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Flashcards in Personality Disorders Deck (26):
1

What is the general criteria for a personality disorder?

Pattern of inner experience and behavior that deviates markedly from individual’s culture

2

Cluster A

Odd and eccentric - Paranoid, Schizoid, Schizotypal

3

Cluster B

Dramatic, emotional and erratic - Anti-Social, Borderline, Histrionic, Narcissistic

4

Cluster C

Anxious and fearful - Avoidant, Dependent, Obsessive Compulsive PD

5

What is generally associated with a personality disorder?

Abuse - emotional, physical or sexual

6

What are some characteristics of personality disorder?

- Pt has “always been this way”
- High degree of chaos in pt’s life
- Pt doesn’t see his/her behavior as problematic
- Externalizes and blames others for his/her problems

7

Paranoid PD

- Pervasive mistrust & suspiciousness
- Reluctant to confide in others with fear the information will be used against him/her

8

Schizoid PD

- Loners
􏰂- Emotionally / socially detached
􏰂- Restricted range of emotional expression
􏰂- Indifferent to praise or criticism

9

Schizotypal PD

- Odd thinking and magical beliefs
- Superstitious
- Suspicious
- Loners

10

The pt has unusual ideas about the cause of his symptoms
The pt is a loner
The pt is superstitious and suspicious
Overall, the encounter with the pt seems odd

--- Make the diagnosis

Schizotypal PD

11

Antisocial PD

- Disregard for the rights of others
- Socially irresponsible
- Impulsive, irritable, can be aggressive
- Lack empathy & remorse
- Can be glib and charming

12

Borderline PD

- Instability in relationships and self-image
- Impulsivity
- Suicidal behavior

13

Histrionic PD

- Dramatic! Attention seeking
- Entertaining...”the life of the party”
- Rapidly shifting, shallow emotions
- May be provocative, seductive

14

What gender is histrionic PD more often seen in?

Females

15

What gender is antisocial PD more often seen in?

Males

16

What gender is borderline PD more often seen in?

Females

17

What gender is narcissistic PD more often seen in?

Males

18

Narcissistic PD

- Pathological sense of self-importance 􏰅
- Sense of entitlement, “special”
􏰅- Interpersonally exploitative
􏰅- Lack empathy, arrogant
􏰅- Fragile self-esteem

19

What are some behavior patterns that are common in Cluster B PD?

- Self injury
- Acting out
- Controlling

20

The pt thinks they are better than most other people
The pt manipulates others to achieve what s/he wants
The pt thinks they deserve special treatment
The pt looks down on others

--Make the diagnosis?

Narcissistic PD

21

Avoidant PD

- Socially inhibited
- Hypersensitive to negative evaluation
- Low self esteem
- Feels socially inadequate

22

Dependent PD

- Great difficulty making decisions
- Difficulty expressing disagreement with others
- Urgently seeks new relationship when close relationship ends
- Feels unable to care for self, helpless

23

Obsessive Compulsive PD (different than OCD!)

- Preoccupied with rules, details, order
- Perfectionism, inflexibility & high need for control
- Over conscientious, micromanagers
- Rigidity and stubbornness

24

What is the difference in OCD and OCPD?

OCD has to do with obsession and compulsions and is egodystonic - symptoms make patient UNCOMFORTABLE

OCPD has to do with order, rules and perfectionism and is egosyntonic - symptoms are OKAY to patient

25

The pt has a lot of trouble making decisions
The pt rarely voices an opinion that is at odds with what others think
The pt elicits feelings of protectiveness from his/her physician
The pt has low self efficacy

-- Make the diagnosis?

Dependent PD

26

What are some possible medical causes of a PD?

- Temporal lobe epilepsy
- Head trauma
- Brain tumor
- Huntington's

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