? anticonvulsants for what?

A

SSRIs and newer antidepressants reasonably effective

Valproic acid for impulse control

28
Q

Deterrence/prevention tools and methods?

A
  • Frequent inquiries about suicide ideation
  • benzos, narcotic analgesics, and other drugs w/potential for dependency should be rarely used

Star on this one

29
Q

Which cluster personality disorders have worst prognosis?

A

Cluster B –> susceptible to substance abuse, impulse control problems, suicidal behavior

Star on this one