Personality disorders Flashcards Preview

Psychiatry exam 2018 > Personality disorders > Flashcards

Flashcards in Personality disorders Deck (12)
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1
Q

Definition of personality disorder

A

Extreme, maladaptive manifestations of common personality traits, which cause difficulties in social behaviour, emotional functioning and ability to control impulses

2
Q

Severity of personality disorders

A

Can be minor and affect only 1-2 aspects of life or affect every area of it

3
Q

Types of personality disorders

A

Grouped into 3 clusters (A, B and C)

4
Q

Cluster A personality disorder

A

Paranoid, schizotypal and schizoid personality disorders

  • Usually odd or eccentric
  • Usually avoid close relationships
5
Q

Cluster B personality disorder

A

Narcissistic, histrionic and borderline personality disorders

  • Dramatic, attention seeking, and often unpredictable behaviour and emotional life
  • Egocentric, disregarding other peoples feelings and needs
6
Q

Cluster C personality disorder

A

Avoidant, dependent and obsessive-compulsive personality disorders

  • Chronic anxiety
  • Fearful thinking
  • Negative or unstable self-image
7
Q

Most common characteristics of borderline personality disorder (3)

A

1) Instability
2) Impulsiveness
3) Excessiveness
* *High suicidal risk**

8
Q

Typical feelings/behaviour of borderline personality disorder

A
  • Negative self-image (unlovable, unworthy, guilty)
  • Instable emotions, changes with environment
  • Self-harm
  • Chronic feeling of emptyness
9
Q

Borderline personality commonly seek medical attention for

A

1) Constant conflicts with their family members
2) Relationship crises
3) Impaired functioning at school or at work
4) Substance abuse
5) Mood disorders
6) Eating disorders
7) Suicidal attempts

10
Q

Diagnosis BPD

A
  • Typical symptoms that lead to problems in social and occupational life
  • Psychological tests (MMPI, SCID-II)
11
Q

Treatment BPD

A

1) Psychotherapy
- DBT (Dialectical behaviour therapy) is common
- MBT (mentalisation based therapy)
- Young Schema therapy
- Interpersonal therapy
- TFP (transference-focused psychotherapy)

12
Q

TFP priorities in order of severity

A
  1. Suicidal and self-destructive behaviors
  2. Homicidal impulses or actions; threatening the therapist
  3. Lying or withholding of information
  4. Poor attendance at therapy sessions
  5. Substance abuse
  6. Coming to sessions in an altered state of consciousness
  7. Uncontrolled eating disorder
  8. Excessive telephone calls or other intrusions into the therapist’s life
  9. Not paying the fee, or arranging to be unable to pay
  10. Seeing more than one therapist simultaneously
  11. Wasting time in session; trivialization
  12. Problems created external to the sessions that obstruct the conduct of the therapy
  13. A chronically passive lifestyle that, although not immediately threatening, would defeat any therapeutic effort toward change in favor of the continued secondary gain of illness