Personality Disorders

Question 1

personality disorder definition

Answer 1

enduring pattern of inner experience and behavior. cognitive, emotional, interpersonal, and behavioral components. leads to distress or impairment. pervasive and inflexible. onset in adolescence or early adulthood and stable over time

Question 2

cluster A disorders

Answer 2

paranoid, schizoid, schizotypal. psychotic-like, but not psychotic

Question 3

cluster B disorders

Answer 3

antisocial, histrionic, narcissistic, borderline. dreaded by health care. behavioral disorders

Question 4

cluster C disorders

Answer 4

avoidant, dependent, obsessive-compulsive. anxious stuff

Question 5

Paranoid

Answer 5

pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood. does not occur exclusively during the course of schizophrenia or other psychotic disorder

Question 6

schizoid

Answer 6

pervasive pattern of detachment from social relationship and a restricted range of expression of emotions. does not occur exclusively during the course of schizophrenia. appear uninterested and flat. can be misdiagnosed as autism spectrum

Question 7

schizotypal

Answer 7

pervasive pattern of interpersonal deficits marked by cognitive or perceptual distortions and eccentricities of behavior. does not occur exclusively during the course of schizophrenia or other psychotic disorder. just acting odd

Question 8

antisocial

Answer 8

pervasive pattern of disregard for and violation of the rights of others occurring since age 15. evidence of a conduct disorder with onset before age 15. antisocial behavior is not exclusively during schizophrenia or a manic episode. criminal activity, not good morals, animal torture, pyro, etc.

Question 9

histrionic

Answer 9

pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood. Sexually seductive or provocative behavior. self-dramatization, theatricality, exaggerated emotional expression. easily influenced by others. considers relationships to be more intimate than they actually are.

Question 10

narcissistic

Answer 10

pervasive pattern of grandiosity in fantasy and behavior, beginning by early adulthood. need for admiration. lack of empathy. sense of entitlement. can react violently because they feel their actions are justified.

Question 11

borderline Personality disorder

Answer 11

pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood. frantic efforts to avoid real or imagined abandonment, unstable relationships, unstable self image, recurrent suicidal thoughts/self mutilation, mood lability, chronic feelings of emptiness, frequent anger, paranoid ideation

Question 12

avoidant

Answer 12

pervasive pattern of social inhibition by early adulthood. inhibited in social situations because of feelings of inadequacy. hypersensitive to criticism or rejection. dont like being in public, extreme shyness

Question 13

obsessive compulsive

Answer 13

preoccupied with details, rules, lists. perfectionism. excessively devoted to work and productivity. scrupulous about morality, ethics, and values. unable to discard worn out objects. micro manages. miserly spending style. rigid and stubborn

Question 14

dependent

Answer 14

pervasive and excessive need to be taken care of beginning by early adulthood. indecisive. submissive and clingy. difficulty expressing disagreement. lack of self-confidence, feeling of helplessness. goes to excessive lengths to obtain nurturance and support from others

Question 15

five factor model

Answer 15

can break personalities down into the 5 things. extraversion, neuroticism, openness to experience, conscientiousness, agreeableness

Question 16

temperment and character inventory

Answer 16

novelty seeking, reward dependence, harm avoidance, persistence

Question 17

exacerbating factors/differential diagnosis

Answer 17

substances, medical/psych disorders, stress, close relationships

Question 18

cluster A treatments

Answer 18

little studied. antipsychotic medication and psychotherapy provide modest benefit maybe

Question 19

cluster B treatments psychopharm

Answer 19

modest efficacy, especially mood stabilizers and antipsychotics. benzodiazepines may exacerbate condition. co-occurring conditions may also respond poorly to meds.

Question 20

cluster B psychotherapy

Answer 20

case reports and series suggest that all are potentially treatable. RCTs show that it can fix borderline. psychodynamic and 2 cognitive behavioral models shown to be highly effective

Question 21

cluster C treatments

Answer 21

psychopharm: works for avoidant. psychotherapy: RCT show it works for CBT and psychodynamic