Personality disorders

Question 1

clinical presentation of paranoid personality disorder

Answer 1

suspicious/distrustful
refuse responsibility for feelings (assigns blame to others)
often hostile, irritable, angry

Question 2

clinical presentation of schizoid personality disorder

Answer 2

lifelong pattern of social withdrawal
seem eccentric, isolated, lonely
uncomfortable w/ human interaction
introverted

Question 3

clinical presentation of schizotypal personality disorder

Answer 3

very odd
magical thinking/peculiar notions
ideas of reference
derealization

Question 4

clinical presentation of antisocial personality disorder

Answer 4

inability to conform to social norms
often characterized by criminal acts

Question 5

clinical presentation of borderline personality disorder

Answer 5

borders between psychosis and neurosis
unstable affect, mood, behavior, and self-image

Question 6

clinical presentation of histrionic personality disorder

Answer 6

excitable/emotional
colorful, dramatic, extroverted
often unable to maintain lasting sincere attachments

Question 7

clinical presentation of narcissistic personality disorder

Answer 7

sense of self-importance
lack of empathy
grandiose feelings of uniqueness
fragile self-esteem
vulnerable to minor criticism

Question 8

clinical presentation of avoidant personality disorder

Answer 8

extremely sensitive to rejection
may be social withdrawn
shy
desire for companionship but requires certainty of acceptance

Question 9

clinical presentation of dependent personality disorder

Answer 9

subordinate to other’s needs
others assume responsibility for significant areas of life
lacks self-confidence
intense discomfort when alone

Question 10

clinical presentation of obsessive-compulsive personality disorder

Answer 10

orderly, stubborn, indecisive
perfectionistic
inflexible

Question 11

cluster A personality disorders (odd/eccentric)

Answer 11

paranoid
schizoid
schizotypal

Question 12

cluster B personality disorders (dramatic, impulsive)

Answer 12

borderline
antisocial
narcissistic
histrionic

Question 13

cluster c personality disorders (anxious, fearful)

Answer 13

avoidant
dependent
obsessive-compulsive

Question 14

projective identification

Answer 14

defense mechanism used by borderlines
project intolerable aspects about self onto another and induce them to play the projected role so the two act in unison

Question 15

defining characteristics of paranoid personality disorder

Answer 15

-misinterprets others actions as malevolent or deceptive
-pathologically jealous
-uses defense mechanism of projection

Question 16

defining characteristics of schizoid personality disorder

Answer 16

-appear unsocial
-little want for close relationships
-indifferent to criticism/praise

Question 17

defining characteristics of schizotypal personality disorder

Answer 17

-peculiar or magical thinking
-vivid imaginary relationships
-isolated d/t inappropriateness
-may have psychotic symptoms

Question 18

key characteristics of antisocial personality disorder

Answer 18

-disrespect for the rights of others
-superficially charming
-manipulative
-lack of remorse for actions

Question 19

age limits on dx of antisocial personality disorder

Answer 19

must be at least 18 and have exhibited symptoms since 15 or earlier

Question 20

key characteristics of borderline personality disorder

Answer 20

-almost always in state of crisis
-frequent mood swings
-unpredictable/self-destructive
-poor interpersonal relationships
-splitting is common

Question 21

how are relationships distorted in borderline personality disorder

Answer 21

tend to see people as all good or all bad

Question 22

key characteristics of histrionic personality disorder

Answer 22

-attention-seeking
-exaggerate/dramatic
-outbursts when not center of attention

Question 23

relationships of people with histrionic personality disorder

Answer 23

-tend to be superficial
-deep dependence needs make gullible

Question 24

defense mechanisms of histrionic personality disorder

Answer 24

repression and dissociation
(often unaware of true feelings and unable to explain motivations)

Question 25

key characteristics of narcissistic personality disorder

Answer 25

-sense of entitlement -enraged at criticism/indifference -incapable of empathy -sympathy only to achieve selfish needs -ambitious for fame/fortune

Question 26

relationships with narcissistic personality disorder

Answer 26

tenuous frequent exploitation

Question 27

key characteristics of avoidant personality disorder

Answer 27

-hypersensitive to rejection -timid -lacks self-confidence

Question 28

relationships with avoidant personality disorder

Answer 28

unwilling to engage unless absolutely sure they will be liked

Question 29

key characteristics of dependent personality disorder

Answer 29

-cannot make decisions independently -avoids responsibility -fear of expressing sexual/aggressive feelings

Question 30

relationships with dependent personality disorder

Answer 30

distorted by their need to not be alone

Question 31

key characteristics of obsessive-compulsive personality disorder

Answer 31

-preoccupied w/ rules, neatness, perfection -lack flexibility -unable to compromise -overthinkers -stiff, formal, or rigid demeanor

Question 32

defense mechanisms of obsessive-compulsive personality disorder

Answer 32

rationalizing isolation intellectualization reaction formation undoing

Question 33

pharmacotherapy for paranoid personality disoder

Answer 33

low dose antipsychotics anticonvulsants for irritability

Question 34

pharmacotherapy for schizotypal personality disorder

Answer 34

-antipsychotics for psychotic symptoms -antidepressants if necessary

Question 35

pharmacotherapy for aggression in antisocial personality disorder

Answer 35

anticonvulsants, lithium, antipsychotics

Question 36

psychotherapies that work well for borderline personality disorder

Answer 36

DBT mentalization-based tx transference-focused therapy

Question 37

pharmacotherapy for borderline personality disorder

Answer 37

antipsychotics, antidepressants, anticonvulsants

Question 38

what medications should you avoid with borderline personality disorder

Answer 38

benzodiazepines d/t abuse risk

Question 39

pharmacotherapy for histrionic personality disorder

Answer 39

antidepressants, antianxiety meds, antipsychotics

Question 40

pharmacotherapy for narcissistic personality disorder

Answer 40

lithium for mood swings SSRIs

Question 41

pharmacotherapy for dependent personality disorder

Answer 41

antianxiety agents antidepressants

Question 42

limited evidence for the use of what medications in obsessive-compulsive personality disorder

Answer 42

fluvoxamine carbamazepine

Question 43

approach when fantasy is defense mechanism

Answer 43

quiet interest w/o insisting on responses recognition for fear of closeness and eccentricity

Question 44

dissociation

Answer 44

unconscious mechanism that involves separating mental/behavioral processes from rest of psychic activity

Question 45

isolation defense mechanism

Answer 45

separation of idea/memory from its attached emotion

Question 46

4 major temperment traits

Answer 46

harm avoidance novelty-seeking reward dependence persistence

Question 47

emotion associated with harm avoidance

Answer 47

fear

Question 48

emotion associated with novelty-seeking

Answer 48

anger

Question 49

emotion associated with reward dependence

Answer 49

attachment

Question 50

emotion associated with persistence

Answer 50

ambition

Question 51

high harm avoidance characteristics

Answer 51

fear of uncertainty shyness passive avoidance of problems pessimism

Question 52

low harm avoidance characteristics

Answer 52

carefree energetic outgoing optimistic

Question 53

which type of medication is used to decrease harm-avoidance behvior

Answer 53

serotonin drugs

Question 54

high novelty-seeking characteristics

Answer 54

quick-tempered easily bored impulsive extravagant curious

Question 55

low novelty-seeking characteristics

Answer 55

slow-tempered uninquiring reserved orderly

Question 56

what causes novelty-seeking behaviors

Answer 56

increased dopamine reuptake at presynaptic terminal resulting in the need for frequent stimulation to maintain adequate dopamine levels

Question 57

high reward dependence characteristics

Answer 57

tender-hearted sensitive dedicated warmly social

Question 58

low reward-dependent characteristics

Answer 58

practical cold socially insensitive indifferent

Question 59

highly persistent characteristics

Answer 59

hard-working ambitious overachievers increase effort if possible reward look at frustration as personal challenge

Question 60

low persistence characteristics

Answer 60

inactive unstable give up easily

Question 61

paranoid personality disorder has an increased risk of what other mental disorders

Answer 61

MDD OCD agoraphobia substance abuse

Question 62

best treatment approach for personality disorders

Answer 62

meds and therapy

Question 63

how do you pick the correct pharmacotherapy for personality disorders

Answer 63

target symptoms you want to treat

Question 64

what is the treatment of choice for paranoid personality disorder

Answer 64

psychotherapy

Question 65

key points to psychotherapy with paranoid personality disorder

Answer 65

be straightforward dont get defensive be professional (not overly warm)

Question 66

what increases mistrust with paranoid personality disorder

Answer 66

overuse of interpretation, especially involving deep feelings

Question 67

medication treatment for paranoid personality disorder

Answer 67

-low-dose antipsychotics for psychotic symptoms -anticonvulsants for irritability

Question 68

medication options to target affective aggression

Answer 68

lithium SSRIs anticonvulsants low-dose antipsychotics

Question 69

therapy of choice for histrionic personality disorder

Answer 69

psychoanalytically oriented therapy

Question 70

what type of therapies can be useful for avoidant personality disorder

Answer 70

assertiveness training group therapy

Question 71

psychotherapies that are good for treatment of dependent personality disorder

Answer 71

insight-oriented behavioral therapy assertiveness training family/group therapy

Question 72

which disorders are more common in biologic relatives of those with schizophrenia

Answer 72

cluster A personality disorders

Question 73

which personality disorder clusters have a genetic basis

Answer 73

cluster B and cluster C

Question 74

what is common with antisocial personality disorder

Answer 74

substance abuse

Question 75

there is an association between histrionic personality disorder and what other disorder

Answer 75

somatic symptom disorder

Question 76

what is commonly found in avoidant personality disorder

Answer 76

high anxiety levels

Question 77

fantasy as a coping mechanism

Answer 77

seeking solace in self by creating imaginary friends/lives

Question 78

who is most likely to use dissociation as a coping mechanism

Answer 78

borderline personality disorder

Question 79

isolation as a coping mechanism for

Answer 79

separation of an idea/memory from its attached emotion

Question 80

projection

Answer 80

attributing unacknowledged feelings to someone else

Question 81

splitting

Answer 81

dividing people into absolute good or bad

Question 82

3 steps of projective identification

Answer 82

-projects aspect of self onto someone else -tries to coerce other person into identifying what has been projected -both parties feel union

Question 83

4 major temperments

Answer 83

harm avoidance novelty-seeking reward dependence persistent

Question 84

fear is associated with which temperment

Answer 84

ham avoidance

Question 85

anger is associated with which temperament

Answer 85

novelty-seeking

Question 86

attachment is associated with which temperament

Answer 86

reward dependence

Question 87

which temperament is associated with ambition

Answer 87

persistence