Psych Written - Personality Disorders

Question 1

Clister A personality disorders

Answer 1

‘Weird’

Schizoid

Paranoid

Schizotypal - not a PD in ICD-11 (included under ‘SCZ-like’ disorders)

Question 2

Cluster B personality disorders

Answer 2

‘Wild’

Borderline / Emotionally unstable

Histrionic

Antisocial

Narcissistic (not included in ICD-11)

Question 3

Cluster C personality disorders

Answer 3

‘Wacky’

(Anxious) avoidant

Dependent

Obsessive-compulsive / anankastic

Question 4

Diagnostic criteria for a PD

Answer 4

Personality trait fulfils the 3 Ps:

• persistent: emerges in childhood/adolescence, endured into adulthood
• pervasive: occurs in most (if not all) areas of life
• pathological: causes distress, affects relationships, impairs social/occupational functioning

over extended period (usually >2 years)

Question 5

Diagnostic criteria for a PD

Answer 5

Personality trait fulfils the 3 Ps:

• persistent: emerges in childhood/adolescence, endured into adulthood
• pervasive: occurs in most (if not all) areas of life
• pathological: causes distress, affects relationships, impairs social/occupational functioning

over extended period (usually >2 years)

Question 6

Tx of PD

Answer 6

Bio:

• no licensed medication
• trialled if distressing Sx
• antipsychotics reduce pseudo hallucinations in BPD, impulsivity & aggression
• antidepressants reduce impulsivity & anxiety
• mood stabilisers improve fluctuations
• sedatives / anxiolytics short term as part of crisis plan

Psycho:

• CBT
• dialectical
• cognitive analytical therapy
• mentalisation based therapies
• therapeutic communities
• psychodynamic & psychoanalytic psychotherapy

Social:

• psychoeducation (client + family)
• crisis planning
• transitional care e.g. CAMHS –> adult