Personality disorder Flashcards

1
Q

What are the 3P’s of personality disorder

A

Pervasive- occurs in all areas of life
Persistent- evident in adolescence & continues in adulthood
Pathological- causes distress to self or others

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2
Q

What are the ICD-10 criteria for personality disorders

A
R-relationships affected
E-enduring
P- Pervasive
O-onset
R-result in distress
T- trouble in occupation
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3
Q

What disorders are in cluster A

A

‘odd or eccentric’

  • Paranoid
  • Schizotypal
  • Schizoid
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4
Q

What disorders are in cluster B

A

‘Dramatic, emotional,erratic’

  • antisocial
  • histrionic
  • narcissistic
  • emotionally unstable
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5
Q

what disorders are in cluster C

A

‘anxious and fearful’

  • anankastic
  • anxious/avoidant
  • dependent
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6
Q

Paranoid personality disorder

A

Suspicious and mistrustful
jealous
self-importance

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7
Q

schizotypal PD

A

Anxiety in social situations
cognitive and perceptual distortion - magical thinking
oddities of speech
Ideas of reference
desire to have relationships but usually have few

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8
Q

schizoid PD

A

Emotionally cold
no interest in relationships
lack sense of enjoyment
rich fantasy world

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9
Q

antisocial PD

A

Callous lack of concern for others, relationships are shallow and short-lived. Depart from social norms & impulsive, can be aggressive and often abuse substances

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10
Q

histrionic PD

A

Self dramatisation, seek attention and enjoyment with shallow and labile effect. often flirtatious and seductive and manipulate to draw attention

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11
Q

narcissistic PD

A

Grandiose self-importance, fantasies of unlimited success and expect others to admire them, often exploit others- vulnerable to criticism

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12
Q

Borderline PD

A
Self image unclear
chronic 'empty' feelings
intense fear of abandonment
relationships are intense and unstable
suicidal attempts and self harm
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13
Q

anankastic PD

A

Preoccupation with details and rules with inhibiting perfectionism.
Rigid and inflexible with beliefs and morals- easily stressed and inefficient
usually egosyntonic (not distressed)

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14
Q

anxious/avoidant PD

A

Persistently tense
feels socially inferior, unappealing and inept
preoccupied with rejection- avoid social contact
sensitve to negative feedback

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15
Q

dependent PD

A

Allow others to take responsibility and fel unable to take care of themselves. Subordinate, undemanding and fear abandonment.
-difficulty making even simple decisions

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16
Q

Management of PD

A
  • Clinical interviews and BPD scale
  • managing crisis
  • meds for comorbid mental illness
  • psychological therapies: DBT, CBT
  • symptom control- SSRIs, lithium, antipsychotics