Personality Disorders

Question 1

What is personality?

Answer 1

a cluster of relatively predictable patterns of thinking, feeling and behaving that is generally consistent across time, space and context

Question 2

What are the five factors of personality?

Answer 2

neuroticism; openness; conscioutiousness; extraversion and agreeableness (OCEAN)

Question 3

What is neuroticism?

Answer 3

worry,anxiety

Question 4

what is a personality disorder?

Answer 4

an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individuals culture and is inflexible and pervasive leading to signif distress/ impairment; early onset

Question 5

What areas must persaonlity disorder be manifested in at least 2 of?

Answer 5

cognition; affectivity; interpersonal functioning; impulse control

Question 6

What is anakastic personality disorder?

Answer 6

obsessional; feelings of excessive oubt and catuion; preoccupation with details, rules etc; perfectionism that interferes with task completetion; extreme conscientousness; preccupation with productivity; rigidity and stubbornness; unreasonable insistence that otehrs submit to their way of doing things

Question 7

What are episodic behaviours more likely to be related to?

Answer 7

affective disorder

Question 8

What is the difference between a persoanlity trait and a disorder?

Answer 8

only disorder if it is pervasive and causes distress and /or impairment of functioning in most areas

Question 9

What is the prevalence of persoanlity disorder?

Answer 9

10%

Question 10

What is the difference between OCD and anankastic personality disorder?

Answer 10

in PD they agree with themselves, what they do is correct and not excessive whereas in OCD patient recognises it as unnecessary

Question 11

What is the proportion of psych outpatient with a persoanlity disorder?

Answer 11

1in 3

Question 12

What is hte proportion of psych inpatient with a personality disorder?

Answer 12

1 in 2

Question 13

What are cluster A personality disorders? o

Answer 13

odd and eccentric

Question 14

What is paranoid PD

Answer 14

a pervasive distrust and suspeiciousness of others such taht their motives are interpreted as malevolent, beginnning by early adulthood and present in a variety of context

Question 15

What are the speicifc features of paranoic PD?

Answer 15

1-suspects without basis that others are exploiting, harming or deceiving them; 2-preoccupied about loyalty or trustworthiness of friends; 3- reluctant to confide in others in case info used malciously; 4-reads hidden demenaing/threatening meaning into beningn remarks/events; presistently bears grudges; perceives attacks on character and reacts quickyl with anger; recurrent suspciousn reagrding fidelity of partner

Question 16

What is schizoid PD?

Answer 16

pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts

Question 17

What are the features of schizoid PD?

Answer 17

neither desires or enjoys close realtionships, including being part of a familty; almost always chosses solitary activites; little sexual interest; takes pleasure in few activities; lacks close friends or confideants; appears indifferent to praise or criticism of others; emotional coldness, detachment or flattened affectivity

Question 18

What are the types cluster A PD?

Answer 18

schizoid ; paranoid

Question 19

What are the cluster B PD?

Answer 19

dramatic and emotional

Question 20

What is antisocial PD?

Answer 20

pervasive pattern of disregard for and violation of the rights of others, occuring since age 15 years

Question 21

What are the features of antisocial PD?>

Answer 21

failures ot conform to social norms with respect olawful behaviours; deceitfulness- repeated lying, aliases or conning for profit/pleasure; impulsivity or failures to plan agead; irritability and aggressivenss; reckless disregard for safety of self or tohers; consistent ireesponsibility; lack of remorse

Question 22

What is borderlines PD?

Answer 22

pervasive pattern of instability of interpersonal relationships;; self-image and affects, and marked impulsivity beginning by early adulthood

Question 23

What are the features of borderline PD?

Answer 23

frantic efforts to avoid abandonment; pattern of unstable and intense interpersonal relationships; markedyl unstable self-image or selnse of self; impuslivity in 2 self-damaging areas; recurrent suicidal behaviour; gestures or threats or self-harm; affective instability due to marked reactivity of mood; chronic feelings of emptines; difficulty controlling anger; stress-realted paranoid ideation or sever dissociative symptoms

Question 24

What is histrionic PD?

Answer 24

pervasive pattenr of excessive emotionality and attention seeking beginnning by early adulthood

Question 25

What are the features of histrionic PD?

Answer 25

uncomfortable in situations where not centre of attetnion; interaction with others is usualy inappropriate sexually seductive or provocative behviour; rapidly shifting and shallow expression of emotions; consistently uses physical appearnace to draw attetnion; speech style is lacking in detail and impresssionistic; self-dramatization; suggestible; considers relationships to be more intimate than they arw

Question 26

What are the types of Cluster B PDs?

Answer 26

borderline PD; histrionic PD; antisocial PD

Question 27

What are cluster C PDs?

Answer 27

anxious and avoidant

Question 28

What is avoidant PD?

Answer 28

pervasive pattern of social inihibition; feelings of inadequacy and hyperesneitivity to negative eval

Question 29

What are the features of avoidant PD?

Answer 29

avoids occupational activities involving interpersonal contact; unwilling to get involved with people unless certain of being liked; restraint in intimate relationships; preoccupied with being criticed or rejected; inhibited in new interpersonal sitations due to feelings of inadequcy; self is socially inept or inferior; relucatant to take presonal risks

Question 30

What is dependent PD?

Answer 30

pervasive and excessive need to be taken care of that leads to submissive and cliniging behvaiour nad fears of sepration

Question 31

What are the features of dependet PD?

Answer 31

difficulty making everyday deicisons without advice and reassurance; needs others to assume responsibility to most areas; difficulty expressing disagreement; initiating projects difficult on own; excessive lenghts t obstain nurtrance and support from others; feels helplesss or uncomfortable when alone; seeks another relationship urgently if one ends; preoccupied with fears of being left to ake care of self

Question 32

What is obsessive compulsive PD also known as?

Answer 32

anankastic PD

Question 33

What is the difference between antisocial PD and psychopathy?

Answer 33

antisocial PD is largely based on behaviour, whilst psychopathy describes a set of deficits in emotional and cognitive functioning

Question 34

What is the treatment for avoidant PD?

Answer 34

social skills training; sntidepressants

Question 35

What si the treatment for borderline PD

Answer 35

dialectical behavioural therapy; mentalisation

Question 36

What drugs may be effective for comorbid atypical depression and bordeline PD?

Answer 36

MAOIs