Personality Disorders, Obsessive-Compulsive and Related Disorders Flashcards

1
Q

pervasive, enduring patterns of thinking, perceiving, reacting, and relating that cause significant distress or functional impairment

A

personality disorders

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2
Q

there are _ types of personality disorders,
grouped into _ clusters

A

10 types
3 clusters

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3
Q

-what personality disorders are included in cluster A
-what are the 2 characteristics of cluster A

A

disorders:
paranoid
schizoid
schizotypal

characteristics:
odd
eccentric

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4
Q

-what are the cluster B personality disorders
-what are the 3 characteristics of cluster B

A

disorders:
antisocial
borderline
histrionic
narcicisstic

characteristics:
dramatic
emotional
erratic

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5
Q

-what are the cluster C personality disorders
-what are the 2 characteristics of cluster C

A

disorders:
avoidant
dependent
obsessive compulsive

characteristics:
anxious
fearful

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6
Q

what 4 personality disorders are not included in the A/B/C clusters

A

-general personality disorder
-personality change due to other medical condition
-other specified personality disorder
-unspecified personality disorder

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7
Q

enduring pattern of inner experience and behavior that deviates markedly from teh expectations of the individual’s culture

A

general personality disorder

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8
Q

general personality disorder is manifested in at least _ of what 4 categories

A

at least 2 of the following:
cognition
affectivity
interpersonal functioning
impulse control

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9
Q

ways of perceiving and interpreting self, other people, and events

A

cognition

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10
Q

the range, intensity, lability, and appropriateness of emotional response

A

affectivity

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11
Q

generalized personality disorder behaviors must meet what criteria (5)

A

-inflexible and pervasive across a broad range of personal/social situations
-cause clincally significant distress/impairment in functioning
-stable and of long duration - traced back to at least adolescence or childhood
-not better explained by other mental disorder
-no attributable to substances or another medical condition

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12
Q

persistent feelings of suspiciousness and mistrust of other ppl

A

paranoid personality d.o

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13
Q

paranoid personality d.o has higher incidence in families with what condition

A

schizophrenia

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14
Q

emotional aloofness, indifferent to praise or criticism w.o bizarre or idiosyncratic thinking

A

shizoid personality d.o

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15
Q

3 key characteristics of schizoid personality d.o

A

-voluntary social withdrawal
-content w. social isolation
-limited emotional expression

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16
Q

t/f: schizoid personality d.o is associated w. schizophrenia

A

f!

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17
Q

3 key characteristics of schizotypal personality d.o

A

-odd eccentric behavior
-discomfort w. social relationships/social and interpersonal deficits
-acute discomfort w., and reduced capacity for, close relationships

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18
Q

4 common characteristics of schizotypal personality d.o

A

-eccentric behavior
-magical thoughts
-odd beliefs
-perceptual distortion

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19
Q

t/f: pt’s w. schizotypal personality d.o are usually unable to function in society

A

f!
they can, but struggle w. relationships

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20
Q

t/f: schizotypal personality d.o is associated w. development of schizophrenia

A

t!

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21
Q

3 key characteristics of antisocial personality d.o

A

-lack of remorse and no concern for others
-disregard for, and violation of the rights of others
-associated w. criminality

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22
Q

does antisocial personality d.o have higher incidence in m or w

A

men!
duh

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23
Q

what do you diagnose your 16 yo patient with who meets dsm 5 criteria for antisocial personality d.o

A

conduct d.o

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24
Q

what should you r.o before diagnosing your pt w. conduct d.o (2)

A

-SUD
-sexual abuse

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25
Q

classic triad of conduct d.o/antisocial personality d.o

A

fire setting
animal torture
bedwetting

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26
Q

what personality d.o do you think of when you see “sociopath”

A

antisocial personality d.o

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27
Q

3 key characteristics of borderline personality d.o

A

-emotional instability
-unstable relationships
-self-harming behavior

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28
Q

is borderline personality d.o mc in m or w

A

w :(

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29
Q

what does “splittng” make you think of

A

defense mechanism for borderline personality d.o

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30
Q

what is “splitting”

A

black and white thinking

ex. relationships are either all good or all bad - “my bf is a perfect angel” or “my bf is evil and i hate him

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31
Q

6 key characterstics of histrionic personality d.o

A

-attention seeking dramatic seductive behaviors
-center of attention
-dramatic
-shallow
-seductive/flirtatious
-large concern w. appearance

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32
Q

5 key characteristics of narcissistic personality d.o

A

-need for admiration
-grandiose thoughts
-concerned what others think
-lack empathy BUT lack empathy
-sense of entitlement

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33
Q

how might a pt w. narcissistic personality d.o react to criticism

A

rage!

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34
Q

key characteristics of avoidant personality d.o

A

-social inhibition
-feelings of inadequacy
-hypersensitivity to negative evaluation

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35
Q

behaviors of avoidant personality d.o must be apparent by _
and present _

A

-early adulthood
-in a variety of contexts

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36
Q

key difference btw avoidant personality d.o and schizoid personality d.o

A

-avoidant desires relationships
-schizoid prefers to be alone

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37
Q

4 key characteristics of dependent personality d.o

A

-submissive
-clingy
-need to be taken care of
-low self-esteem

38
Q

3 key characteristics of obsessive compulsive personality d.o

A

-preoccupation w. order
-perfectionism
-control

39
Q

key difference btw obsessive compulsive personality d.o and OCD

A

-obsessive compulsive personality d.o is ego-syntonic
-OCD is egodystonic

40
Q

what is egosyntonic

A

-pt not aware behavior is causing issues
-behaviors are acceptable to self

41
Q

what is ego dystonic

A

-pt aware that behavior is causing issues
-behaviors are unacceptable to self

42
Q

what are the 2 obsessive compulsive disorders included in the PAEA EOR topic list

A

-OCD
-body dysmorphic d.o

(there are 7 others not included in the blue print - thanks PAEA!)

43
Q

focus on obsessions and repititions of compulsive behavior

A

OCD

44
Q

recurring intrusive thoughts that cause severe distress and impairment

A

obsessions

45
Q

performance of repetitive actions (rituals) in an attempt to neutralize obsessions

A

compulsions

46
Q

OCD is ego__

A

dystonic

it distresses the pt - inconsistent w. pt’s beliefs and attitudes

47
Q

hand washing is a common example of a

A

compulsion

48
Q

primary goal of compulsions

A

to not lose control

49
Q

what condition is associated w. OCD

A

tourette’s disorder

50
Q

what do you think when you see a beautiful woman who complains that her hands are too big, yet they appear well formed and appropriate (weird example Smarty PANCE)

A

body dysmorphic d.o

51
Q

-preoccupation w. an imagined defect in physical appearance/exaggerated distortion of a minor flaw
-obsession w. fixing a specific feature of appearance that is w.o major flaws

A

body dysmorphic d.o

52
Q

5 common concerns associated w. body dysmorphic behavior

A

face
hair
skin
breasts
genitalia

53
Q

body dysmorphic d.o has high comorbidity w. what 2 conditions

A

psychotic d.o
OCD

54
Q

_ may play a role in the development of body dysmorphic d.o

A

stereotypes of beauty

55
Q

mc personality d.o in prison pops

A

antisocial

up to 75%

56
Q

2 socioeconomic factors related to antisocial personality d.o

A

large families
poor urban areas

57
Q

pt w. antisocial d.o may appear _ which can mask symptoms

A

charming

58
Q

4 behaviors associated w. antisocial pd that SMARTY PANCE stresses

A

substance abuse
theft
lying
agression

59
Q

2 characteristics of antisocial pd that SMARTY PANCE stresses

A

-failure to conform to social norms
-lack of remorse for actions

60
Q

what do you think when you see a pt who refuses to attend her holiday work party bc she is afraid her coworkers will not like her - she would like to meet ppl but is too shy to initiate convo

A

avoidant pd

61
Q

what do you think when you see: hypersensitivity to rejection and a desire for social interaction

A

avoidant pd

62
Q

gs management of avoidant pd

A

CBT

63
Q

pharm treatment of body dysmorphic d.o

A

SSRI

64
Q

what do you think when you see a pt who states office staff are incompetent and that you are the only medical provider who has ever understood her (even tho you have only had 1 previous encounter) - when you tell her you can not prescribe her pain meds, she says you are incompetent and storms out

A

borderline pd

65
Q

what do you think when you see a pt who presents w. a suicide attempt and emotional lability

A

borderline pd

66
Q

describe the relationships of a pt w. borderline pd (2)

A

intense
unstable

67
Q

a pt who thanks a doctor profusely and then rages when they don’t get what they want, is an example of

A

splitting -> borderline pd

68
Q

gs tx for borderline pd

A

long-term dialectical behavioral therapy

69
Q

what is dialectical behavior therapy

A

type of talk therapy for pt’s who experience emotions very intensely

70
Q

characteristic of dependent pd that SMARTY PANCE stresses

A

submissive and clinging behavior

71
Q

to pt’s w. dependent pd, other people appear (3)

A

powerful
competent
capable of providing security/support

72
Q

what do you think when you see a pt who: arrives in short skirt, flirts w. you, asks if you like her dress, yells into her cell phone and then cries, and describes her flu sx as if she’s dying

A

histrionic pd

73
Q

3 tactics commonly used by histrionic pd patients

A

-impressionistic speech
-tantrums
-accusations

74
Q

what is impressionistic speech

A

-speaking in a general manner that lacks detail
-instead of focusing on describing what happened, pt talks about how they felt during experience

75
Q

how might a histrionic pd pt view their relationships (2)

A

-deeper and more solid than they are
-serious after limited interaction

76
Q

what do you think when you see a pt who is being worked up for lbp who demands to see the chief neurosurgeon and won’t let anyone else in the room - he says he knows VIPs and you will be in trouble if he waits longer than 5 min

A

narcissistic pd

77
Q

2 characteristics of narcissistic pd that SMARTY PANCE stresses

A

-lack of empathy
-sense of entitlement

78
Q

what do you think when you see: willingness to exploit others and preoccupation w. success

A

narcissistic pd

79
Q

what do you think when you see the following pt: very successful PA student who has become increasingly preoccupied w. failing - wakes up 10-15 x/night to check textbooks for factual recall - has tried unsuccessfully to suppress these thoughts and actions - is now anxious and sleep deprived

A

OCD

80
Q

17 yo boy feels compelled to walk around the house 12 times before leaving to keep his family safe - what other psych phenomenon might be seen in this pt

A

vocal tics

81
Q

tx for OCD (2)

A

CBT
SSRI’s

(or combo)

82
Q

what do you think when you see: PA student struggling w. studies bc she must read every reading assignment 2-3 times - she takes meticulous notes which she color codes and she works poorly in groups bc she can not delegate tasks

A

obsessive compulsive pd

83
Q

characteristics of obsessive compulsive pd that SMARTY PANCE stresses (4)

A

preoccupation w. order and control
need for perfection
over-attention to detail
insistence on rule following

84
Q

what do you think when you see pt who believes coworkers are planning to have her fired and says they talk shit about her when she is not around - she wants to pursue legal action bc they have an intention to harm her

A

paranoid pd

85
Q

what do you think when you see pt who lives alone in a cabin on several acres of land - he rarely interacts w. family or community - he does not feel lonely

A

shizoid pd

86
Q

tx for schizoid pd

A

no tx required

87
Q

how do shizoid pd patients commonly appear to others

A

cold
unfeeling

88
Q

how do shizoid pd pt’s respond to praise or criticism

A

indifferent

89
Q

what do you think when you see pt who recently quit her job to start a small business bc spirits told her to sell trinkets, each of which has a unique power - she dresses strangely and has hard time making friends bc of strange behavior

A

schizotypal pd

90
Q

key differentiating factors btw schizotypal pd and schizophrenia

A

-shizoid can fxn in society and care for self
-schizoid does not respond to internal stimuli
-schizoid do not experience visual/auditory hallucinations

91
Q

t/f: schizotypal pd patients struggle with relationships

A

t!