Psychiatry: Personality Disorders Flashcards
(26 cards)
What are Personality Traits
Fixed patterns of behavior/ways of interacting with the environment
Pt is often aware of their own traits
What are Personality Disorders
Fixed patterns of behavior/ways of interacting with the environment that cause distress or impair function
Pt is often unaware
What treatment strategy is used in all personality disorders
Psychotherapy
What defines the Cluster A Personality Disorders
Weird
-odd and eccentric behavior
What are the Cluster A Personality Disorders
Paranoid
Schizoid
Schizotypal
What defines the Cluster B Personality Disorders
Wild
-dramatic, erratic behavior
What are the Cluster B Personality Disorders
Antisocial
Borderline
Histrionic
Narcissistic
What defines the Cluster C Personality Disorders
Wacky
-anxious, fearful behavioral
What are the Cluster C Personality Disorders
Avoidant
Obsessive-Compulsive
Dependent
Describe Paranoid Personality Disorder
Distrust of others
Guarded
Suspicious
Struggle to build close relationships
What is the hallmark ego defense in Paranoid Personality Disorder
Projection
Describe Schizoid Personality Disorder
Pt Chooses social isolation
does not enjoy friendships/sex
few/no hobbies
Detached, flat affect
Describe Schizotypal Personality Disorder
Fear of social interactions with few close friends
Odd beliefs of magical thinking
Ideas of reference
What is the key feature of Schizotypal Personality Disorder
Pt is open to beliefs being challenged
-may reconsider superstitions etc.
Describe Antisocial Personality Disorder
Disregard the rights of others
breaks the law
impulsive, lacks remorse
What is needed to diagnose Antisocial Personality Disorder
Age >18
Evidence of conduct disorder before age 15
Describe Borderline Personality Disorder
Unstable personal relationships
-people are all good/bad
Fear of abandonment
impulsive
Self mutilation
Suicide gestures/attempts
What is the major defense mechanism in Borderline Personality Disorder
Splitting
What is the Gold Standard treatment for Borderline Personality Disorder
Dialectical Behavior Therapy
-weekly for 1-2 years
Describe Histrionic Personality Disorder
Wants to be center of attention
Inappropriate sexually provocative behavior
very concerned with physical appearance
Describe Narcissistic Personality Disorder
Inflated sense of self
lacks empathy for others
Overreacts to criticism with anger/rage
Describe Avoidant Personality Disorder
Avoid social interactions
-feels inadequate
-afraid of embarrassment
-struggle with social interactions
How do patients in Avoidant Personality Disorder differ from those in Schizoid Personality Disorder
They want to socialize but can’t
Describe Dependent Personality Disorder
Clingy, low-confidence
struggle to care for self
depend on others excessively
hard to make own decisions
may be in abusive relationships
