Personality Disorders Flashcards Preview

Behavioral Med > Personality Disorders > Flashcards

Flashcards in Personality Disorders Deck (74):
0

Personality disorder?

enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture and affects life

1

Personality disorder - population?

NOT under the 18yo (b/c the brain is still growing and developing)

2

Personality disorder -before dx?

LONG TERM PATTERNS- multiple interview
EARLY adulthood
cautious of 3rd party info

3

Personality disorder - dx?

pattern of two or more areas:
-cognition: ways of perceiving and interpreting self and others
-affectivity
-interpersonal fxning
-impulse control
pattern is INFLEIBLE and PERSVASIVE
distress in life
pattern is STABLE
18+yo

4

Personality disorder - etiology?

genetics
cultures
environmental factors: foster care, large family

5

Personality disorder - 3 clusters?

Cluster A, B, and C

6

Personality disorder - Cluster A?

paranoid
schizoid
schizotypal

7

Personality disorder - Cluster B?

antisocial
narcissistic
borderline
histrionic

8

Personality disorder - Cluster C?

avoidant
obsessive
dependent

9

Other specified PD and unspecified?

personality change d/ to another medical condition

10

PD - Paranoid personality disorder?

cluster A

11

Paranoid PD - dx?

4+: SUSPECT
Spousal infidelity suspected
Unforgiving
Suspicious
Perceives attacks
Enemy or friend binary
Confiding in other is feared
Threats perceived in benign events

12

Paranoid PD - prevalence?

males > females

13

70 yr male, war veteran
hx of chronic back and knee pain (war) + fibromyalgia
emotional, psychological and physical abuse in childhood
alienated family and friends d/t lack of trust
demanding of friends and family
self sufficient and active
unable to calm down - uses drugs

paranoid PD

14

Paranoid PD?

blame on others
outside party feels "walking on egg shells"
suspicious
distrust

15

Schizoid PD?

detachment from social relationships AND restricted range of expression of emotions in interpersonal settings

16

Schizoid PD - dx?

4+: DISTANT
Detached affect
Indifferent to criticism or praise
Sexual experience of little interest (sex w/self - not with others)
Tasks performed solitarily
Absence of close friends
Neither desires nor enjoys close relations
Takes pleasure in few activities

17

Schizoid PD - discriminating feature?

socially indifferent
lack social skills and lack of desire for sexual experiences

18

Schizoid PD - comorbid?

autsim

19

33 male
no hx of romantic relationships, only family
childhood - isolation, friendless
no motivation to seek friends, get good grades, career goals

Schizoid PD

20

Schizotypal PD?

cognitive or perceptual distortions and eccentricities of behavior
"magical thinking"
salad words
"ODD"

21

Schizotypal PD - dx?

5+: ME PECULIAR
Magical thinking/odd beliefs
Experiences unusual perceptions
Paranoid ideation
Eccentric behavior or appearance
Constricted/inappropriate affect
Unusual thinking and speech
Lack close friends
Ideas off reference
Anxiety in social situation
Rule out psychotic disorder

22

Schizotypal PD - discriminating features?

eccentric
how they cope w/ stress

23

31 female
OCD sx to pandas
magical and eccentric thinking in childhood
no hx of pervasive developmental disorders
lives alone
wars specific articles of clothing to act as "barrier" to others in public
rich and detailed fantasy life

Schizotypal PD

24

Antisocial PD?

pervasive pattern of disregard of AND violation of the rights of others
MUST have CONDUCT DISORDER @ 15 yo - but must be 18yo

25

Conduct disorders @ 16yo?

OTHER specific

26

Antisocial PD -dx?

3+: CORRUPT
Conformity to law is lacking
Obligations ignored
Reckless disregard for safety of self or others
Remorseless
underhanded
Planning insufficient (impulsive)
Temper

27

Antisocial PD - discriminating features?

disagreeable
callous
deceitful
lack empathy
selfish

28

Antisocial PD - prevalence?

male > female

29

27 yo male
hx of conduct disorder, acting out (arson, car theft), drug seeking
quick tempered
attempted to manipulate staff in hospital

Antisocial personality disorder

30

Borderline personality disorder?

instability of interpersonal relationships, self-image and affects
frantic, desperate, dramatic presentation
threats of suicide, self mutilating behavior (now called: non suicide self injury)

31

Borderline personality PD- dx?

5+ I DESPAIRR:
Identity disturbance
Disordered, unstable affect
Emptiness is chronic
Suicidal behavior, gestures, and/or threats
Paranoid ideation can be transient, stress-related
Avoids abandonment
Impulsivity
Rage is inappropriate and intense
Relationships are unstable, intense extreme

32

Borderline PD - prevalence?

women > male

33

Borderline PD - discriminated feature?

unstable self-image/sense of self
self destructive
suicidal behavior
attention seeking

34

Borderline PD - comorbid?

eating disorders

35

Borderline PD - ddx r/o?

hypomanic
depressive
manic

36

38 male
no hx dx
significant hx of childhood emotional, psychologicalc, physical, sexual abuse
relationships characterized by instability
hx of suicide attempts

Borderline PD

37

Histrionic PD?

pattern of excessive emotionality and attn seeking
sexually seductive or provocative behavior

38

Histrionic PD - discriminating feature?

attention seeking
seek to control romanic partners through emotional manipulation
romantic relationships characterized by lack of emotional intimacy
will dress seductively or extravagantly, often inappropriate for setting

39

Histrionic PD - dx?

5+ PRAISE ME:
Provocative behavior
Relationships considered more intimate than really are
Attn seeking
Influenced easily
Speech affected
Emotions rapidly shift and are shallow
Manipulative

40

Histrionic PD vs antisocial PD?

histrionic: attn seeking
antisocial: profit, power, material gain

41

30 bisexual female
complains of abdominal pain
presents in revealing, provocative clothing
idealization of providers and dismissive of support staff
significant hx of childhood/adolescent emotional, psychological and sexual abuse
romantic relationships: little emotional intimacy and/or domestic violence

Histrionic PD

42

Narcissistic PD?

grandiosity
need for admiration
lack of emphty
superficial
beginning by early audlthood

43

Narcissistic PD - dx?

5+ SPEECIAL:
Special
Preoccupied with fantasies of success and power
Envious
Entitled
Excessive need for admiration
Conceited
Interpersonally exploitive
Arrogant
Lack of empathy

44

Narcissistic PD - discriminated feature?

self-centered
entitled
grandiose
expect others to agree w/ them and go alone w/t their desires/plans
lack empathy

45

Narcissistic PD - prevalence?

male > female

46

Histrionic PD vs Narcissistic PD?

excessive pride in achievements

47

Borderline PD vs Narcissistic PD?

relative stability of self-image, lack of self-destructiveness

48

Avoiddant vs Social phobia?

avoidant:
-inhibited
-avoid ANY opportunity to be neg evaluated
-suspicious of compliments
social phobia:
-avoid performance situations and social interactions
-estabilsh and maintain close interpersonal relationships w/select others

49

Avoidant PD - dx?

4+ CRINGES:
Certainty of being liked required
Rejection-phobic
Intimacy is avoided
New relationships are avoided
Gets around interpersonal contact
Embarrassment is expected, prevents new activities
Self viewed as inept, inferior, unappealing

50

Avoidant PD - comorbid?

panic disorder w// agoraphobia

51

35 gay man computer programmer
hx of social phobia
interpersonal distant - avoids eye contact
anxious in social settign: clammy palms, tightness in chest, flush easily, freezes when noticed
avoid intimate social gathering
anxious about medical appointments due to fear of being criticed or negaitve eval

Avoidant PD

52

Dependent PD?

submissive and clinging behavior and fears of separation

53

Dependent PD - prevalence?

female > male

54

Dependent PD - dx?

5+ RELIANCE:
Require reassurance and advice
Expressing disagreement is difficult
Life responsibilities are assumed by others
Inability to initiate projects
Avoid being alone
Nurturance is ultimate goal
Companionship sought urgently
Exaggerated fears of being left to care for self

55

Dependent PD - discriminating feature?

submissive
clinging behaviors
intense fear of seperation from care givers
timid and afraid to disagree/disapprove of others opinions or actions

56

58 female
hx dx: panic disorder w/ agoraphobia
refuses to be alone w/out husband or son
husband and son assume majority of responsibility for her care taking
intense and unrealistic fear of abandoment, chronic care seeking inappropriate for developmentla dn chronological age

Dependent PD

57

Obsessive compulsive PD?

preoccupation with orderliness, perfectionism and mental interpersonal control

58

OCPD- discriminated feature?

perfectionistic
preoccupie w/ orderliness and mental and interpsonal control
rigid maintenance of rituals, schedules

59

OCPD-dx?

4+ LAW FIRMS:
Loses sight of greater pic d/t rules and details
Ability to complete tasks
Worthless objects retained
Friends and leisure << WORK
Inflexible
Reluctant to delegate
Miserly
Stubborn

60

OCPD vs narcissistic PD?

NPD: achieved perfectionism
OCPD: more self critical in striign to obtain and maintain perfectionism

61

OCPD vs OCD?

OCD: true obsessiona dn compulsoins and should be considered when hoarding is extreme

62

65 male
type A personality
numerous car accidents due to distraction by min details while driving
hx of nervous breakdown
hoards money (but not poor)
rigid routine

OCPD

63

Personality change d/t another medical condition?

d/t medical condition (primary)

65

Other specified PD & Unspecified PD?

Other:
-full criteria for ANOTHER PD NOT met
Unspecified PD?
-full criteria for another PD not met and clinician does not indicate specific reason
-not enough info

66

"Others are untrustworthy and they try to take advantage of me"

paranoid PD

67

"I'd like to have friends but its hard b/c people find me pretty strange"

schizotypal PD

68

"I enjoy taking advantage of people and I never feel bad"

antisocial PD

69

"I need people desperately and fall apart completely when they reject me"

borderline PD

70

"I'm emotional and sexually charming person and I need to be the center of attn!"

histrionic PD

71

"I'm talented and special and I get angry and depressed when ppl don't recognize me"

narcissistic PD

72

"I'm really afraid of what people will think of me so I avoid making new friends"

avoidant PD

73

"I'm passive and dependent on other and I go far out of my way to please those who are important to me"

dependent PD

74

"I'm perfectionist, I keep lists, drive myself hard, and I'm very serious about life"

OCPD