Personality Disorders Flashcards Preview

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Flashcards in Personality Disorders Deck (16):
1

What have paranoid, schizoid, schizotypal in common

They are withdrawn
(pervasive distruts, social detachment, and impaired social and occupational functioning)

2

Paranoid

Suspicious, but not delusional

3

Schizoid

withdrawn - a loner, avoid people

4

Schizotypal

Acute discomfort in relationships; cognitive or perceptual distortions (misleading), eccentric behavior (strange behavior)

5

What have histrionic, narcissistic, antisocial, and borderline in common

Expansive (wide range) - dramatic, emotional, erratic

6

Histrionic

Excessive emotionality and attention seeking

7

Narcissistic

Grandiose, self-centered and self-absorbed, constantly seeks admiration

8

DSM5 criteria for Antisocial personality

A pervasive pattern of disregard for violation of the right s of others, since age 15, with 3+ of the following:
Failure to conform to law
Repeated lying
Impulsivity - failure to plan ahead
Irritability and aggression
Disregard for safety of self and others
Irresponsibility
Lack of Remorse
Individual is >18
Hx of conduct

9

Tx of antisocial disorder

ID manipulative behavior
Set limits
Avoid power struggles
Avoid argumentation
Discuss behavior in a nonjudgmental and nonthreatening manner
teach problem solving

10

Characteristics of borderline personalty disorder

unpredictable and instability in functioning
Intese interpersonal relationships ranging from love to hate
Impulsive with inappropriate mood swings
Identity disturbances r/t body image, sexuality, goals
Engages in fighting, self-mutilation, suicide gestures
Increased incidence with physical, emotional, and/or sexual abuse in childhood.

11

What is splitting with borderline

Person feels positive and negative at the same time.
Also means that the borderline tries to split the treatment teaming, turing staff members agains each other.

12

Nursing intervention for borderline

decreased incidence of manipulative behavior
Avoid seeking client's approval
Consistently enforce limits
Remain neutral to client's comments
Avoid rescuing or rejecting
Provide safety.

13

Cognitive restructuring

Technique used to change the pattern of thinking by helping clients to recognize negative thoughts and feelings and to replace them with positive pattern

14

Though stopping

When a patient has negative feelings (I am stupid) he verbally says stop and replaces the negative thoughts with positive ones

15

Positive self talk

The client reframes negative thoughts into positive ones (I made a mistake, but its not the end of the world)

16

Decatastrophizing

The clients learns to assess situations realistically rather than always assuming the worst thing that could happen.