Personality disorders- Cluster B1 Flashcards Preview

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1

What personality disorders are in Cluster B?

Antisocial

Borderline

Histrionic

Narcissistic

2

How do individuals in cluster B often appear?

Dramatic, emotional or erratic

3

What is the personality style of antisocial PD?

Adventerous/non-conforming

4

-disregard for and violating the rights of others

-lying, stealing

-defaulting on debts

-neglect of children or other dependents

Predominant theme of antisocial PD

5

•Lack of regard for society’s moral or legal standards

-an impulsive and risky lifestyle

•Irresponsible, impulsive, and deceitful

•Lack a conscience, empathy, and remorse

Antisocial PD

6

7

•Conduct disorder*, social phobia, generalized anxiety disorder, substance abuse disorders

Comorbid disorders of antisocial PD

8

A pervasive pattern of disregard for and violation of the rights of others, occurring since age ____ years. 

 

What PD is this?

age 15

Antisocial PD

9

1. Failure to conform to social norms- breaks laws

2. Deceitfulness

3. Impulsivity/ failure to plan ahead

4. Irritability/aggresiveness- Fights

5. Recklessness

6. Irresponsible- repeated failure to sustain consistent work behavior or honor financial obligations

7. Lack of remorse

Antisocial PD- diagnostic criteria

10

•The individual is at least age 18y/o

•Evidence of onset before 15y/o

11

Antisocial behavior

illegal or immortal behavior such as stealing, lying or cheating

**antisocial behavior is different than antisocial PD

**can engage in antisocial behavior and not have disorder

12

Poor job performance, academic failure, illegal activities, impulsive behavior, reckless

Additional feature of Antisocial PD

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14

C – cannot follow law

O – obligations ignored

R – remorselessness

R – recklessness

U – underhandedness (secret behavior)

P – planning deficit

T – temper

Antisocial PD

15

Manipulative

Antisocial PD

16

1st line treatment for Antisocial PD

Cognitive behavioral therapy- Help them understand how they are hurting themselves

17

Treatment for Antisocial PD if there is severe aggession- 1st line pharmacotherapy

•Antipsychotics:

1. Risperidone (Risperdal)

2. Olanzapine (Zyprexa)

18

•Carefully, respectfully investigate patient’s concerns and motives

•Communicate directly

•Set clear limits in context of medically indicated interventions

Provider strategies for antisocial behavior

19

What is the personality style of Borderline PD?

Mercurial 

20

•instability of interpersonal relationships, self-image, affects, and control over impulses

Predominant theme of Borderline PD

21

•Central feature is instability

•Difficulty controlling anger

•Feelings of chaos and emptiness

•Thoughts of self-destruction

•Marked impulsivity

Borderline PD

22

•Mood and anxiety disorders, substance abuse disorders

•Paranoid PD, schizotypal PD

Comorbid disorders of Borderline PD

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Instability of interpersonal relationships

Borderline PD

24

Alternating b/w extremes of idealization and devaluation--> "splitting"

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-identitity disturbance

-impulsivity

-recurrent suicidal behavior or self-multilating behavior

26

Inappropriate anger

A feature of Borderline PD

27

Don't want to be alone so will search for companionship no matter how unsatisfactory

Borderline PD

28

A – abandonment

M – mood instability (marked reactivity of mood)

S – suicidal or self-mutilating behavior

U – unstable and intense relationships

I – impulsivity

C – control of anger

I – identity disturbance

D – dissociative or paranoid symptoms that are transient and stress related

E – emptiness

Mmnemonic for Borderline PD

29

Splitting

Borderline PD

AKA- abrupt shifts from idealizing to devaluing caregivers

30

How do you treat Borderline PD?

Psychotherapy: Dialectical Behaior Therapy (DBT) has been shown to be most effective