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Y5 Psych > Personality Disorders & Forensics > Flashcards

Personality Disorders & Forensics Flashcards

1
Q

define a personality disorder

A

marked disturbance in personality functioning, which is nearly always associated with considerable personal and social disruption

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2
Q

define personality

A

an individual’s characteristic way of behaving, experiencing life and of perceiving and interpreting themselves, other people, events, situations

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3
Q

central manifestations of PD

A

impairments in:
- aspects of the self
- problems in interpersonal functioning

which are manifested in maladaptive patterns of cognition / emotional experience / emotional expression / behaviour

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4
Q

how does PD affect life

A

causes distresss /significant impairment in personal / family / social / educational / occupational / other important areas of functioning

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5
Q

a presentation can not be described as PD if it is..

A

developmentally appropriate
explained primarily by social or cultural factors

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6
Q

diagnostic requirements of PD

A

problems in self / interpersonal functioning
persistent over extended period of time
cognitive / emotional experience / emotional expression / behaviour that is maladaptive
seen across a range of personal / social situations
associated with distress / dysfunction

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7
Q

exclusion criteria of PD

A

sx due to medication / substance effects / other medical or psych condition
developmentally appropriate
explained by social / cultural factors including socio-political conflict

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8
Q

difference between moderate and severe PD categories

A

moderate = some impairment / harming features
severe = global impairment of social / cognitive / behaviour / emotion

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9
Q

what is personality difficulty

A

traits of PD but not pervasive course

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10
Q

PD groups

A

A = odd, eccentric
B = dramatoc, emotional, erratic
C = anxious / fearful

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11
Q

A PDs

A

paranoid
schizoid
schizotypal

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12
Q

B PDs

A

antisocial
boderline
histrionic
narcassitic

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13
Q

C PDs

A

avoidant
dependent
Obessive compulsive

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14
Q

features of paranoid PD

A

excessive sensitivity to setbacks / criticism
suspicious
perceive others as hostile / contemptuous
easily feel rejected
hold grudges
excessive self importance

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15
Q

features of schizoid PD

A

withdraw from affectional / social / other contacts
emotionally cold
preference for fantasy, solitary activities, introspection
limited capacity to express feelings and experience pleasure

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16
Q

features of schizotypal PD

A

inapprorpriate / constricted affect
socially withdrawn
behaviour / apperance that is cold / eccentric / perculiar
odd beliefs / magical thinking, influencing behaviour and inconsistent with subcultural norms
suspiciousness or paranoid ideas
unusual perceptual experiences inc bodily illusions, depersonalisation, derealisation
occasional transient quasi-psychotic episodes with illusions / hallucinations

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17
Q

what is schizoid PD similar to

A

ASD

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18
Q

difference between schizoid and schizotypal

A

schizotypal is part of schizophrenia
has positive symptoms of schizophrenia

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19
Q

features of antisocial PD

A

persistent disregard for morals, social norms, rights of others
callous about feelings of others
low tolerance to frustration
aggressive
frequent offenders
impulsive
lack of remorse
behaviour not modifiable by adverse experience

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20
Q

difference between schizotypal and schizophrenia

A

phrenia has delusions (FIXED)

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21
Q

EUPD features

A

difficulties managing emotions / behaviours
impulsive with consideration of consequences
unpredictable mood
emotional instability
lack of impulse control
chronic feelings of emptiness
intense / unstable interpersonal relationships

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22
Q

histrionic PD features

A

shallow and labile affect
self dramatisation / theatricality / exaggerated expression of emotions
seeking appreciation / excitement / attention
self centred
lack of consideration of others

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23
Q

narcissistic PD features

A

gradiosity with expectations of superior treatment from other people
fixation on fantasies of power / success / intelligence / attractiveness
self perception of being unique / superior
associated with high status people and institutions
need for continual admiration from others

24
Q

avoidant PD features

A

feelings of tension / apprehension
insecurity / inferiority
continuous yearning to be liked and accepted
hypersensitivity to rejection / criticism
restricted personal attachments
tendency to avoid certain activities by habitual exaggeration of potential dangers or risks in everyday situations

25
Q

dependant PD features

A

pervasive passive reliance on other to make decisions
great fear of abandonment
feelings of helplessness and incompetence
passive compliance with wishes of elders / others
weak response to demands of daily life

26
Q

obsessive compulsive PD features

A

feelings of doubt
perfectionism
excessive conscientiousness
checking / preoccupation with details
stubbornness / caution / rigidity
insistent and unwelcome thoughts or impulses that do not attain the severity of OCD

27
Q

Tx of PDs

A

psychological therapy
psychotropic medication

28
Q

psychological therapy types

A

MBT - metallisation based therapy
CBT
DBT - dialectical behavioural therapy
dynamic psychotherapy
cognitive analytical therapy
therapeutic community

29
Q

MBT length

A

1.5 years

30
Q

MBT use

A

EUPD

31
Q

MBT features

A

interpersonal
think before they react
think about other peoples emotions

32
Q

CBT use

A

avoidant / dependent PD
anxiety / depression

33
Q

DBT use

A

reduced impulsivity and self harm
EUPD

34
Q

DBT length

A

over 1 year

35
Q

CBT length

A

12 - 20 sessions

36
Q

dynamic psychotherapy features

A

long therapy
looks at relationship between pt and therapist
looks at early childhood relationships

37
Q

Cognitive analytical therapy features

A

how others relate to you and how you relate to others

38
Q

therapeutic community features

A

lots of people with illness come together to talk about their illness and do activities
like AA for alcoholics

39
Q

what meds are licensed in PD

A

NONE - they are used off label

40
Q

type of meds used in PD

A

antidepressants - if comorbid depressant sx
low dose antipsychotics
mood stabilisers
sedatives - short term for sleep issues

41
Q

which personality cluster is most benefitted by psychotherapy

A

B

42
Q

what meds can be used in rapid tranq

A

IM lorazepam +/- IM haloperidol

43
Q

when do you use rapid tranq

A

is oral refused and patient is very agitated

44
Q

monitoring in rapid tranq

A

BP/HR/RR every 5 mins
temp every 30 mins
observe for evidence of dystonia

45
Q

things to look out for in rapid tranq

A

QT prolongation and cardiac problems

46
Q

what is seclusion

A

supervised confinement and isolation of a patient, away from other patients, in an area from which the patient is prevented from leaving, where it is of immediately necessity for the purpose of the containment of severe behavioural disturbance which is likely to cause harm to others

47
Q

% of crimes committed by mentally unwell people

A

10
–> mentally ill ppl more likely to be victims !

48
Q

what is the tool used to assess risk of violence

A

HCR 20

49
Q

what tool is used to assess psychopathic traits

A

PCL-R

50
Q

requirements for clozapine

A

tried 2 other anti psychotics with no effect

51
Q

spice intoxication effects

A

psychosis, confusion, aggression, collapse, arrhythmias

52
Q

is spice addictive?

A

YES

53
Q

what is the earliest age someone can be said to have PD

A

18

54
Q

conduct disorder vs oppositional defiance disorder

A

CD is more extreme version of ODD

55
Q

what is dissociality of PD

A

disregard fro rights / feelings of others
sense of entitlement
lack of empathy
usually have conduct disorder in the past

Y5 Psych (10 decks)

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