Psychiatric & Personality Disorders Flashcards
1
Q
- occupied by details, rules, lists etc
- perfectionism
- dedicated to work
- meticulous about etiquette etc
- can’t dispose of insignificant/worn out things
- unwilling to pass on tasks to others
- stingy with spending money
A
Obsessive-compulsive PD
2
Q
- hypersensitive to insults
- unforgiving attitude
- questions loyalty of relationships
- inability to confide in others
- conspiratorial beliefs
- tendency to perceive attacks on their character
A
Paranoid PD
3
Q
- indifference to praise/criticism
- preference for solitary activities
- lack of interest in sexual interactions
- lack of desire for companionship
- emotionally cold
- few interests
- few confidants/ close friends
A
Schizoid PD
4
Q
- ideas of reference
- odd/magical beliefs
- unusual perceptual disturbances
- paranoid ideation
- odd eccentric behaviour
- lack of close friends
- odd speech
A
Schizotypal PD
5
Q
- difficulty making decisions without reassurance
- need for others to be responsible for things
- difficulty in disagreeing (fear of losing support)
- lack of initiative
- fear of having to care for themselves
- urgent search for a relationship when another ends
- seeks extensive support from others
A
Dependent PD
6
Q
- inappropriate sexual seductiveness
- needs to be centre of attention
- rapidly shifting emotions
- suggestibility
- physical appearance used for attention
- impressionistic speech lacking detail
- self dramatisation
- relationships considered more intimate than they are
A
Histrionic PD
7
Q
- grandiose sense of self importance
- preoccupation with fantasises of power/ success
- sense of entitlement
- takes advantage of others to achieve own needs
- lack of empathy
- excessive need for admiration
- chronic envy
- arrogant and haughty attitude
A
Narcissistic PD
8
Q
- failure to conform to social norms
- unlawful behaviour
- commonly male
- lying, use of alias,
- impulsive
- irritable and aggressive
- violence
- disregard for safety
- irresponsibility
A
Antisocial PD
9
Q
- avoidance of interpersonal interaction
- fear of being rejected in social situations
- restraint in intimate relationships
- reluctance to take personal risks
- views self as inferior and inept
A
Avoidant PD
10
Q
- unsustainable interpersonal relationships
- unstable self image
- impulsivity (spending, sexual, substance abuse)
- self-harm
- affective instability
- chronic feeling of emptiness
- difficulty controlling temper
A
Borderline PD
11
Q
Management of Borderline PD
A
Dialectical behavioural therapy
12
Q
- multiple physical symptoms for 2 years
- refusal to accept reassurance/ negative results
A
Somatisation Disorder
13
Q
- fraudulent simulation or exaggeration of symptoms
- intention of gaining something
A
Malingering
14
Q
Presence of obsessions and compulsions
- intrusive thoughts, images or urges (obsessions)
- urges to perform repetitive behaviour (compulsions)
“Repeating phrases in mind”
“Locking all doors”
A
Obsessive compulsive disorder (OCD)
- 30% have depression
- 3% have schizophrenia
15
Q
Management for mild OCD
A
1st
- CBT
- Exposure & response prevention
2nd
- SSRI (Sertraline)
