Personality Disorders +1

Question 1

Paranoid Personality disorder

- onset

Answer 1

adult

Question 2

Paranoid personality disorder

- symptoms

Answer 2

mistrust of others, actions of other’s are seen as malevolent w/o evidence
bears grudges; perceives attacks on character/reputation not seen by others; quick to react angrily
suspicion of infidelity w/o evidence

Question 3

mistrust of others, actions of other’s are seen as malevolent w/o evidence

bears grudges; perceives attacks on character/reputation not seen by others; quick to react angrily

suspicion of infidelity w/o evidence

Answer 3

paranoid personality disorder

Question 4

paranoid personality disorder

- interventions

Answer 4

Individual Therapy
Reality testing only after building rapport
Supportive Psychotherapy
CBT

Question 5

Schizoid Personality disorder

- onset

Answer 5

adulthood

Question 6

Schizoid personality disorder

- symptoms

Answer 6

lacks desire for relationships, including family

chooses solitary activities; lacks interest in sexual experiences; pleasure in few activities

lacks close friends, indifferent to praise or criticism, emotional coldness, detachment, flat affect

Question 7

lacks desire for relationships, including family

chooses solitary activities; lacks interest in sexual experiences; pleasure in few activities

lacks close friends, indifferent to praise or criticism, emotional coldness, detachment, flat affect

Answer 7

Schizoid personality disorder

Question 8

Schizoid personality disorder

- differential

Answer 8

Autism
SUD
other personality d/o
other mental d/o with psychosis

Question 9

Schizoid personality disorder

- interventions

Answer 9

CBT

Social Skills Training

group therapy

Question 10

Schizotypal personality disorder

- onset

Answer 10

adult

Question 11

Schizotypal personality disorder

- symptoms

Answer 11

interprets minor events as highly personally significant, odd beliefs, magical thinking bizarre/eccentric behaviors, lack of close friends

suspiciousness/paranoia

social anxiety related to paranoia-not low self-esteem

Question 12

interprets minor events as highly personally significant, odd beliefs, magical thinking bizarre/eccentric behaviors, lack of close friends

suspiciousness/paranoia

social anxiety related to paranoia-not low self-esteem

Answer 12

Schizotypal personality disorder

Question 13

Schizotypal personality disorder

- differential

Answer 13

neurodevelopmental d/o

SUD; personality change other personality d/o; other mental d/o w/psychosis

Question 14

Schizotypal personality disorder

- interventions

Answer 14

CBT
Social Skills Training
Support/Encouragement 
Communication Skills- assertiveness, role-playing
Focus on Low Self-Esteem

Question 15

Antisocial personality disorder

- duration/onset

Answer 15

diagnosed as an adult, symptoms must be present since age 15

Question 16

Antisocial personality disorder

- symptoms

Answer 16

3 or more:
pattern of disregard and violation of rights of others
breaking law, deceitfulness,
impulsivity/failure to plan ahead
irritability/aggressiveness
reckless disregard for safety self/others
irresponsibility-unable maintain work/meet financial obligations
lack of remorse

Question 17

3 or more:
pattern of disregard and violation of rights of others
breaking law, deceitfulness,
impulsivity/failure to plan ahead
irritability/aggressiveness
reckless disregard for safety self/others
irresponsibility-unable maintain work/meet financial obligations
lack of remorse

Answer 17

Antisocial personality disorder

Question 18

Antisocial Personality disorder

- differential

Answer 18

Schizophenia; 
Bipolar
Narcissistic; 
Histrionic; 
Borderline
Substance Use Disorder
Criminal behavior not associated with personality d/o

Question 19

Antisocial Personality disorder

- interventions

Answer 19

Role - Play
Modeling
Motivational Interviewing
Reframing
Rehearsal

Question 20

Borderline Personality Disorder

- duration/onset

Answer 20

adult

Question 21

Borderline Personality Disorder

- symptoms

Answer 21

5 or more:
Fear of abandonment
problems in relationship
unstable self-image/sense of self
impulsivity - sex, spending, drugs, reckless driving, binge eating
suicidal behavior
self-harm
unstable affect - dissatisfaction, irritability, anxiety
transient stress-related paranoia/dissociation

Question 22

5 or more:
Fear of abandonment
problems in relationship
unstable self-image/sense of self
impulsivity - sex, spending, drugs, reckless driving, binge eating
suicidal behavior
self-harm
unstable affect - dissatisfaction, irritability, anxiety
transient stress-related paranoia/dissociation

Answer 22

Borderline Personality Disorder

Question 23

Borderline Personality disorder

- differential

Answer 23

depressive 
Bipolar
other personality d/o
personality change due to medical
Substance Use
Identity problems

Question 24

Borderline Personality Disorder

- interventions

Answer 24

DBT
STEPPS
Mentalization-based therapy 
Cognitive Analytic Therapy 
Schema-focused
connect acts and feelings
transference-focused psychotherapy 
Narrative therapy 
Role-Play/Rehearsal

Question 25

Histrionic Personality Disorder | - symptoms

Answer 25

5 or more: center of attention inappropriate sexually seductive behavior shallow expression of emotions use physical appearance to get attentions speech lacks details emotional expression is dramatic easily influenced sees relationships to be more intimate than actually are

Question 26

5 or more: center of attention inappropriate sexually seductive behavior shallow expression of emotions use physical appearance to get attention speech lacks details emotional expression is dramatic easily influenced sees relationships to be more intimate than actually are

Answer 26

Histrionic Personality disorder

Question 27

Histrionic Personality Disorder | - differential

Answer 27

other personality D/O personality change due to medical substance use

Question 28

Histrionic Personality Disorder | - interventions

Answer 28

CBT | Interpersonal psychotherapy

Question 29

Narcissistic Personality Disorder | - symptoms

Answer 29

``` 5 or more: grandiose fantasies of unlimited success believes being special/unique, requires admiration entitled takes advantage of others lacks empathy, envious of others or believes others are envious of them arrogant behaviors ```

Question 30

``` 5 or more: grandiose fantasies of unlimited success believes being special/unique, requires admiration entitled takes advantage of others lacks empathy, envious of others or believes others are envious of them arrogant behaviors ```

Answer 30

Narcissistic Personality disorder

Question 31

Narcissistic Personality Disorder | - differential

Answer 31

other personality disorder mania/hypomania substance use d/o

Question 32

Avoidant Personality Disorder | - symptoms

Answer 32

pattern of social inhibition, feelings of inadequacy, hypersensitive to criticism AEB 4 or more: avoids occupational activities-fear of criticism/disapproval; preoccupied w/ being criticized/rejected avoid interactions w/ people unless sure of being liked; restraint w/ intimate relationships view self as inferior/socially inept; unusually reluctant to take personal risks- fear of embarrassment

Question 33

pattern of social inhibition, feelings of inadequacy, hypersensitive to criticism AEB 4 or more: avoids occupational activities-fear of criticism/disapproval; preoccupied w/ being criticized/rejected avoid interactions w/ people unless sure of being liked; restraint w/ intimate relationships view self as inferior/socially inept; unusually reluctant to take personal risks- fear of embarrassment

Answer 33

avoidant personality disorder

Question 34

Avoidant Personality Disorder | - differential

Answer 34

``` Social Anxiety; Agoraphobia Dependent; paranoid personality schizoid schizotypal substance use personality change due to medical ```

Question 35

Avoidant Personality Disorder | - interventions

Answer 35

``` Supportive Therapy CBT- systematic desensitization, cognitive restructuring, coping skills, Psychodynamic Therapy Coping Skills Improve Self-Esteem ```

Question 36

Dependent Personality Disorder | - symptoms

Answer 36

Pervasive need to be taken care of that leads to submissive and clinging behavior, fears of separation AEB 5 or more: - difficulty making everyday decisions without excessive advice from others - needs others to assume responsibility in most major areas of life - difficulty expressing disagreement with others fears loss of support/approval - difficulty initiating projects or doing things on own - excessive lengths to obtain nurturance/support from others - uncomfortable or helpless when alone because of exaggerate fears of being unable to care for self - urgently seeks another relationship when a close relationship ends - unrealistically preoccupied with fears of being left alone

Question 37

Pervasive need to be taken care of that leads to submissive and clinging behavior, fears of separation AEB 5 or more: - difficulty making everyday decisions without excessive advice from others - needs others to assume responsibility in most major areas of life - difficulty expressing disagreement with others fears loss of support/approval - difficulty initiating projects or doing things on own - excessive lengths to obtain nurturance/support from others - uncomfortable or helpless when alone because of exaggerate fears of being unable to care for self - urgently seeks another relationship when a close relationship ends - unrealistically preoccupied with fears of being left alone

Answer 37

Dependent personality disorder

Question 38

Dependent personality disorder | - differential

Answer 38

Borderline; Histrionic Avoidant Substance Use due to other mental D/O: depression; panic; agoraphobia

Question 39

Dependent personality disorder | - interventions

Answer 39

Assertiveness training social skills training couples/family therapy

Question 40

Obsessive Compulsive Personality Disorder | symptoms

Answer 40

Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness and efficiency AEB 4 or more: - preoccupation with details, rules, lists, orders, etc. to the point that the main objective of the activity is lost - perfectionism that interferes with task completion - excessively devoted to work and productivity to the exclusion of leisure activities and friendships - overconscientious, scrupulous and inflexible about matters of morality, ethics, or values - unable to discard worn-out or worthless objects even when they have no sentimental value - reluctant to delegate tasks - miserly spending style toward self or others - rigidity and stubbornness

Question 41

Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness and efficiency AEB 4 or more: - preoccupation with details, rules, lists, orders, etc. to the point that the main objective of the activity is lost - perfectionism that interferes with task completion - excessively devoted to work and productivity to the exclusion of leisure activities and friendships - overconscientious, scrupulous and inflexible about matters of morality, ethics, or values - unable to discard worn-out or worthless objects even when they have no sentimental value - reluctant to delegate tasks - miserly spending style toward self or others - rigidity and stubbornness

Answer 41

Obsessive Compulsive personality disorder

Question 42

Obsessive Compulsive Personality Disorder | - differential

Answer 42

``` OCD Hoarding other personality d/o personality change due to medical substance use d/o ```

Question 43

Obsessive Compulsive Disorder | - interventions

Answer 43

CBT | psychodynamic

Question 44

Personality Change due to medical condition | - duration/onset

Answer 44

adult | child - marked deviation from normal development that lasts at least a year

Question 45

Personality Change due to Medical Condition | - symptoms

Answer 45

Persistent personality disorder that represents a change from the individual's previous characteristic personality pattern Evidence that it is the result consequence of a medical condition

Question 46

Personality Change due to Medical Condition | - specifiers

Answer 46

``` labile- affective lability; Disinhibited- poor impulse; Aggressive; Apathetic; Paranoid; other Type; Combined, Unspecified ```

Question 47

Persistent personality disorder that represents a change from the individual's previous characteristic personality pattern Evidence that it is the result consequence of a medical condition

Answer 47

Personality Change due to Medical Condition

Question 48

Gender Dysphoria | - duration

Answer 48

greater than or equal to 6 months

Question 49

Gender Dysphoria | - symptoms

Answer 49

strong feeling born the wrong gender and strong desire to become a member of the other gender; must be associated with clinically significant distress or impairment in social, school or other important areas of functioning

Question 50

Gender Dysphoria | - specifiers

Answer 50

- with disorder or sex development | - posttransition

Question 51

Gender Dysphoria | - differential

Answer 51

Nonconformity to gender roles; Transvestic; Body Dysmorphic; Schizophrenia/other psychotic d/o

Question 52

Gender Dysphoria | - interventions

Answer 52

Children- individual/family Focus on child’s feelings about their gender, behaviors, and any disturbances occurring now-not what may happen in adulthood Adolescent- goals focus on life satisfaction, improving adjustment at home, school and work. ``` Supportive therapy to alleviate distress Psychoeducation Individual psychotherapy Family therapy Environmental change Group therapy Image Building ```