Exam2 Personality Disorders Flashcards Preview

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Flashcards in Exam2 Personality Disorders Deck (21):
1

Axis II Personality Disorders are Subjective Behaviors that? (5)

1) Deviate from cultural standards
2) Are pervasive, inflexible, maladaptive
3) Onset in late adolescence/early adulthood
4) Stable from then on
5) Lead to impariment

2

Axis II Personality Disorders characteristics? (6)

1) Deny problem
2) Alloplastic (change others, not self)
3) Ego-syntonic (behaviors of self-interest
4) Manipulative behavior doesn't bother them
5) Doesn't want tx
6) Impervious to recovery

3

Cluster A Personality Disorders? (3)

Odd/Eccentric: Acts strange or avoids relationships
Paranoid
Schizoid
Schizotypal

4

Cluster B Personality Disorders? (4)

Dramatic/Emotional/Inconsistent:
Antisocial
Borderline
Histrionic
Narcissistic

5

Cluster C Personality Disorders? (3)

Anxious/Fearful:
Avoidant
Dependent
Obsessive-Complusive

6

Paranoid Personality Disorder criteria? (7)

Pervasive distrust/suspicion of others w/o justification and including 4+:

1) Others exploiting/harming/deceiving
2) Others not loyal
3) Other will use info maliciously
4) Others out to get them
5) Holds grudges
6) Sees attack others don't, reacts angrily
7) Suspects fidelity of partner

7

Schizoid Personality Disorder criteria? (7)

Social detachment w/ restricted affect and including 4+:

1) Doesn't want close relationships
2) Solitary activities
3) Little interest in sex
4) Few activites give pleasure
5) 1st degree relatives only confidants/friends
6) Indifferent to praise/criticism of others
7) Restricted range of emotion

8

Schizotypal Personality Disorder criteria? (9)

Discomfort/reduced capacity for close relationships and perceptual distortions/eccentric behavior including 5+:

1) Ideas of reference
2) No close relationships outside 1st degree
3) Odd, eccentric behavior
4) Odd thoughts/speech
5) Paranoid ideation
6) Inappropriate/constricted affect
7) Excessive social anxiety even w/ familiarity
8) Odd beliefs/magical thinking
9) Unusual perceptions/body illusions

9

Antisocial PD criteria? (8)

Disregard/Violation of rights of others and 3+:

1) Disregard for social norms
2) Deceitfulness
3) Impulsivity/fails to plan
4) Irritable/Aggressive
5) Disregard for safety of self/others
6) Irresponsible in work/money
7) No remorse/shame/guilt
8) No empathy

10

Antisocial PD conduct before 15yo? (4)

Predisposing conditions? (3)

1) Agression to people/animals
2) Destruction of property
3) Deceitfulness
4) Serious rule violations

ADHD
Oppositional Defiant Disorder
Conduct Disorder

11

Borderline PD criteria? (9)

Unstable interpersonal relationships, self-image, affects and poor impulse control and 5+:

1) Frantic efforts to avoid abandonment
2) Unstable/intense interpersonal relationships
3) Identity disturbance (self-image/sense of self)
4) Impulsivity in 2 risky behaviors (sex, drugs, spending, reckless)
5) Recurrent suicidal/self-mutiliating behaviors
6) Affect instability
7) Emptiness
8) Intense anger
9) Transient/stress triggered paranoia, psychosis

12

Histrionic PD criteria? (8)

Excessive emotionality/attention seeking and 5+:

1) Must be center of attention
2) Seductive/provocative
3) Rapid shifting/shallow emotions
4) Physical appearance to attract attention
5) Excessively impressionistic speech, no detail
6) Dramatic expression of emotion
7) Easily influenced by others
8) Thinks relationships more intimate than they are

13

Narcissistic PD criteria? (9)

Grandiosity, Need for admiration, lack of empathy and 5+:

1) Grandiose sense of importance
2) Fantasy of success/power/beauty etc
3) Associates only with other "exceptional" people
4) Needs excessive admiration
5) Entitled
6) Takes advantage
7) No empathy
8) Envious of others/Other envious of them
9) Arrogant/hauty

14

Avoidant PD criteria? (6)

Social inhibition, feelings of inadequacy, hypersensitivity and 4+:

1) Avoids jobs w/ interpersonal contact (fear of criticism)
2) Restrained intimate relationships from fear of being shamed
3) Preoccupied w/ social criticism/rejection
4) Inhibited new interpersonal situations from inadequacy
5) Feels socially inept/unappealing/inferior
6) Embarrassment prevents personal risk/new activities

15

Dependent PD criteria? (8)

Excessive need to be cared for leads to submissive behavior and 5+:

1) No decisions
2) Needs to be cared for
3) Fear of loss of support if disagrees
4) Self-pessimism inhibit initiation of projects
5) Excessive lengths to be dependent on others
6) Helpless alone/fears caring for self
7) Urgently seeks new relationship when on ends
8) Preoccupied with fear of being left

16

Obsessive-Complusive PD criteria? (8)

Preoccupation w/ order, perfection, control at cost of flexibility, openness, efficiency and 4+:

1) Details, lists, rules, lists, schedules
2) Perfection interferes w/ completion
3) Devoted to work to exclusion of everything else
4) Inflexible about morals, values
5) Hoards
6) Can't delegate
7) Miserly to self and others
8) Rigid/stubborn

17

PD treatment objectives? (2)

Highest level of interpersonal fxning
Pt connection w/ therapist/clinic/group

18

PD treatment: psychotherapy requirements? (3)

Pt wants to change
Pt capacity for insight
Pt capacity to engage in therapy

19

PD treatment: psychotherapy types? (4)

Goals? (4)

Supportive
Interpersonal
CBT
Dialectical Behavioral Therapy (DBT)

Core mindfulness
Emotional regulation
Interpersonal Effectiveness
Distress tolerance

20

PD meds goal?

sxs ↓

21

PD meds tx for:

Cognitive/Paranoia?

Impulse/Rage?

Emotion/Affect?

Anxiety?

Depression?

Insomnia?

Attention?

OCD?

Cognitive/Paranoia = Low antipsych

Impulse/Rage = Mood stable, SSRI, antipsych

Emotion/Affect = Mood stable

Anxiety= Anti-anxiety, B-block, SSRI

Depression = Anti-dep, Lithium

Insomnia = Trazodone, Sedating TCA

Attention = Stim, buproprion

OCD = Clomipramine (Anafranil), SSRI