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Personality Disorders Flashcards

(59 cards)

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1
Q

What are the FOUR characteristics of personality disorders?

A
  1. Enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture
  2. The behavior/traits are pervasive and inflexible
  3. The traits have an onset in early adolescence or early adulthood
  4. They are stable over time and lead to significant distress or impairment (in social and occupational functioning)
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2
Q

__________ (Eccentric/Dramatic/Anxious) disorders are characterized as a pervasive pattern of abnormal cognition, self-expression, or relating to others

A

Eccentric Disorders (Cluster A)

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3
Q

__________ (Eccentric/Dramatic/Anxious) disorders are a pervasive pattern of violating social norms or the rights of others, impulsivity, excessive emotionality, grandiosity, or acting out

A

Dramatic Disorders (Cluster B)

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4
Q

__________ (Eccentric/Dramatic/Anxious) disorders are a pervasive pattern of abnormal fears involving social relationships, separation, or need for control

A

Anxious Disorders (Cluster C)

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5
Q

What are the five traits that are theorized to create personalities?

A
  1. Extraversion
  2. Agreeable
  3. Conscientiousness
  4. Neuroticism
  5. Openness to experience
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6
Q

What are three common behavioral co-morbidities that are typically associated with personality disorders?

A

Major Depression
Generalized Anxiety Disorder
Panic Disorder

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7
Q

T/F: Rates of unemployment, drug abuse, homelessness, divorce, domestic violence are higher in patients with personality disorder diagnoses

A

True

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8
Q

Is anti-social personality disorder more common in men or women?

A

Men

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9
Q

Is borderline personality disorder more common in men or women?

A

Women

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10
Q

Is obsessive-compulsive more common in men or women?

A

Its equally prevalent

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11
Q

The prevalence of personality disorders _______ (increases/decreases) with age.

A

Decreases

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12
Q

T/F: Smoking and substance abuse are less common in patients with personality disorders

A

False

Those traits are more common

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13
Q

Do patients with personality disorders often have insight into their maladaptive behaviors?

A

No

They often blame others for their troubles and do not seek help

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14
Q

T/F: Speaking to a patients family, friends, children, police, etc….is an important part of the history when working up a personality disorder

A

True

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15
Q

When working up a patient for personality disorders…..

Should you be quick to give out the diagnosis?

A

No

Remember to rule out other mental disorders or illnesses…..also many be have strong ‘quirks’ that are a part of their personality

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16
Q

When working up a patient for personality disorders….

Remember that these behaviors must _______ (persist/resolve) and have a ______ (negative/positive) imapct on their life

A

Persist

Negative

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17
Q

T/F: There are FDA approved pharmaceutical treatments for personality disorders

A

False

There are not

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18
Q

What are three ‘cluster A’ personality disorders?

A

“The Weirds”

Paranoid
Schizoid
Schizotypal

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19
Q

What is a unique characteristic of paranoid personality disorder?

A

Pervasive distrust and suspicion without significant evidence

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20
Q

T/F: Group therapy should be considered in treatment for paranoid personality disorder

A

False

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21
Q

Although treatment of paranoid personality disorder is mainly supportive……

When should pharmacological management be considered?

A

In the presence of mild psychotic symptoms (ex: depression)

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22
Q

What are unique characteristics of schizoid personality disorders?

A
  1. Inability to form personal relationships
  2. No sexual interest
  3. Flat Affect
  4. Solidarity
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23
Q

Do patients with schizoid personality disorder often seek help?

A

No

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24
Q

Why isn’t therapy typically successful in schizoid personality disorder?

Study These Flashcards
A

Patients have a lack of insight for therapy

25
Having "magical beliefs", unusual experiences, and odd speech and thinking are all defining characteristics of what personality disorders?
Schizotypal Personality Disorder
26
T/F: An important part of managing schizotypal is making them aware of the negative impact on their lives
True
27
What are two antipsychotics used in managing schizotypal personality disorder?
Risperidone | Olanzapine
28
What are three 'cluster B' personality disorders?
"The Wilds" Antisocial Borderline Histrionic Narcissistic
29
Reckless behavior, lack of remorse, criminal history, lying, and the inability to keep jobs are all characteristics of what personality disorder?
Antisocial personality Disorder
30
How old must a patient be to be diagnosed with antisocial personality disorder?
18 y.o. ***Otherwise it is considered conduct disorder
31
What patient 'population' is antisocial personality disorder common in?
Incarcerated Homeless Substance Abusers
32
T/F: Symptoms of antisocial personality disorder are worse early in its course, tends to recede with advancing age
True
33
What medications are used to treat aggression in antisocial personality disorder?
Lithium | Valproic Acid
34
What are the unique characteristics of borderline personality disorder?
``` Mood Instability Impulsive Self Mutilation Intense Interpersonal Relationships Fear of abandonment Chronic "emptiness" ```
35
__% of patients with borderline personality disorder will perform self harm/mutilation
75%
36
__% of patients with borderline personality disorder will successfully commit suicide
10%
37
T/F: Therapy has not shown any benefit in treating borderline personality disorder
False It has shown benefit (CBT, 20-week STEPPS)
38
What are unique characteristics of histrionic personality disorder?
Excessive emotionally and attention seeking behavior Wanting to be the center of attention Initially gregarious and charming but becomes demanding and vain
39
T/F: Patients with histrionic personality disorder often seek out medical attention frequently
True
40
What is the best management option for histrionic personality disorder?
Therapy if they are agreeable 1. CBT 2. Group therapy for tackling the provocative or attention seeking behaviors
41
What are unique characteristics of narcissistic personality disorder?
``` Lack of empathy Grandiosity Hypersensitivity to evaluation Inflate their accomplishments Exploit other for personal gain ```
42
Patients with narcissistic personality disorder often have a sense of _______ (regret/remorse/entitlement)
Entitlement
43
What is the mainstay of management for narcissistic personality disorder?
Therapy
44
What are three 'cluster C' personality disorders?
"The Wimps" Avoidant Dependent Obsessive-Compulsive
45
Are patients with avoidant personality disorder more likely to be introverted or extroverted?
Introverted
46
Patients with avoidant personality disorder have a fear of being _________.
Embarrassed
47
T/F: Patients with avoidant personality disorder are typically unwilling to get involved with people unless quite certain of being liked
True
48
Patients with avoidant personality disorder have _____ (high/low) self esteem
Low-self esteem
49
What is the mainstay of avoidant personality disorder?
Therapy | Social Skills Training
50
What medications can be useful in treating avoidant personality disorder?
BZDs when re-entering social situations Sometimes SSRIs
51
Patterns of relying on others (typically parents) for emotional, financial, life support is a characteristic of what personality disorder?
Dependent Personality Disorder
52
What is a theorized cause of dependent personality disorder?
Over-protectiveness and parental authoritarianism as a child
53
What is the best management option for dependent personality disorder?
Therapy
54
T/F: Obsessive compulsive personality disorder is similar to OCD
False They are different from one another
55
Obsessive-compulsive personality disorder is characterized by perfectionism that ________ (interferes/enhancing) the patients ability to even complete the work
Interferes
56
In what patient population is obsessive compulsive personality disorder more common in?
Highly Educated
57
T/F: Obsessive-compulsive personality disorder will ultimately lead to OCD
False It will not
58
What is the mainstay of obsessive-compulsive personality disorder treatment?
Therapy
59
When would SSRIs be beneficial in managing obsessive-compulsive personality disorder?
To help with ritualistic tendencies

Behavioral Medicine (16 decks)

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