Personality Disorders

Question 1

Antisocial PD

Answer 1

Pervasive pattern of disregard for and violation of the rights of others.

Need evidence of conduct disorder with onset before 15 yoa.

Need at least 3/7 symptoms.

Question 2

Antisocial PD Symptoms

Answer 2

1) Repeatedly performing acts that are grounds for arrest
2) Impulsivity
3) Deceitfulness
4) Consistent irresponsibility
5) Aggressiveness resulting in assaults
6) Reckless disregard for safety
7) Lack of remorse

Question 3

Borderline PD

Answer 3

Pervasive pattern of instability of interpersonal relationships, self-image, affect, and marked impulsivity.

5/9 symptoms.

Question 4

Borderline PD Symptoms

Answer 4

1) Frantic efforts to avoid abandonment
2) Unstable interpersonal relationships
3) Self-damaging impulsivity in at least 2 areas (not suicidal/NSSI)
4) Parasuicidal or suicidal behavior
5) Identity disturbance
6) Affective instability
7) Chronic emptiness
8) Anger
9) Transient paranoia or dissociation

Question 5

Histrionic PD

Answer 5

Pervasive pattern of excessive emotionality and attention seeking

5/8 symptoms

Question 6

Histrionic PD symptoms

Answer 6

1) Uncomfortable when not center of attention
2) Seductive or provocative behavior
3) Shifting and shallow emotions
4) Uses appearance to draw attention
5) Impressionistic and vague speech
6) Dramatic or exaggerated emotions
7) Suggestible
8) Considers relationships more intimate than they are

Question 7

Narcissistic PD

Answer 7

Pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy

5/9 symptoms

Question 8

Narcissistic PD symptoms

Answer 8

1) Grandiose sense of self-importance
2) Preoccupied with fantasies of unlimited success
3) High-status understanding
4) Requires excessive admiration
5) Entitlement
6) Exploitative
7) Lacks empathy
8) Envious
9) Arrogant behaviors or attitudes

Question 9

Cluster B

Answer 9

Erratic, emotional, dramatic

Question 10

Cluster A

Answer 10

Odd or eccentric

Question 11

Paranoid PD

Answer 11

Pervasive pattern of suspiciousness and distrust of others and perceived malevolent intentions

4/7 symptoms

Question 12

Paranoid PD symptoms

Answer 12

1) Suspects exploitation or harm
2) Preoccupied with doubts
3) Reluctant to confide
4) Reads hidden meanings
5) Persistently bears grudges
6) Perceives character attacks
7) Suspects infidelity

Question 13

Schizoid PD

Answer 13

Pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings

4/7 symptoms

Question 14

Schizoid PD symptoms

Answer 14

1) Neither desires nor enjoys close relationships
2) Chooses solitary activities
3) Little interest in sexual experiences with others
4) Takes pleasure in few activities
5) Lacks close friends and confidents
6) Appears indifferent to praise or concern
7) Shows emotional coldness or detachment

Question 15

Schizotypal PD

Answer 15

Pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships and by cognitive or perceptual distortions or eccentricities

5/9 symptoms

Question 16

Schizotypal PD Symptoms

Answer 16

1) Ideas of reference
2) Odd beliefs or magical thinking
3) Unusual perceptual experiences
4) Odd thinking and speech
5) Suspiciousness or paranoia
6) Inappropriate or constricted affect
7) Odd or eccentric appearance or behavior
8) Lacks close friends and confidents
9) Excessive social anxiety

Question 17

Cluster C

Answer 17

Anxious or fearful

Question 18

Dependent PD

Answer 18

Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation

5/8 symptoms

Question 19

Dependent PD Symptoms

Answer 19

1) Struggles to make everyday decisions w/o assurance
2) Needs others to assume responsibility
3) Struggles to disagree
4) Struggles to initiate
5) Excessive lengths to obtain support
6) Feels helpless when alone
7) Urgently seeks relationships
8) Preoccupied with fears of being alone

Question 20

Avoidant PD

Answer 20

Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluations

4/7 Symptoms

Question 21

Avoidant PD Symptoms

Answer 21

1) Avoids occupational activities involving interpersonal contact
2) Needs assurance before getting involved with other people
3) Fear of being shamed limits intimate relationships
4) Preoccupied with criticism in social situations
5) Inadequacy inhibits interpersonal situations
6) Negative self-perception
7) Reluctant to take risks

Question 22

Obsessive Compulsive PD

Answer 22

Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency

4/8 Symptoms

Question 23

Obsessive Compulsive PD Symptoms

Answer 23

1) Preoccupation with order interferes with the point of the activity
2) Perfectionism interferes with task completion
3) Devoted to work at the expense of friendships
4) Scrupulosity - strict, high moral standards (too high)
5) Unable to discard worn-out objects
6) Reluctant to give up control of tasks
7) Miserly - hard to spend money on self/others
8) Rigidity - need to be right, not change position