Exam 3 Personality Disorders

Question 1

What are examples of maladaptive personality traits?

Answer 1

Negative behaviors towards
others
* Anger/hostility/irritability
* Mistrust
* Impulsivity/Risk taking
* Poor judgement
* Distractibility/lability
* Eccentric
* Lack of remorse
* Emotionally cold or
uncaring
* Entitlement

Question 2

What cluster do odd or eccentric behaviors define?

Answer 2

Cluster A

Question 3

What do these s/s describe?

Unusual perceptions
Friendlesse except for family
Odd beliefs, thinking, and speech

Affect-inappropriate, constricted
Ideas of reference
Doubts others
Eccentric-appearance
Reluctant in social situations

Answer 3

Schizotypal

Question 4

What do these s/s describe?

Solitary lifestyle
Indifference to praise or criticism
Relationships of no interest
Sexual expereinces not of interest
Activites not enjoyed
Friends lacking
Emotionally cold and detached

Answer 4

schizoid

Question 5

What is a major difference between schizoid and schizotypal?

Answer 5

schizoid wants to be alone
schizotypal are bizarre around others (imaginary) friends

Question 6

WHen is a personality considered unhealthy?

Answer 6

A personality is considered
unhealthy when interpersonal
and social relationships and
functioning are consistently
maladaptive,

Question 7

What cluster of personality disorder get better with age?

Answer 7

B

Question 8

What personality disorders get worse with age?

Answer 8

OCD

Question 9

What cluster relates mostly to emotional and erratic behaviors?

Answer 9

Cluster B

Question 10

What do these s/s describe?

looks for hidden meanings
suspicious
distrust

Answer 10

paranoid personality disorder

Question 11

What do these s/s describe?

Innapropriate behavior-seductive or provocative
Center of attention
Relationships are seen as closer then
they are
Appearance is most important
Vulnerable to others’ suggestions
Emotional expression is exggerated
Shifting emotions. Shallow
Impressionistic manner of speaking

Answer 11

Histrionic personality disorder

Question 12

What do these s/s describe?

grandiose, entitled, fragile self esteem
more commin in males
self centered

Admiration required in excess
Fantasize about unlimited success, brillinace
Arrogant
Manipulative
Envious of others
Grandiose sense of importance
Associates with special people
Me first attitude
Empathy lacking

Answer 12

Narcissistic personality

Question 13

What do these s/s describe?

Identity disturbance
Relationships unstable
Abandonment avoided
Impulsive
Suicidal gestures
Emptiness
Dissociative symptoms
Affective instability
Paranoid ideation
Anger is poorly controlled
Idealization
Negativistic

Answer 13

BPD

Question 14

What do these s/s describe?

Conduct disorder before 15y/o Current age 18y
Antisocial acts, acts grounds for Arrest
Lies
Lacunae- Lacks superego
Obligations not honored
Unstable- can’t plan ahead
Safety of self or others ignored
Money problems
Aggressive, Assaultive
Not occuring during schizophrenia or mania

Answer 14

Antisocial personality disorder

Question 15

How do we treat BPD?

Answer 15

Dialectical behavior therapy

Question 16

What defines cluster C personality disorders?

Answer 16

Fear, social avoidance

Question 17

What is avoidant personality disorder?

Answer 17

Restrained within relationships
Inhibited in interpersonal situations
Disapproval expected at work
Inadequate (view of self)
Criticism is expected
Unwilling to get involved
Longs for attachment
Embarrassment is feared

low self esteem
inhibition
tend to avoid all social situations but desire social acceptance

Question 18

What do these s/s describe?

Disagreement is difficult to express
Advice needs excessive input
Responsibility delegated to others
Nuturance seeks excessive degree from others
Helpless when alone
Unrealistically preoccupied with being left to care for self
Relationships are desperately sought
Tasks difficult initiating projects

Submissive and clingy
more common in females
anxious, pessimistic
Helpless

Answer 18

Depdendant personality

Question 19

What do these s/s describe?

Leisure activity is minimal
Organizational focus
Work and productivity predominate
Miserly spending habits
Inflexible around morals, values etc.
Rgidity and stubbornness
Task completion impaired
Hoards items

Answer 19

Obsessive Compulsive Disorder

Question 20

What two disorders are DBT used for?

Answer 20

OCD personaility
BPD

Question 21

What are interventions for manipulative behavior?

Answer 21

set limits
communicate expectations
refrain from arguing

Question 22

What are interventions for aggressive behavior?

Answer 22

anger control assistance
provide physical outlets
prevent physical harm

Question 23

What are interventions for impulsive behavior?

Answer 23

impulse control training
identifty options and outcomes
positive reinforcement

Question 24

T or F, Meds are the first line treatment for personality disorders

Answer 24

False

Question 25

What do these s/s describe? Grudges for long periods Exploitation expected Trustworthiness of others doubted Fidelity of sexual partner questioned Attacks on character are perceived Confides in others rarely, if at all Threatening meaning read into events

Answer 25

paranoid personality

Question 26

What are s/s of histrionic personality disorder?

Answer 26

Excessive emotionality and attention seeking. Self-absorbed. Flirtatious. Labile. * More common in females. * Easily manipulated by others. * Exaggerate intimacy of relationships

Question 27

What are s/s of BPD?

Answer 27

Unstable relationships & emotionality & self-image * SELF HARM is biggest risk! * Splitting, inability to accept responsibility for their own actions. * Fear of abandonment

Question 28

What are s/s of narcissistic personality disorder?

Answer 28

* Grandiose, entitled, FRAGILE self-esteem * More common in males. * Self-centered

Question 29

What are s/s of antisocial personality disorder?

Answer 29

“sociopathy” – disregard for others * Poor insight/judgement/impulse control * Highly manipulative * Rarely “seek” treatment! * CONDUCT DISORDER BEFORE AGE 18

Question 30

What is the mnemonic for narccisistic personality disorer?

Answer 30

Admiration required in excessive amounts Fantasizes about unlimited success Arrogant Manipulative Envious Grandiose Associates with special people Me first attitude Empathy lacking

Question 31

What is the mnemonic for avoidant personality disorder?

Answer 31

Restrained with relationships Inhibited in interpersonal situations Disapproval expected at work Inadequate (view of self) Criticism is expected Unwiling to get involved Longs for attachment Embarassment is feared

Question 32

What is the mnemonic for dependent personality disorder?

Answer 32

Disagreement is difficult to express Advice-needs excessive input Responsibliity for major areas delegated Nurturance-needs lots of it Helpless-when alone Unrealistically preoccupied Relationships-are desperately sought Tasks-difficulty initiating

Question 33

what are s/s of avoidant personality disorder?

Answer 33

ocial discomfort, low self-esteem, hypersensitivity to negative evaluation * Inhibition * Tend to avoid all social situations but desire social acceptance * Eager to please

Question 34

What are s/s of dependent personality disorder?

Answer 34

Submissive and clingy * More common in females * Anxious, pessimistic, unable to function outside of relationships * Helpless, need for someone to be responsible for them

Question 35

What are s/s of OCPD?

Answer 35

CPD has a focus on PERFECTIONISM * Difficulty in relinquishing CONTROL in their lives * Difficulty in being “vulnerable” * Low self esteem & highly critical of self/others * Difficulty in relationships - very controlling