Personality disorders

Question 1

Personality disorder clinical sx:

Antisocial?

Answer 1

failure to conform to social norms/rules, deception, impulsiveness, irritability, lack of remorse.

History of conduct disorder as child.

Question 2

What is personality disorder?
- How is it categorised

Answer 2

A series of maladaptive personality traits that interfere with normal function in life.

• Cluster A : (’Odd or Eccentric’) → paranoid, schizoid, schizotypal.
• Cluster B : ’Dramatic, Emotional, or Erratic’) → antisocial, borderline (emotionally unstable), histrionic, narcissistic.
• Cluster C : (’Anxious and Fearful’) → obsessive-compulsive, avoidant, dependent.

Question 3

How is personality disorder categorised

‘A eccentric emotional scaredy cat’

Answer 3

• Cluster A : (’Odd or Eccentric’) → paranoid, schizoid, schizotypal.
• Cluster B : ’Dramatic, Emotional, or Erratic’) → antisocial, borderline (emotionally unstable), histrionic, narcissistic.
• Cluster C : (’Anxious and Fearful’) → obsessive-compulsive, avoidant, dependent.

Tags

Question 4

Personality disorder clinical sx:

Avoidant (aka Anxious)

Answer 4

preoccupied with worries that they are being criticised or rejected in social situations.

Question 5

Personality disorder clinical sx:

Borderline (Emotionally Unstable)

Answer 5

history of recurrent self-harm and unstable interpersonal relationships which alternate between idealization and devaluation.

Requires Dialectal behavioural therapy

Question 6

Personality disorder clinical sx:

Narcissitic

Answer 6

grandiose sense of self-importance. Sense of entitlement, a need for admiration and a lack of empathy for others or believe others are jealous of them.

Question 7

How to tx boderline personality disorder?

Answer 7

dialectical behavioural therapy.

Teaches you how to accept who you are and how to deal with difficult emotions by recognising and challenging them.

Question 8

Personality disorder clinical sx:

Obsessive compulsive (anankastic)?

Answer 8

Obsessive compulsive (anankastic)?

Question 9

Can a child have personality disorder?

Answer 9

No

Only diagnosed in 18+

Question 10

Personality disorder clinical sx:

Obsessive compulsive (anankastic)?
And how to you differentiate this from OCD?

Answer 10

meticulous, scrupulous, and rigid about etiquettes of morality, ethics, or values.

!!!! Cardinal distinction between OCPD and OCD is the absence of distress over the obsession. OCD patients experience distress from repetitive thoughts, compulsive checking, and repetitive actions or routines. On the other hand, OCPD patients feel justified in their need for order and control (activities are seen as pleasurable and desirable).

Question 11

Personality disorder clinical sx:

Schizoid

Answer 11

indifferent to praise and criticism. Preference for solitary activities, lack of interest in companionship or sexual interactions.

Loners

Question 12

How to manage personality disorders?

Answer 12

Refer to CMHT for further assessment, development of a care plan and crisis plan.

Question 13

Personality disorder clinical sx:

Histrionic?

Question 14

Personality disorder clinical sx:

Dependent?

Answer 14

difficulty making everyday decisions without excessive reassurance from others (lack initiative and struggle to make decisions independently).

Dependent for Decisons

Question 15

Personality disorder clinical sx:

Paranoid?

Answer 15

Paranoid → hypersensitivity to insults.

Question 16

Personality disorder clinical sx:

Schizotypal

Answer 16

odd beliefs, lack of close friends.