Personality Disorders Flashcards Preview

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Flashcards in Personality Disorders Deck (28):
1

constellation of motivations, beliefs, and interpersonal behaviors

helps organize behavior in response to stress

personality

2

enduring pattern of maladaptive traits that are inflexible and pervasive that case significant distress or impairment

personality disorder
onset usually in adolescence

3

3 cluster A: odd, eccentric

paranoid
schizoid
schizotypal

*seen among relatives of schizophrenia

4

4 cluster B: dramatic, emotional

antisocial
borderline
histrionic
narcissistic

5

3 cluster C: anxious, fearful

avoidant
dependent
obsessive-compulsive PD

6

Cloninger neurobiological model's 3 dimensions of temperament

4 dimensions of character

novelty seeking (DA)
reward dependence (NE)
harm avoidance (5HT)

persistence
self-directedness
cooperativeness
self-transcendence

7

five-factor model (CANOE)

extraversion
agreeableness
neuroticism (5HT transporter abnormality)
openness to experience
conscientiousness

8

impulsivity/aggression assoc with abnormalities in fxn of which NT?

serotonin

9

physical/sexual abuse assoc w?
childhood maltreatment assoc w?

BPD
antisocial PD

10

cannot make dx of personality d/o during when?

acute presentation of another psychiatric d/o

11

medical conditions that cause a change in personality

neoplasia
TBI
infection
endocrine
autoimmune
epilepsy
cerebrovascular
neurodegenerative (alzheimer's/Huntington's)

12

effects to which two areas of brain are linked to personality d/o's?

frontal/temporal lobes

13

pervasive distrust/suspiciousness of others, that their motives are interpreted as malevolent

similar presentation to delusional d/o

paranoid personality d/o

14

pervasive detachment from social relationships and restricted range of expression of emotions

socially isolated by choice

schizoid personality d/o

15

sx include ideas of reference, odd beliefs, unusual perceptions, odd thinking/speech/behavior, suspiciousness or paranoia, iappropriate/constricted affect, lack of close friends, social anxiety

schizotypical personality d/o
3% prevalence

16

disregard for and violation of rights of others, lack of empathy, truancy, fire-setting, cruelty to animals; these folks will have met criteria for which d/o during childhood?

antisocial PD
conduct d/o: aggression to people/animals, destruction of property, deceitfulness or theft, violations of rules

higher rates of suicide and accidents, criminality, domestic violence
chronic, 10% remission over 30y

17

criteria for APD

A. disregard for/violation of rights of others, since age 15 via 3+ of: conform, deceitfulness/lying, impulsivity, irritability/aggressiveness, disregard for safety, irresponsibility, lack of remorse/indifference of hurting another
B. >18yo
C. conduct disorder before age 15
D. behavior not exclusive to schizo/bipolar

18

arising in individuals with high emotional vulnerability exposed to an invalidating environment during childhood: non-responsiveness, att to control emotions, rejection of emotions

borderline PD
(F:M 3:1)
10% complete suicide
1/2 remit 10 years after initial dx

19

BPD criteria

Instability of relationships. self-image, affects, impulsivity w/5+ of: 1) avoid abandonment, 2)idealization/devaluation of relationships, 3) identity disturbance (self-image), 4) impulsivity in self-damaging, 5) suicidal/self-mutilating behavior, 6) unstable affect, 7) emptiness, 8) anger, 9) stress-related paranoid ideation

20

excessive emotionality/attention seeking; uncomfortable in situations when not center of attention; rapidly shifting emotions; physical appearance to draw attention; theatrical/dramatic; easily influenced

histrionic PD

21

grandiosity; need for admiration; lack of empathy; egotistical; manipulative of others to achieve own aims

narcissistic PD

22

social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation, socially isolated, don't desire human contact BECAUSE of fear of embarrassment (unlike schizoid)

avoidant PD
overlaps with social phobia

23

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

dependednt PD

24

perfectionistic, orderliness and details, inflexible, stubborn, overly conscientious; but are pervasive, present in most situations and interfere w fxn

obessive-complusive PD

25

OCPD distinguished from OCD by?

level of insight
OCD folks find sx disturbing (dystonic)

26

personality change in mid/late life indicates?
common sx?

medical etiology
affective instability, poor impulse control, outbursts of aggression or rage, marked apathy, suspiciousness, paranoid ideation

27

tx for personality d/o?

dialectical behavioral therapy: 1x/wk for a yr (validation, mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness skills)

antidepressants for dysphoria/anxiety
antipsychotics for dissociative/psychotic sx
anticonvulsants for mood instability/impulsivity
AVOID BZDs (cause disinhibition and abuse)
NO TCA's due to overdose risk

28

recommend interpersonal tx approach:
dependent:clinging
O-C:insistence on rules/standards
paranoid:accusations/attacks
narcissistic:entitled/puts down others
histrionic:theatrical/charming
antisocial:exploits others
borderline:idealizing/devaluating

limit-setting, reassurance
logical suggestions
acknowledgement of fears/encouragement
collaboration
consistent/stabilzing responsiveness
limit-setting/legal backup
validating, limit setting