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Psychiatry Year 3 Dundee > Personality disorders > Flashcards

Personality disorders Flashcards

(64 cards)

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1
Q

What is someones personality?

A

Relatively predictable patten of thinking, feeling and behaving. That is relatively consistent across time space and context.

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2
Q

What are the five factors of someones personality?

A 
Openness
Conscientiousness 
Extraversion
Agreeableness
Neuroticism
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3
Q

What is openness?

A

Imagination
Feelings
Actions
Ideas

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4
Q

Openness scale

A

Prefers routine , practical Vs Imaginative spontaneous

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5
Q

What is Conscientiousness ?

A

Competence
Thoughtfulness
Self discipline
Goal driven

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6
Q

Conscientiousness scale

A

Impulsive, disorganised Vs Disciplined , careful

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7
Q

What is Extraversion?

A

Emotional expression
Assertivness
Sociability

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8
Q

Extraversion scale

A

Quiet reserved withdrawn Vs Outgoing warm seeks adventure

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9
Q

What is Agreeableness?

A

Co-operativness
Trustworthy
Goodnatured

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10
Q

Agreeableness scale

A

Critical Uncooperative suspicious Vs Helpful trusting empathetic

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11
Q

What is neuroticism?

A

tendency towards unstable emotions

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12
Q

Neuroticism scale

A

Calm, even tempered, secure Vs Anxious, unhappy pessimistic

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13
Q

What is a disorder of adult personality?

A

Individual characteristic and enduring pattern of inner experience and behavior that deviates markedly from what is culturally accepted.

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14
Q

How is a adult personality disorder manifested?

A

Cognition
Affectivity
Impulse control
Interpersonal functioning

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15
Q

In order to be a adult personality disorder it must…

A

Be a pervasive behaviour that is inflexible and dysfunctional
Cause personal distress or adverse impact socially
Stable and long term - onset in childhood
Not a consequence of another mental disorder,

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16
Q

What are two assessment scales used in personality disorders?

A

Personality assessment schedule PAS

Personality Disorder Questionnaire PDQ-4

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17
Q

What is PAS?

A

Clinician rated assessment tool

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18
Q

What is PDQ-4?

A

Self assessed 100 question all true or false

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19
Q

What percentage of the population have a disorder?

A

10.6%

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20
Q

What are Cluster A disorders described as?

A

Odd and Eccentric

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21
Q

List the Cluster A disorders.

A

Paranoid
Schizoid
Schizotypal

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22
Q

Paranoid PD

A

Excessive sensitivity to setback
Tendency to bear grudges
Suspiciousness tendency to see friendly actions as hostile
Combative sense of personal rights outside of situation
Recurrent unfounded suspicion about fidelity of partner
Excessive self importance
Conspiracy theories

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23
Q

How many traits are required for a diagnosis of paranoid PD?

A

4

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24
Q

Schizoid PD

A 
Few activities provide pleasure
Emotional coldness
Limited emotional expression 
Indifference to feedback
Little sexual interests
Solitary 
Fantasy preoccupation
No desire for close friends
Marked insensitivity for social norms
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25
What other condition does Schizoid PD have lots of overlap with?
Autism
26
Schizotypal PD
``` Idea of reference Belief in magic etc Bodily illusions Odd thinking and speech Paranoid ideation Innapropraite affect Lack of close friends Excessive social anxiousness ```
27
How many traits are required for a schizotypal diagnosis?
5 or more
28
Cluster B personality disorders are often described as....
Dramatic | Emotional
29
Dissocial PD
``` Callousness Irresponsible disregard for social norms Frequent but short relationships Very low tolerance for frustration or anger Incapacity to experience guilt Marked proneness to blame others ```
30
How many traits are required for a dissocial diagnosis?
3
31
What is the difference between dissocial PD and psychopathy?
PD is largely based on behaviour whilst psychopathy is down too cognitive and emotional function.
32
Psychopathy can be broken down into what?
Factor 1 - Interpersonal/ Affectivity | Factor 2 - Social deviance
33
What is Factor 1 in Psychopathy?
Interpersonal - superficial charm self worth pathological lying, manipulativeness. Affectivity - Lack of guilt, shallowness, apathetic, blame others
34
What is Factor 2 in Psychopathy?
Lifestyle - Prone to boredom, paracitic, lack of realistic long term goals, impulsive and irresponsible Antisocial - Poor control, early juvenile delinquency, criminal versatility
35
Emotionally unstable Impulsive PD
``` Impulsive Quarrelsome especially if plans are thwarted Sudden outburst of anger or violence Require immediate reward Unstable mood ```
36
Cluster B Personality Disorders are...
``` Dissocial Emotionally unstable - Impulsive Emotionally unstable - Borderline Histrionic Narcissistic ```
37
How many traits are required for a EU impulsive diagnosis?
3 of
38
Emotionally Unstable Borderline PD
``` Disturbance in and uncertainty around self image Intense and unstable relations Excessive efforts to avoid abandonment Recurrent threats and acts of self harm Chronic feelings of emptiness ```
39
How many traits are required for an EU Borderline diagnosis?
Must have impulsive diagnosis | 2 off of list
40
Histrionic PD
Self dramatisation Sugestive Shallow inappropriately seductive in appearance and behaviour Overly concerned with physical attractiveness Seeks to be centre of attention
41
Narcissistic PD
Self importance Fixation on fantasies of success control wealth and beauty Self entitled Apathetic Interpersonally oppressive Belief others resent them as they can not be like them
42
How many traits are required for a Narcissistic PD diagnosis?
5
43
What are Cluster C PD also known as?
Anxious and Avoidant
44
Anxious PD
Persistent and pervasive tension and apprehension Belief oneself is socially inept and inferior Excessive preoccupation around rejection and criticism Unwillingness to get involved due to fear of rejection Restriction on life due to need for security
45
Dependant PD
Encourage and allow others to pursue life at own expense Unwillingness to make reasonable requests to those they are close to Fear of being alone and fending for themselves Constant need for reassurance on decisions
46
How many traits do you need for an Anxious PD diagnosis?
4
47
How many traits are required for a dependant PD diagnosis
4
48
Is medication used for the treatment of PD?
No it isn't | Medication is targeted towards treating specific symptoms.
49
What antipsychotics are used in the treatment of PD?
Olanzapine | Haloperidol
50
What are Olanzapine and Haloperidol used for?
Help reduce the suspicion in Cluster A PD
51
What medication is used for impulsivity and aggression difficulties?
Antidepressants SSRIs
52
SSRIs are used in which PDs?
Borderline and Antisocial PDs
53
What mood stabilisers are used in the treatment of PDs?
Lamotrigine
54
Lamotrigine is used in the treatment of what?
Emotionally unstable disorder | Unstable mood and impulsivity
55
Antidepressant have what affect if used in cluster C PDs?
Help reduce anxiety
56
What is used in the management of Anxious PDs?
Social skill training to help improve self efficacy
57
What psychological therapy is used in Emotionally unstable PD?
Dialectical Behavioural therapy
58
What is Dialectical Behavioural Therapy?
Learning to accept and regulate emotions Acceptance of oneself and make positive changes Learning new skills to replace harmful behaviour Mindfulness Distress tolerance Emotional regulation
59
What medication is used in Emotionally unstable PD?
Olanzapine Topiramate (Anger and Aggression) Phenetzine (Hostility)
60
What is Phenetzine?
MAOI
61
What is Topiramate?
Used in migraine prophylaxis and epilepsy treatment
62
What is Mentilization based therapy?
Focus on what is going on inside own mind and those around you. Goal is to better understand and control your impulses emotions and behaviours to improve relations
63
When should impatient care be used?
Only in emergency to save their life. | Serious risk of suicide or medication changescant be managed in an outpatient setting.
64
Inpatient care of PD.
At best has no effect at worst has a serious negative impact, life saving if used judiciously.

Psychiatry Year 3 Dundee (21 decks)

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