Personality Disorders Flashcards Preview

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Flashcards in Personality Disorders Deck (40):
1

What is a personality disorder?

pattern of perceiving, relating and thinking about the environment and oneself that is chronic and pervasive, culturally deviant and maladaptive or distressful.

2

Typically when do personality disorders begin?

Childhood/Adolescence

3

What is the main form of treatment for individuals with personality disorders?

Psychotherapy

4

How should meds be used for personality disorders?

as an adjunct treatment

5

Personality disorders are listed in clusters (A,B,C). What are the cluster A disorders (odd-eccentric)?

A= odd-eccentric
1) Paranoid
2) Schizoid
3) Schizotypal

6

What is the main theme in individuals with paranoid personality disorder (PPD)?

Distrust and suspiciousness

7

What are some symptoms for PPD?

Suspicion that others are being exploitative or deceptive
Unjustified doubts about loyalty/trust
reluctance to confide
reads hidden threatening meanings into remarks
reacts angrily to perceived insults

8

What is the main differential diagnosis for PPD patients?

Delusional Disorder (DD) (persecutory type)

9

What are some differences in DD and PPD patients?

DD--> paranoid thought is believed with certainty; sudden onset and usually middle aged
PPD--> paranoid thought is merely suspected; symptom onset is gradual and starts in childhood with pervasive paranoia

10

What is the main theme for schizoid personality disorder?

Interpersonal Detachment

11

What are some symptoms for schizoid personality disorder?

1) Lacks desire for close relationships
2) Lacks close friends
3) Prefers solitary activities
4) Derives pleasure in few activities
5) Indifference to praise/criticism
6) Emotional coldness, detachment or flat affect

12

What is the main theme for schizotypal personality disorder?

Eccentric

13

What are some symptoms in patients with schizotypal personality disorder?

1) Social and interpersonal deficits with acute discomfort for close relationships
2) Odd speech/thinking
3) Beliefs in paranormal phenomenon
4) Ideas of reference
5) Odd appearance/behavior
6) Unusual perceptual experiences
7) Suspiciousness

14

Schizotypal is considered the premorbid personality of what disease?

Schizophrenia

15

The second cluster (B) is considered dramatic/emotional/erratic and includes which disorders?

B= dramatic/emotional/erratic
1) Histrionic
2) Borderline
3) Narcissistic
4) Antisocial

16

What is the main theme for an individual with histrionic personality disorder?

Excessive Emotionality

17

What are the symptoms for histrionic personality disorder?

1) Needs to be center of attention
2) Uses physical appearance for attention
3) Inappropriate provocative behavior
4) Shallow and rapidly shifting emotions
5) Impressionistic speech but lacks detail
6) Exaggerated emotional expression
7)Considers relationships intimate

18

What is the main theme for an individual with Borderline Personality Disorder?

Instability

19

What are the four category of symptoms associated with borderline personality disorder?

Relationships
Emotions
Self
Behaviors

20

Give some examples of symptoms associated with relationships in borderline personality disorder

1) Unstable intense relationships with alternating idealization and devaluation
2) Frantically avoids abandonment

21

Give some examples of symptoms associated with emotions in a person with borderline personality disorder

1) Intense uncontrolled anger
2) Marked reactivity of mood
3) Chronic feelings of emptiness

22

Give some examples of symptoms associated with self in a person with borderline personality disorder

Unstable self image

23

Give some examples of symptoms associated with behaviors in a person with borderline personality disorder

1) self damaging impulsivity
2) Suicidal gestures/self mutilation
3) Transient stress related dissociative/paranoid symptoms

24

What is the main theme in a patient with Narcissistic personality disorder (NPD)?

Grandiosity

25

What are some symptoms in a patient with Narcissistic personality disorder?

1) Grandiose sense of self importance
2) Preoccupied with success
3) Requires admiration
4) Sense of entitlement
5) Interpersonally exploitative
6) Lacks empathy with haughty attitudes

26

What are the two differential diagnosis for a person with Narcissistic personality disorder?

Delusional Disorder (DD), grandiose type --> single grandiose belief of delusional proportion; appears older in age
Bipolar I (BPI) disorder -->mood disturbances with more symptoms than grandiosity

27

What is the general theme in patients with antisocial personality disorder (ASPD)?

Pervasive disregard for other's rights

28

What are some symptoms associated with antisocial personality disorder (ASPD)?

1) Repeated Unlawful Acts
2) Deceitfulness
3) Irritability and aggressiveness
4) Reckless disregard for safety of self or others
5) Irresponsibility
6) Lack of remorse

29

In order for a person to be diagnosed with ASPD, what must their age be?

MUST BE AT LEAST 18

30

In order for a person to be diagnosed with ASPD, what disorder must they have had before the age of 15?

Conduct disorder

31

When is the term psychopath (sociopath) used?

synonymously with ASPD but are only used in research and are extreme cases

32

The last cluster (C) are people described as anxious/fearful, what are the diagnoses associated with this cluster?

Avoidant
Dependent
Obsessive-Compulsive

33

What is the main theme in patients with Avoidant personality disorder?

Inferiority complex

34

What are the symptoms associated with avoidant personality disorder?

1) Avoids interpersonal and occupational activities for fear of criticism
2) Unwilling to start relationship unless certain of being liked
3) Restraint within relationship for fear of ridicule
4) Reluctance to engage in new activities
5) Negative self image

35

What are two differential diagnosis's for a person with avoidant personality disorder?

1) Social Anxiety Disorder (SAD): higher amounts of physiological hyperarousal. Extreme levels of avoidants
2) Schizoid Personality Disorder: NO desire for relationships

36

What is the main theme in a patient with dependent personality disorder?

excessive need to be cared for

37

What are some symptoms associated with dependent personality disorder?

1) Indecisive
2) others must take responsibility for life
3) Difficulty disagreeing
4) Difficulty initiating due to low confidence
5) Excessive lengths to keep/gain support
6) Feels helpless when alone
7) Urgently seeks another relationship if one ends

38

What is the main theme in a patient with obsessive-compulsive personality disorder (OCPD)?

Inflexible perfectionism and control

39

What are some symptoms associated with an individual with OCPD?

1) Preoccupation with details, rules, lists until point of activity is lost
2) Perfectionism interferes with task completion
3) Excessive devotion to work
4) Rigid and Stubborn
5) Over conscientious, scrupulous
6) Reluctance to delegate or to work with others
7) Hoarding and miserly behavior

40

What is the differential diagnosis for a patient with OCPD?

OCD= uncontrolled intrusive thoughts and repeated rituals
OCPD= excessive perfectionism and control