Personality Disorders Flashcards

1
Q

Describe cluster A personality disorders

A

pervasive pattern of abnormal cognition (e.g., suspiciousness), self-expression (e.g., odd speech), or relating to others (e.g., reclusiveness).

Paranoid- suspicious

Schizoid-reclusiveness

Schizotypal-self expression

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2
Q

Describe paranoid personality disorder

A

patients are chronically unjustified suspicious, distrust others, and fulfill their suspicious prophecies by leading others to be overly cautious and deceptive

must have 4 or more symptoms

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3
Q

Treatment of paranoid personality disorder

A

antipsychotics help reduce suspiciousness

do not try group therapy

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4
Q

Describe schizoid personality disorder

A

persons with a profound defect in the ability to form personal relationships and to respond to others in a meaningful way

must have 4 or more symptoms

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5
Q

how is schizoid personality disorder typically managed

A

day programs

community mental health centers

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6
Q

Describe schizotypal personality disorder

A

pattern of peculiar behavior, odd speech and thinking, and unusual perceptual experiences.

Schizotypal patients are frequently socially isolated and have “magical” beliefs, mild paranoia, inappropriate or constricted affect, and social anxiety

must have 5 or more symptoms

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7
Q

typical treatment of schizotypal personality disorder

A

atypical antipsychotics can help reduce paranoia, anxiety and unusual perceptions

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8
Q

associations of schizotypal personality disorder

A

mood disorders

substance abuse

anxiety disorders

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9
Q

describe cluster B personality disorders

A

dramatic disorders—borderline, antisocial, histrionic, and narcissistic personality disorders.

They are characterized by a pervasive pattern of violating social norms or the rights of others (e.g., criminal behavior), impulsivity, excessive emotionality, grandiosity, or “acting out” (e.g., tantrums, self-abusive behavior, angry outbursts).

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10
Q

describe cluster C personality disorders

A

anxious disorders—avoidant, dependent, and obsessive-compulsive personality disorders.

They are characterized by a pervasive pattern of abnormal fears involving social relationships, separation, and need for control.

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11
Q

diagnostic criteria for antisocial personality disorder

A

A pervasive pattern of disregard for and violation of the rights of others

occurring since age 15 years and is at least 18

3 or more symptoms

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12
Q

comorbidities of antisocial personality disorder

A

Mood disorders

anxiety disorders

ADHD

gambling disorder

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13
Q

treatment of antisocial personality disorder

A

No standard treatment

lithium, valproate and antipsychotics help reduce agitation

do not give benzodiazepines

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14
Q

Diagnostic criteria of Borderline personality disorder

A

pervasive pattern of mood instability, unstable and intense interpersonal relationships, impulsivity, inappropriate or intense anger, lack of control of anger, recurrent suicidal threats and gestures, self-mutilating behavior, marked and persistent identity disturbance, chronic feelings of emptiness, and frantic efforts to avoid real or imagined abandonment

must have 5 or more symptoms

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15
Q

comorbidities of borderline personality disorder

A

depression

dysthymia

anxiety

substance abuse

dependence

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16
Q

treatment for borderline personality disorder

A

CBT: Dialectical behavior therapy, systems training for emotional predictability and problem-solving programs

SSRI: decreases depression and SI

Antipsychotics: decrease perceptual distortions, anger dyscontrol, suicidal behavior, mood instability

Do not give Benzos for longer than a couple weeks

17
Q

Describe Histrionic Personality Disorder

A

pattern of excessive emotionality and attention-seeking behavior. Typical symptoms include excessive concern with appearance and wanting to be the center of attention

Often gregarious and superficially charming but can be manipulative, vain, and demanding

must have 5 or more symptoms

18
Q

association of Histrionic personality disorder

A

somatic symptom disorder

19
Q

treatment of histrionic disorder

A

CBT

Group therapy

20
Q

Describe Narcissistic Personality Disorder

A

grandiosity, lack of empathy, and hypersensitivity to evaluation by others. Narcissistic persons are egotistical, inflate their accomplishments, and often manipulate or exploit those around them to achieve their own aims.

They have an exaggerated sense of entitlement and believe that they deserve special treatment

must have 5 or more symptoms

21
Q

associated with what other personality disorder

A

borderline

22
Q

treatment for narcissistic disorder

A

intensive psychodynamic psychotherapy

interpersonal cognitive behavior psychotherapy

23
Q

Describe avoidant personality disorder

A

individuals tend to have low self-esteem, are hypersensitive to rejection, are apprehensive and mistrustful, are socially awkward and timid, are uncomfortable and self-conscious, and fear being embarrassed or acting foolish in public

must have at least 4 symptoms

24
Q

associations of avoidant personality disorder

A

social anxiety

chronic anxiety

25
Q

treatment for avoidant personality disorder

A

group therapy

CBT

Benzodiazepines

SSRI

26
Q

Describe dependent personality disorder

A

characterized by a pattern of relying excessively on others for emotional support

must have 5 or more symptoms

27
Q

associations of dependent personality disorder

A

fixation at oral stage of development

disrupted attachments early in life or overprotection experienced in childhood

chronic medical/ psychiatric disorders

mood disorders

anxiety disorders

28
Q

treatment of dependent personality disorder

A

CBT

Social skills training

assertiveness training

29
Q

describe OCPD

A

perfectionism and inflexibility associated with overconscientiousness and constricted emotions

must have 4 or more symptoms

common in higher education

30
Q

comorbidities of OCPD

A

mood disorders

anxiety disorders

OCD

31
Q

Treatment for OCPD

A

psychodynamic therapy

SSRI