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Flashcards in Personality Disorders Deck (16):
1

DSM criteria of personality disorder

1. different from culture
2. pervasive, pernicious, persistent

Pattern manifest in 2 or more areas of functioning
1. cognition
2. affectivity
3. interpersonal functioning
4. impulse control

adolescent or early adulthood
(if before 18 must be present for 1 year at least)

2

A, B, C cluster

weird
wild
worried

3

Cluster A

-odd or eccentric; inability to develop meaningful social relationships
-no psychosis
-genetic association with schizophrenia
Accusatory aloof awkward

Comorbidities
1. depression and anxiety
2. substance abuse
3.schizophrenia

4

Cluster A types

1. Paranoid-pervasive distrust and suspiciousness; projection is the major defense mechanism
-males
2. Schizoid-voluntary social withdrawal, limited emotional expression, content with social isolation
-males
-increased prevalence in relative with schizophrenia or schizotypal

3. Schizotypal-Eccentric appearance, odd beliefs or magical thinking, interpersonal awkwardness, social anxiety except first degree relatives
-familial link

5

Cluster B

Dramatic, emotional, or erratic; genetic association with mood disorders and substance abuse

Wild
Bad to the Bone

Comorbidities
1.depression, anxiety
2. somatoform, anorexia
3. substance abuse
4. ADHD (antisocial)
5. serotonin reduced-impulsivity

6

Cluster B types

1. Antisocial-disregard for and violation of rights of others, criminality, impulsivity; males>females; must be >18 years old and have a history of conduct disorder before age 15.

2. Borderline-unstable mood and interpersonal relationships, impulsiveness, self mutilation, boredom, sense of emptiness, female>males; splitting is a major defense mechanisms, increased risk suicide
-women more
-familial pattern

3. Histrionic-excessive emotionality and excitability, attention seeking, sexually provocative, overly concern

4. Narcissistic-grandiosity, sense of entitlement; lacks empathy and requires excessive admiration; often demands the best and reacts to criticism with rage
-men more common

7

Cluster C

anxious or fearful; genetic association with anxiety disorders
Worried
(cowardly, compulsive, clingy)
Comorbities
1. anxiety, social phobia, panic disorder with agoraphobia
2. depression
3. substance abuse

8

Cluster C types

1. avoidant-hypersensitive to rejection, socially inhibited, timid, feeling of inadequacy, desires relationships with others (vs. schizoid)
-men/women equal

2. obsessive-compulsive-preoccupation with order, perfectionism, and control; ego-syntonic; behavior consistent with one's own beliefs and attitudes
-men more

3. dependent-submissive and clingy, excessive need to be taken car of, low self-confidence

9

What leads to higher risk of PD?

abuse and neglect
1. physical abuse-antisocial and depressive PDs

2. Sexual abuse-borderline PD**

3. Neglect-antisocial, avoidant, borderline, narcissistic, passive aggressive

10

Are PD more likely to have mood disorders and suicidal ideation/behavior and substance abuse ?

yes

11

What personality disorders worsen over time?

schizotypal
obsessive compulsive

12

Countertransference

evoke strong reactions from the people around them

13

Whats one way to treat borderline personality?

biopsychosocial model-creation of a life worth livign

14

What do you use to treat cluster A?

antipsychotics-cognitive and perceptual organization problems related to dysfunction of dopaminergic system

15

What do you use to treat cluster B?

antipsychotics
SSRI-for impulsivity and aggressive and mood stabilization

16

What do you treat cluster C with?

SSRI for anxiety related to dysfunction in serotonergic and noradrenergic systems