Personality Disorders

Question 1

cluster a vs b vs c

Answer 1

cluster a: schizoid, schizotypal, paranoid
pts are eccentric, peculiar, or withdrawn. familial association with psychotic disorders
cluster b: antisocial, borderline, histrionic, narcissistic
pts are emotional, dramatic, inconsistent. familial association with mood disorders
cluster c: avoidant, dependent, OCPD
pts are anxious or fearful. familial association with anxiety disorders

Question 2

personality disorder NOS

Answer 2

passive aggressive, depressive personality disorder

Question 3

general treatment for personality disorders

Answer 3

not pharm
psychotherapy and group therapy are the most helpful
short dose of antipsychotics if necessary for transient psychosis

Question 4

paranoid personality disorder

Answer 4

cluster a
pathologically jealous; blame problems on others, interpret motives as malevolent, partners cheating on them
higher incidence in family members of schizophrenics

Question 5

45 y/o scientist works in lab most of the day and has no friends. can’t keep job because can’t collaborate with others. expresses no desire to make friends and is content with single life. no evidence of thought disorder. dx?

Answer 5

schizoid (Sheldon Cooper?)

Question 6

difference between schizoid PD and avoidant PD

Answer 6

schizoid prefer to be alone

Question 7

antisocial personality disorder prevalence and treatment

Answer 7

3x as likely in men and more likely if parents who are alcoholics
psychotherapy ineffective
dialectical behavioral therapy and behavioral therapy best choice

Question 8

borderline

Answer 8

relationships with intense attachment and end with slightest conflict. fear abandonment and have poorly formed identity
pattern of impulsivity and unstable relationships
splitting, suicidal, general emptiness

Question 9

in which personality disorder is pharmacotherapy most useful?

Answer 9

borderline

Question 10

where does the name borderline come from?

Answer 10

borderline of neurosis and psychosis

Question 11

treatment of BPD

Answer 11

DBT

Question 12

treatment for histrionic PD

Answer 12

psychotherapy

Question 13

treatment for narcissistic PD

Answer 13

psychotherapy

Question 14

what happens when NPD pt doesn’t get recognition they “deserve”?

Answer 14

depression

Question 15

avoidant personality disorder

Answer 15

intense fear of rejection, desire companionship but are extremely shy and easily injured

Question 16

what phobia is most common in avoidant personality disorder?

Answer 16

social phobia

Question 17

regression

Answer 17

going back to a younger age of maturity

Question 18

what 2 PD’s are associated with regression?

Answer 18

seen commonly in dependent PD and histrionic PD