Personality Disorders Flashcards
List 5 general tips for dealing with personality disorders
Establish limits
Look for medical and psychatric at presentation and any changes
Watch for counter transference
Limit use of benzos
Evaluate previous dianosis for yourself
General treatments for Cluster A
Structure
Rehab
Support Medications
Couse generally stable and doens’t improve
General treatments for Cluster B
Support
Exploration
Therapy
Meds
Generally unstable
Some go into remission with age
Schizoid diagnosis
4/7
Detached/Flat affect
Indifferent to others opinion
Sexual experiences of little interest
Tasks done solitarily
Absence of close friends
Neither desires or enjoys relationship
Takes pleasure in few activites
Elaborate fantasy worlds substitute relationships
Schizotypal
5/9
Magic thinking
Experiences unusual perceptions
Paranoid ideation
Ecccentric behavior and appearance
Constricted affect
Unusual thinking or speech
Lacks close friends
Ideas of reference
Anxiety in social situation
Rule out other disorders
Treat with low dose antipsychotic or phenelzine
Antisocial criteria
3/7
Conforming to law is lacking
Obligations ignored
Reckless disregard for safety
Remorseless
Underhanded
Planning insufficient
Temper
Prior diagnosis of conduct disorder
Usually diminish with age
Borderling criteria
5/9
Abandonment issues
Mood instability
Suicidal
Unstable relationships
Impulsive
Control of anger lacking
Identity disturbance
Dissociative
Emptiness
SSRI like fluoxetine
Dialectical behavioral therapy
Histrionic criteria
Appearance focused to draw attention
Center of attention
Theatrical
Relationships considered more intimate than they are
Easily influenced
Seductive
Shallow emotions
Speech is vague
Some SI in regards to getting attention
Narcissistic criteria
5/8
Special
Preoccupied with fantasies
Envious
Entitlement
Excess admiration required
Conceited
Interpersonal expoitation
Arrogant
Lacks empathy
Consider SSRI
Avoidant criteria
4/7
Avoids social work
Views self an inept
Occupied with fear of criticism
Inhibited in new relationships
Don’t get involved when uncertain of being liked
Embarassment prevents new activities
Restraint with intimate relationships
Different than schizoid becasue can develop relationships when assurance of uncritical acceptance
Dependant criteria
5/8
Reassurance required
Expressing disagreement is difficult
Life responsibilities assumed by others
Initiating projects is difficult
Alone=discomfort
Nurtrance needed
Companionship sought after
Exaggerated fears of being left to self
Unlike borderline when faced with abandonment gets more appeasing
OCPD criteria
4/8
Obsessed over details
Both miserly with self and others
Shows perfectionism that interferes with task completion
Excessively devoted to work
Super consciousness (inflexible in ethics)
Supervision required for delegated tasks
Object hoarder
Rigidity
Treat with CBT
