Personality Disorders- Cluster A Flashcards Preview

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Flashcards in Personality Disorders- Cluster A Deck (34)
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1

What personality disorders are in cluster A?

1. Paranoid

2. Schizoid

3. Schizotypal

2

How  might individuals in cluster A appear?

Odd and eccentric

3

What is the personality style of Paranoid PD?

independent/vigilant

4

What is the predominant theme of Paranoid PD?

Distrust and suspiciousness of others such that their motives are interpreted as malevolent

5

- frequently get defensive during interactions w/ others

-refuse responsibility for their feelings and assign responsibility to others 

-suspicious

-constantly on guard

Paranoid PD

6

- Major depressive disorder (MDD)

- Substance abuse

-Agoraphobia

- OCD

-Borderline PD

-Narcissistic PD

Comorbid disorders associated with Paranoid PD

7

What is the treatment of choice for Paranoid PD?

Psychotherapy- individual client centered therapy focused on building rapport/counter negative thinking

8

  • •Often hostile, angry, and irritable
  • •Inability to relax 
  •  need to scan the environment for clues
  • •Manner is humorless and serious
  • •Speech is goal directed and logical in their arguments

9

S – spouse is cheating suspected

U – unforgiving / bears grudges

S – suspicious of others

P – perceives attacks and reacts quickly

E – enemy in everyone → suspects associates, friends

C – confiding in others feared

T – threats seen in very benign events

Paranoid PD

10

11

What is pharmacotherapy for Paranoid PD mainly used for?

agitation or anxiety (Rx anti-anxiety agents like Buspirone, hydroxyzine, clonazepam)

 

Pharmacotherapy also targeted at comorbid disorders

12

What can be used in Paranoid PD if pt decompensates into severe agitation or delusional thinking?

Haloperidol (Haldol)

13

What are some provider strategies for interacting with patients who have paranoid PD?

•be empathetic towards fears

•Give detailed care plan. Give info about risks of tx

•Maintain patient’s independence when possible, optimize the patient’s control

•Utilize a professional, objective stance

14

What is the personality style of Schizoid PD?

Solitary

15

What is the predominant theme of Schizoid PD?

Detachment from social relationships and restricted range of expression of emotions in interpersonal settings, beginning in early adulthood

16

React passively to adverse circumstance

Schizoid PD

17

•Major depressive disorder (MDD), anxiety disorders, schizophrenia, delusional disorders

•Paranoid PD, schizotypal PD, avoidant PD

Schizoid PD

18

•Doesn't want/enjoy close relationships

•Chooses solitary activities.

•Has little interest in having sexual experiences with another person.

 

Some diagnostic criteria (DSM 5) for Schizoid PD

19

•Takes pleasure in few activities.

•Lacks close friends other than first-degree relatives.

• indifferent to the praise or criticism of others.

•Shows emotional coldness, detachment, or flattened affectivity.

Some diagnostic criteria (DSM 5) for Schizoid PD

20

21

Dpesn't occur exclusively during the course of schizophrenia, a bipolar disorder or depressive disorder with psychotic features

Diagnostic Criteria (DSM5) for Schizoid PD

22

•Rarely tolerates eye contact

•Speech is goal-directed

-Difficulty expressing anger--> makes it seem like they lack emotion

•Brief psychotic episodes in time of stress

23

Schizoid PD- Proverb interpretation

Proverb interpretation is abstract

24

Treatment of choice for Schizoid PD

psychotherapy

25

When are people with schizoid PD likely to seek treament

only if they are under increased stress or pressure in their life

Tx short term, pt will likely terminate

26

What is pharmacotherapy targeted at in a person with schizoid PD

at comorbid disorders

27

Provider strategies for Schizoid PD

-pt privacy

-low key

-focus on technical elements of tx

28

What is the personality style of Schizotypal PD?

idiosyncratic

29

•social and interpersonal deficits marked by acute discomfort and reduced capacity for close relationships as well as:

- cognitive or perceptual distortions

-eccentric behavior

Predominant theme of Schizotypal PD

30

•Involves odd beliefs, behavior, appearance, and interpersonal style

•Not able to negotiate the full range of affects and interpersonal cuing required for successful relationships

Schizotypal PD