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MRCPSYCH Paper B _ Mainly general Adult (mentor&more) > Personality Disorders - 1 > Flashcards

Personality Disorders - 1 Flashcards

(58 cards)

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1
Q

Mnemonic for Avoidant Personality Disorder? DSM-5

A

SHYNESS

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2
Q

Mnemonic for Borderline Personality Disorder? DSM-5

A

Instabili

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3
Q

Mnemonic for Dependent Personality Disorder? DSM-5

A

GROWS NEEDY

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4
Q

Mnemonic for Historionic personality disorder? DSM-5

A

DRAMATIC

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5
Q

Mnemonic for Narcissistic Personality Disorder? DSM-5

A

GRANDIOSITY

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6
Q

Mnemonic for OC personality disorder? DSM-5

A

Perfectionist

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7
Q

Mnemonic for Paranoid personality disorder? DSM-5

A

SUSPICION

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8
Q

Mnemonic for Schizoid personality Disorder? DSM-5

A

DISTANT

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9
Q

Mnemonic for Schizotypal personality disorder? DSM-5

A

MAGICAL

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10
Q

DSM-5 Criteria for Avoidant PD?

A

Shyness
S-Sensitivity to negative evaluation
H-Hesitant to engage
Y-Yearning for acceptance
N-Negative self-image
E-Extreme Avoidance
S-Social withdrawal
S-Self-Imposed isolation

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11
Q

How many inclusion criterias needed for Avoidant (shyness) for DSM-5?

A

4 or more

all other PDs 5 or more

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12
Q

Avoidant PD in ICD 11?

A

uses qualifier for ‘detachment trait’

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13
Q

Core features of avoidant accord. to ICD 11?

A

Tencency for social detachment
Tencency for emotional detachment

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14
Q

History behind the term borderline personality disorder?

A

from 20th centure as the border between psychosis and neurosis

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15
Q

Who coined the term Borderline?

A

Adolph Stern 1938

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16
Q

Key elements of Borderline PD, according to Otto Kernberg?

A

IMPULSIVE

I- Impulsivity (Self damaging behaviours)
M-Mood instability
P-Paranoidal Ideation & dissociation unders stress
U-Unstable Relationship
L-Lability of affect
S-suicidality
I-Identity confusion
V-Vulnerabilityy in stress
E-Emotional dysregualtions

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17
Q

Who based the modern concept of borderline PD?

A

John Gunderson 1981

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18
Q

Borderline PD (BPD) in ICD-11?

A

Offered the qualifier of the “borderline pattern’’

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19
Q

“borderline pattern’’ in ICD 11 characterised by?

A

instable :
interpersonal relationships
self-image
Affect
Impulsivity

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20
Q

affective dysregulation in BPD vs affective symptoms

A

Affective dysregulation is rapid intense, inappopriate, reactive anger which shifts rapidly (goes back to normal)

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21
Q

prevalence of child abuse of any sort in BPD?

A

87%

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22
Q

prevalence of sexual child abuses in BPD?

A

40-71%

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23
Q

prevalence of Physical child abuses in BPD

A

25-71%

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24
Q

True or False

Effect of abus does not depend on stage of psychological development?

Study These Flashcards
A

False.
It does.

25
The earlier child abuse .....BPD's damaging effects. Fill the blank
the worse
26
Most common psychiatric commorbidity in Borderline PD (BPD)?
Major Depression 53-83%
27
NICE recommendation of medications for core symptoms of BPD?
None
28
Psychological options in Rx for BPD
DBT (Dialectical Behavioural therapyy MBT (mentalisation based Therapy) SFT (schema-focused therapy) TFP (transferrence Focused Thrapy)
29
Who developed DBT?
Linehan
30
what is most well known, researched and a widely available psychological Rx for BPD?
DBT
31
What does DBT aim to do?
equip patient with skills in emotional regulations
32
which psychological Rx tried to restructure personality?
SFT
33
what about personality SFT tried to change?
negative patterns of thinking, feeling ahand behaving to alternative
34
which psychological Rx in BPD suggests what is called "limited-repaprenting"?
Schema-Focused Therapy Attachment between client and therapist
35
what are schemas on which SFT focuses?
- Detached protector - Punitive Parent - Abandoned Child (abused child) - Angry-Impulsive child
36
which psychological therapyin BPD Rx is based on Otto Kernberg's concept of the disorder?
Transferrence Focused Psychotherapy TFP
37
Clinical Personality Disorder Definition?
Enduring, Stable & Pervasive Patterns of Inner experience & Behaviours that Deviate for cultural norms and Start from early adulthood
38
DSM 5 Diagnosis criteria for Personality Disorder
Enduring Pattern of (Two of) -Cognitive or -Affecdtive or -Interpersonal related or -Impulsive inner experience and behaviours which Deviatef from cultural norm Inflexible & pervasive across a range of social situations Distressfull Starts in early adulthood Not due to medical or drugs
39
accroding to DSM-5 can personality disorder be diagnosed in adolescent?
Yes. Except for Antisocial personality (not below 18)
40
does ICD 11 allows personality disorder dx in childhood?
not typically
41
which personality disorder remit by age?
Borederline (Instabili) Antisocial
42
what personality disorder worsen by age?
OC (PERFECTIONIST) & Schizotypal (MAGICAL)
43
what are clinicians advised about personalityy disorder dx in children?
Avoid making dx in young children
44
Main characteristic of paranoids PD?
**DOUG** Extreme **D**istrust **O**wn set of internal logic (unrelated to consensus reality) **U**nforgiving Hold **G**rudes
45
Main characteristic of Schizoid PD
Limited Emotion Expression Flat affect Withdrawn
46
Main characteristic of Schizotypal PD
Same as schizo except for hallucination Disorderd thoughts Magical thinking No logical sense
47
Main characteristic of Narcissitic PD
Important person Emanating Gradiosity Omnipotence Lack Empathy Draw Admiration and attention Intoleranct & hypersensity
48
Main characteristic of BORDER PD
Unstable identityy Unstable relationship Impulsive Affective dysregulation
49
Main characteristic of antisocial PD
Disregard for morality, legality and culture previously called psychopaths and sociopaths
50
Main characteristic of Historionic PD
Higly exaggerated & inappropriate emotional display (Fake & Shallow)
51
Main characteristic of Obsessive compulsive PD
Perfectionist Inflexible about rules Control freek
52
Main characteristic of Dependant PD
Needy Independent No initiative Lack of self-confidence Lack of self-esteem
53
Main characteristic of Avoidant PD
Social inhibition Feelings of inadequacy Sensitive to criticism
54
Clusters of personality in DSM 5
Cluster A -- Mad Cluster B -- Bad Cluster C -- Sad
55
Cluster A
Paranoid Schizoid Schizotypal
56
Cluster B
Histrionic Antisocial Borderline Narcissistic
57
Cluster C
Anankastic (OC personality) Dependent Avoidant
58

MRCPSYCH Paper B _ Mainly general Adult (mentor&more) (92 decks)

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