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Behave med test 2 > Personality d/o > Flashcards

Personality d/o Flashcards

1
Q

Define personality d/o?

A

Pervasive inflexible personality traits that cause impaired fxn and distress. They are NOT episodic!

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2
Q

When is the onset of personality d/o?

A

Early adolescence and early childhood

- become established by early adulthood

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3
Q

Behaviors and traits of personality d/o are ____ and ____

A

Pervasive

Inflexible

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4
Q

5 traits that are used to describe personalities?

A 
"O.C.E.A.N"
O - openness to experience 
C - Conscientiousness
E - Extraversion
A - Agreeableness 
N - Neuroticism
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5
Q

What % of the population has some form of personality disorders? what about in the psych populations?

A

10-15%

30-50%

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6
Q

Personality d/o commonly overlap with other psych conditions such as ____, _____, and ______

A

MDD 51%
GAD 64%
Panic d/o 56%

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7
Q

What personality d/o are more common in men?

A

Antisocial d/o

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8
Q

What personality d/o are more common in women?

A

Borderline
Histrionic
Dependent

Basically we are unstable, hysterical people who are dependent on someone else… Sounds like PMS to me except dependence is on chocolate instead.

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9
Q

Personality d/o is more common in _____ individuals and (INCREASE/DECREASE) with age?

A

younger

decrease

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10
Q

what populations are at a higher risk for personality disorders?

what are they likely to suffer from in addition to their d/o?

A

The poor dummies (low education, low socioeconomic status)
**public announcement: this is a memory trigger, not meant to be offensive, ok cupcakes ;)

unemployment, drug abuse, homelessness, divorce, domestic violence

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11
Q

what are possible etiologies of personality disorders?

A

Early traumatic experiences

Failing to progress through stages of sexual development

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12
Q

___ and ___ are related to childhoods trauma and abuse and have been proven to have a genetic component

A

Borderline

antisocial

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13
Q

What brain anatomy and function differences have been observed in pts with personality disorders

A
  1. Altered metabolism in prefrontal cortex
  2. reduced prefrontal brain grey matter
  3. loss effect-related activity in the limbic regions
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14
Q

Pts with personality d/o are have very little insight into their maladative behaviors and are likely to ____ and ____

A

Blame others for their troubles

Don’t seek help (only see them bc of the consequences of their behaviors

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15
Q

What is the general Tx for personality disorders?

A

Therapy = mainstay

Rx for sx of their disorders

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16
Q

When working up a pt with a personality d/o what is important to rule-out

A

Other mental d/o and medical conditions

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17
Q

What are the 3 clusters of personality disorders?

A

Cluster A: Eccentric d/o “Weird”
Cluster B: Dramatic d/o “Wild”
Cluster C: Anxious d/o “Wimps”

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18
Q

What are the 3 personality d/o involved in Cluster A

They are related to a higher rate in _____

A

“P.S.S”
Paranoid - “Accusatory”
Schizoid - “Aloof”
Schizotypal - “Awkward”

schizophrenia

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19
Q

Describe Paranoid d/o

what traits would you associate with this d/o?

A

Pattern of distrust and suspiciousness of others

  • See others motives as malevolent and doubt loyalty
  • see hidden messages, easily insulted
  • bear grudges

1-4% population

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20
Q

How do you treat paranoid d/o

A

CBT (not group!)

Tx: anti-psychotic (halperidol), depression (BZD)

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21
Q

Describe schizoid d/o

what traits would you associate with this d/o?

A

Voluntary social withdrawal, loner “hermit like behavior”

  • don’t care to make friends, prefer to be alone
  • indifference towards others have a cold or flattened affect

3-5% population

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22
Q

What is the tx for schizoid d/o

A

Therapy (unlikely they will come)

Tx sx if they let you

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23
Q

Describe schizotypal d/o

what traits would you associate with this d/o?

A

Odd, eccentric behavior, peculiar thought pattern
(ike schizophrenia w/o the delusions)

  • MAGICAL THINKING
  • Discomfort in close relationships
24
Q

what are comorbid d/o associated with schizotypal d/o?

A

Substance abuse

Mood and anxiety d/o

25
Q

What is the tx for schizotypal d/o?

A

CBT

2nd gen anti-psychotics (risperidone, olanzapine)

26
Q

What are the 4 personality d/o involved in Cluster B?

A 
"BAHN"
B - Borderline 
A - Antisocial 
H - Histrionic 
N - Narcissistic
27
Q

Describe antisocial d/o

What traits would you associate with this d/o?

A

behaviors deviate sharpy from norms, values and laws of society

  • harmful/hostile to society (criminal behavior)
  • manipulative, pathologic lying

MALE dominant (2-5%), Females (.5-1 %)

28
Q

what is the criteria for dx antisocial d/o?

A

must be at least 18 y/o

29
Q

what are pts dx with antisocial d/o likely to suffer from?

A 
unemployment
domestic abuse
homelessness
jail time
substance abuse
30
Q

How do you treat antisocial d/o

A

CBT
Lithium, valproic acid –> tx aggression
Tx: depression, anxiety, ADHD

31
Q

What comorbid d/o are pts with antisocial d/o likely to suffer from?

A

borderline
mood/anxiety
ADHD
gambling

32
Q

Describe Borderline personality d/o

What traits would you associate with this d/o?

A

Unstable, unpredictable in self image and relationships

  • fear abandonment
  • things are black and white (all good or all bad)

6% population

33
Q

what is a big concern in pts dx with borderline personality d/o?

A

75% will self harm

10% suicide rate

34
Q

How do you tx borderline personality d/o?

A

CBT + dialectical behavior
20 wk STEPPs program
SSRI –> depression, anxiety
Risperidone, valproic acid (anti-psychotics for anger and agitation)

35
Q

Describe Histrionic personality d/o

What traits would you associate with this d/o?

A

Attention seeking, dramatic, seductive

  • need to be center of attention
  • initially gregarious, become demanding and vain
  • seek reassurance and praise, concerned about looks

2% population

36
Q

What is the tx for histrionic d/o

A

CBT! group therapy is good for these people

37
Q

Describe Narcissistic personality d/o

What traits would you associate with this d/o?

A

Grandiose, sense of self-importance, need admiration

  • entitled “i’m the best, I deserve the best”
  • fragile self-esteem, not good with criticism
  • exploit and manipulate those around them
  • initially charming, become difficult + haughty

6% population

38
Q

What is the tx for Narcissistic d/o?

A

CBT (group therapy works)

39
Q

What 3 personality d/o are included in Cluster C personality d/o?

A

“D.O.A” (bc they are wimps)
D - Dependent “Clingy”
O - Obessive compulsive “Compulsive”
A - Avoidant “Cowardly”

40
Q

Describe Avoidant personality d/o

What traits would you associate with this d/o?

A

hypersensitve to rejection, low self-esteem, avoids relationships

  • wants friends but they are afraid of rejection
  • socially akward
41
Q

What is the difference bt avoidant personality and social anxiety d/o

A

avoidant personality d/o are have a more generalized fear of people and social environments bc of their own insecurities

Social Anxiety d/o have a fear to a specific situation but it doesn’t keep them from making friends

42
Q

Describe dependent personality d/o

What traits would you associate with this d/o?

A

very needy and clingy

  • common in people with chronic medical d/o
  • excessive reliance on others
  • submissive behavior

.5% population

43
Q

What is the tx for dependent personality d/o

A

CBT

Tx anxiety/depression

44
Q

what are some possible etiologies of dependent d/o?

A
  1. disruption of early attachment

2. result of helicopter parents

45
Q

Describe Obsessive compulsive personality d/o

What traits would you associate with this d/o?

A

perfectionist, require order and control

  • inflexible, changes in schedule = extreme anxiety
  • preoccupied with minute details
  • tendencies result in being less productive

1-2% of the population

46
Q

What population is more likely to be dx with obsessive compulsive d/o?

A 
Rich Pricks (high education level, high socioeconomic status) 
"they have to keep up with the Jones')
47
Q

What is the tx for obsessive compulsive d/o?

A

psycho-dynamic therapy

SSRI –> for anxiety

48
Q

Layne refuses to move away for college. She state that she cannot do things on her own and she has to have her mom around. She depends on constant support from her mom and dad which makes it difficult to be independent

what is the Dx?

A

dependent personality d/o

49
Q

Gaston frequently looks in the mirror and states how good looking he is as he dream about all the women who will be gawking at him as he walks through town.
His favorite past-time is making up songs that help him brag about his hunting and muscle gains.
He demands the best and gets extremely upset with rejected by the beautiful bookworm of the town.

That is the dx?

A

narcissistic d/o

50
Q

Sherry checks the mail every day and makes sure to pay her bills the exact day they come in. She is in a sewing club but they informed her that they are changing their meeting time tomorrow to later time which elicits major anxiety and anger. Once she settles down she tries to write her Plan B paper for class but takes hours to do a simple assignment because she is hung up on the details of the assignment.

What is the dx?

A

obsessive compulsive d/o

51
Q

Spock’s real name is George. He changed it as a result of an epiphany he experienced when he was 9 when he encountered an alien spaceship in his back yard and “in all probability” was abducted by its crew. Can’t he remember for sure? It’s all kind of fuzzy, but ever since then he has had numerous out of body experiences and has developed psychic capabilities such as clairvoyance and remote viewing. “I can see that you don’t believe a word of it.” - he declaims bitterly - “You probably can’t wait to tell the other therapists here about me and have a good laugh at my expense.”

what is the dx?

A

schizotypal d/o

52
Q

Moaning Myrtle is an over-the top emotional ghost who cries a lot and throws frequent tantrums. She had a recent episode of diving into the bath with Harry potter as he was trying to decipher his goblet clue. It looked very seductive and all the girls in school are talking about it.

What is the dx?

A

Histrionic d/o

53
Q

Mary is one of your classmates and when you first meet her she was super nice so you decided to invite her to the back-to-school party you were having.
She offers to help you plan the party but while you are making the invite list, she tells you multiple times not to invite someone bc they are a horrible person. When you disagree with her about a person you want to invite she immediately becomes angry with you and says you obviously are just like all the other mean people in the school. As she grabs her notebook you see some marks and scars on her arm, then she sorms out of your house.

what is the dx?

A

borderline d/o

54
Q

Hunter is a 21 year old male who has a hx of being placed in juvenile detention. He has been unable to keep a job and has been cited for 2 DUIs . Last night he got in a fist fight with his step dad and then drove the the gas station (with a suspended license) and stole a colt 45. The police were called and upon questioning he lies about his actions initially until confessing to what he did. When asked in court if he feels bad about his actions he looks at the judge and just says “nope”.

What is the dx?

A

Antisocial d/o

55
Q

Jery is a computer tech worker. He initially got into the business because he swore that the government was spying on him at his last job. He is convinced that his current co-worker is trying to get him in trouble because every week he would ask what jery did over the weekend. this week the co-worker didn’t as what jery did over the weekend which really hurt jery’s feelings.

What is the dx?

A

paranoid d/o

56
Q

Jane lives by herself and all her neighbors talk about her and gossip that they have never seen her with friends. when the new neighbors moved in they tried to go introduce themselves but she just stared at them as they told her who they were. once they were done talking she said” ok good, enjoy your house” and slowly closed the door as the family continued to stand there. Jane went and sat back on the couch and hoped they would not come back

what is the dx?

A

schizoid d/o

57
Q

Samantha just started college and is really hoping to make friends. In high-school she didn’t have any friends and refused to go to parties or school dances.
As the year went on, she kept waiting for signs that someone would definitely like her but she never became comfortable enough to talk to anyone. he signed up for more online classes next semester because she is afraid that people will start making fun of her for not having friends.

What is the dx?

A

Avoidant d/o

Behave med test 2 (7 decks)

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