Personality Disorders

Question 1

What are key features of personality disorders?

Answer 1

• Not one specific trigger or situation in which dysfunction occurs
• Personal distress or impact on social environment
• Long-standing and enduring

Question 2

What are key features of personality disorders?

Answer 2

• Not one specific trigger or situation in which dysfunction occurs
• Personal distress or impact on social environment
• Long-standing and enduring

Question 3

What can a PD be thought of as?

Answer 3

Difficulty with relationships, or difficulty living with others or onself

Question 4

What must you exclude before diagnosing someone with a PD?

Answer 4

Organic causes (and everything else)

Question 5

What are the three clusters of PDs?

Answer 5

1) Cluster A - odd or eccentric
2) Cluster B - dramatic, emotional, erratic
3) Cluster C - anxious and fearful

Question 6

What four PDs are in Cluster B?

Answer 6

1) Antisocial
2) Emotionally unstable incl. borderline and impulsive
3) Histrionic
4) Narcissistic

Question 7

What three PDs are in Cluster C?

Answer 7

1) Obsessive compulsive
2) Avoidant (anxious)
3) Dependent

Question 8

What three PDs are in Cluster C?

Answer 8

1) Obsessive compulsive
2) Avoidant (anxious)
3) Dependent

Question 9

What are the key features of paranoid personality disorder?

Answer 9

1) Extremely sensitive to criticism
2) Suspicious
3) Holds grudges

Question 10

What are the key features of schizoid personality disorder?

Answer 10

1) Emotional coldness
2) Indifferent to criticism or praise
3) Prefers solitude
4) Preoccupied with “fantasy world”

Question 11

What are the key features of schizotypal personality disorder?

Answer 11

1) Eccentric
2) Seen as odd
3) May express themselves in unusual ways
4) Anxious and paranoid in social situations

Question 12

What are the key features of antisocial personality disorder?

Answer 12

1) No concern for the feelings of others
2) Blames others for everything
3) Does not feel guilt
4) Can form relationships but has difficulty maintaining them
5) May have Hx conduct disorder in childhood

Question 13

What is the core belief of paranoid personality disorder?

Answer 13

People are against me

Question 14

What is the core belief of schizoid personality disorder?

Answer 14

I need plenty of space

Question 15

What is the core belief of schizotypal personality disorder?

Answer 15

The world is a strange place

Question 16

What is the core belief of antisocial personality disorder?

Answer 16

People don’t deserve anything from me

Question 17

What is the core belief of histrionic personality disorder?

Answer 17

I must impress

Question 18

What is the core belief of narcissistic personality disorder?

Answer 18

I am special

Question 19

What is the core belief of emotionally unstable/borderline personality disorder?

Answer 19

I’m defective, helpless, vulnerable, bad

Question 20

What is the core belief of avoidant personality disorder?

Answer 20

I may get hurt

Question 21

What is the core belief of dependent personality disorder?

Answer 21

I am helpless

Question 22

What is the core belief of obsessive-compulsive personality disorder?

Answer 22

I must not make a mistake

Question 23

What is key to differentiating EUPD from BPAD?

Answer 23

Mood swings in minutes rather than weeks

Question 24

What is key to differentiating EUPD from BPD?

Answer 24

Mood swings in minutes rather than weeks

Question 25

What are the key features of narcissistic personality disorder?

Answer 25

1) Believe they are special or different to others and so are more deserving 2) Fragile self-esteem 3) Become upset if ignored 4) Resent other people's success 5) Dismissive of other people's feelings

Question 26

What are the key features of obsessive-compulsive personality disorder?

Answer 26

1) Excessive perfectionism that interferes with the completion of tasks 2) Preoccupation with lists, rules and schedules 3) Rigidity and stubbornness with regard to morals and ethics 4) Extreme pedantry 5) Need for control over relationships and environments

Question 27

What are the key features of obsessive-compulsive personality disorder?

Answer 27

1) Excessive perfectionism that interferes with the completion of tasks 2) Preoccupation with lists, rules and schedules 3) Rigidity and stubbornness with regard to morals and ethics 4) Extreme pedantry 5) Need for control over relationships and environments

Question 28

What are the key features of dependent personality disorder?

Answer 28

1) Allows other to have total responsibility for them 2) Feels unable to care for themselves 3) Feels helpless when alone 4) Needs excessive reassurance and advice re: everyday decisions 5) Feelings of tension and apprehension

Question 29

What are the key features of dependent personality disorder?

Answer 29

1) Allows other to have total responsibility for them 2) Feels unable to care for themselves 3) Feels helpless when alone 4) Needs excessive reassurance and advice re: everyday decisions 5) Feelings of tension and apprehension

Question 30

What can be associated with PD?

Answer 30

1) Upbringing and early life experiences 2) Often Hx of childhood abuse/trauma or difficult early relationships e.g. absent or excessively controlling parents 3) FH of mental health disorders/substance misuse 4) ?neurodevelopmental - antisocial PD

Question 31

Below what age can you not diagnose a PD?

Answer 31

18 - personality still developing

Question 32

What are the 3 Ps needed to diagnose a PD?

Answer 32

Symptoms are... 1) Problematic 2) Persistent 3) Pervasive

Question 33

What is first line treatment for PDs?

Answer 33

Psychological therapy - DBT, MBT etc | Also psychoeducation

Question 34

When can medication be used in PD and can be effective?

Answer 34

If the pt is experiencing other symptoms: 1) Antidepressants if co-existing depression or anxiety 2) Mood stabilisers for impulsivity 3) Antipsychotics to reduce paranoid or if hearing voices

Question 35

When can medication be used in PD and can be effective?

Answer 35

If the pt is experiencing other symptoms: 1) Antidepressants if co-existing depression or anxiety 2) Mood stabilisers for impulsivity 3) Antipsychotics to reduce paranoid or if hearing voices

Question 36

Which PD is more common in women?

Answer 36

EUPD

Question 37

Which PD is more common in men?

Answer 37

Antisocial (high rate in prisoners)

Question 38

What is different between paranoid PD and psychosis?

Answer 38

- Won't hold any delusions | - Doesn't get better with antipsychotics (same with schizotypal)

Question 39

Which PD can overlap with schizophrenia?

Answer 39

Schizotypal