Personality Disorders - Hill/FA Flashcards Preview

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Flashcards in Personality Disorders - Hill/FA Deck (16):
1

Severe distrust of people, including spouse and physicians. Always suspicious, thinking that everyone is out to get them. Can't confide info in anyone. Hidden meaning behind everything.

Paranoid

2

Voluntary withdrawal from society, does not like people, perfectly ok with isolation. Hasn't seen a doc in a long time.

Schizoid

3

Eccentric, odd beliefs in paranormal or magical things, not delusional but just odd. Isolated. Excessive social anxiety. Awkward w/ people.

Schizotypal

4

Male 18+ with history of conduct disorder as a kid. Disregard for rights of others, criminality, impulsivity. Lack of remorse.

If younger than 15?

Antisocial

Conduct disorder

5

Woman, frantically avoiding expected abandonment. Very unstable mood, intense reactions to things, manipulative, impulsive in self-damaging things, suicidal thoughts and actions, feeling of emptiness. Self-mutilation. Was a victim of abuse as a child.

Coping mechanism? What is it?

Treatment?

Borderline

Splitting - wildly-changing opinions of people, moving from one person to the next

DBT (dialectical behavior therapy)

6

Very emotional and excitable, seeking attention, sexually provocative, emotionally labile, dramatic descriptions of symptoms, overly concerned with appearance

Histrionic

7

Entitled, egomaniac, no empathy, always needing admiration. Rage when criticized. Envy of others yet exploitation of them.

Narcissistic

8

Anxious and fearful, hypersensitive to rejection, little social life, feels inadequate, desires relationships

Avoidant

9

Submissive, clingy, can't make decisions w/o guidance and reassurance, helpless when alone, always looking for a new relationship once one ends

Dependent

10

Perfectionist, needing order and control, little flexibility or openness, very strict and consistent about their morals/ethics/values. Stingy, stubborn.

Obsessive-compulsive (NOT OCD)

11

Woman, history of sexual abuse, 2+ identities or personality states

Dissociative identity disorder

12

Psychodynamic psychotherapy

Examining how people perceive events, why they do so, and facilitating the development of more adaptive modes of perception and response to situations, etc

13

Cognitive behavior therapy (CBT)

Dealing w/ how people think about their world and their perception of it

14

Dialectical behavior therapy (DBT)

Developing coping skills to improve affect stability and impulse control, reducing self-harmful behavior

15

Drug for impulse control

Drugs for psychotic attacks w/in a personality disorder

Valproate

Atypical antipsychotics

16

Why do people w/ borderline disorder self-mutilate?

Release of endorphins - sense of relief from pain/agony