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Mental Health (Josh) > T3 - Personality Disorders Intro and Cluster A PD (Josh) > Flashcards

T3 - Personality Disorders Intro and Cluster A PD (Josh) Flashcards

1
Q

The core problem with Personality disorders is —

A

the inability to form close relationships

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2
Q

The — are diagnosed more frequently in women.

A

Borderline, Histrionic, and Dependent Personality Disorders

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3
Q

Defense mechanisms used by individuals w/ PD.

A

Repression

Suppression

Regression

Undoing

Splitting

Externalization

Denial

Projection

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4
Q

Defense Mechanism for PD:

unconscious mechanism by which anxious, threatening thoughts/feelings are kept from becoming conscious

A

Repression

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5
Q

Medications for Paranoid Personality?

A
  • Antipschotics (Risperidal or Zyprexa)
  • SSRI
  • Antianxiety meds
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6
Q

memory, organization of sensory information

Which lobe?

A

Temporal lobe

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7
Q

Antipsychotics for PD:

A

risperidone
olanzapine
haloperidol

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8
Q

Schizotypal PD effects –

A

3% of population (more in men)

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9
Q

PD Therapies:

This type of cognitive behavior therapy focuses on coping skills and gradual behavior changes in an accepting and supportive environment; learning how to take better control of behaviors and emotions.

A

Dialectical behavior therapy.

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10
Q

Which are the most challenging psychiatric disorders to treat?

A

Personality Disorders

  • b/c personality is, by definition, an integral part of what defines the individual
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11
Q

Defense Mechanism for PD:

an action or words designed to cancel some disapproved thoughts, impulses, or acts in which the person relieves guilt by making reparation

A

Undoing

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12
Q

Defense Mechanism for PD:

viewing people, things, events as all good or all bad; the inability to integrate the positive and negative in people, life situations

A

Splitting

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13
Q

This theory describes the toddler’s individualization from the primary caregiver

Important landmark in early development is ability to form a lasting bond

A

Mahler’s Object Relations Theory

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14
Q

Effective therapies for PD

A

Individual Psychotherapy (most effective)

Cognitive Behavior Therapy

Dialectical Behavior Therapy

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15
Q

Schizoid affects more men or women?

A

men

  • affects 0.7% of population
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16
Q

PD Therapies:

This form of psychological treatment involves actively retraining the way you think about problems, which in turn improves your emotions and behaviors.

A

Cognitive behavior therapy

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17
Q

Which Personality Disorder?

  • Detachment, social withdrawal
  • Indifference to other’s feelings
  • Restricted emotional range
  • Prefers solitary interests and occupations
  • No close friends, loner
A

Schizoid Personality Disorder

  • Cluster A: Odd/Eccentric
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18
Q

– – is a group of brain structures responsible for emotion, behavior, long-term memory.

A

Limbic System

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19
Q

— includes six stages of moral development that progress in sequence and are not bound by age.

A

Kohlberg’s Moral Development Theory

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20
Q

The Antisocial Personality Disorder is diagnosed more frequently in –.

A

men

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21
Q

What are Standard Assessments for Personality Disorders?

A
  • Minnesota Multiphasic Personality Inventory (MMPI)

Mental Status Exam

  • note: MMPI is self-reporting
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22
Q

Best Meds for Cluster A PD:

A

antideppressants

low-dose antipsychotics

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23
Q

SSRIs for PD:

A 
fluoxetine
sertraline
citalopram
paroxetine
escitalopram
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24
Q

Group or Individual Therapy is best for Paranoid Personality?

A

Individual Therapy

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25
Q

Rather than aiming for a cure, treatments typically focuses on –

A

enhancing client’s coping skills

solving short-term probs

building relationship skills

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26
Q

Schizoid Personality Disorder looks like –

A

loners / hermits

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27
Q

Which meds for Schizotypal PD?

A

low does antipsychtics (clozapine)

SSRI

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28
Q

This therapy recognizes the fragility of the self esteem in clients with a personality disorder and works to build a kind, caring therapeutic relationship.

A

Dialectical Behavior Therapy

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29
Q

Defense Mechanism for PD:

pretending the truth is not reality

A

Denial

30
Q

Defense Mechanism for PD:

resorting to earlier more comfortable level of functioning that is less demanding and responsible

A

Regression

31
Q

Cluster A PD: Odd/Eccentric

Neuroimaging shows an association b/t Cluster A symptoms and –

A

decreased prefrontal grey matter

increased corpus callosum white matter

32
Q

Cluster A Personality Disorders:

A

Paranoid Personality

Schizoid Personality

Schizotypal Personality

33
Q

Nursing care for Schizoid PD:

A
  • respect need for privacy, need for physical and emotional distance (need close human contact but easily overwhelmed)
  • give time to express feelings, teach social skills, avoid arguing and defensiveness
34
Q

– – have been shown to be the most effective intervention for modifying some forms of difficult behavior displayed by people with personality disorders

A

Psychotherapeutic interventions

35
Q

How many adults have a personality disorder?

A

1 in 10

36
Q

– is effective for Borderline PD.

A

Dialectical Behavior Therapy

37
Q

– affects 0.5-2.5% of the population and is more common in males.

A

Paranoid Personality

38
Q

Who got the rod shot through their head in 1800s?

A

Phineas Gage

  • his injury laid groundwork for understanding Personality Disorder
39
Q

The deviations of perception, thinking, and behavior w/ PD affect which areas?

A

Cognition

Affectivity

Interpersonal Functioning

Impulse Control

  • must affect two or more of these
40
Q

Class B Personality Disorders:

A

Antisocial

Borderline

Histrionic

Narcissistic

41
Q

Identifies eight stages of development w/ specific tasks for each stage that when met, causes emotional growth

A

Erikson’s Psychosocial Development Theory

42
Q

Schizotypal PD looks like –

A

eccentric behavior

43
Q

50% of Schizotypal PD have –

A

major depression and/or another PD such as avoidant or paranoid

44
Q

Which Personality Disorder?

  • Odd thought and behavioral patterns
  • Persistent pattern of social and interpersonal deficits
  • Severe social anxiety
A

Schizotypal Personality

  • Cluster A: Odd/Eccentric
45
Q

Personality disorders tend to form in — and continue through the lifetime.

A

adolescence or early adulthood

46
Q

— consists of psychological tasks or lessons presented in age bound stages that are mastered for the development and maturing of the personality.

A

Peplau’s interpersonal theory

47
Q

What does medication management focus on w/ PD?

A

enhancing the client’s coping skills, solving short term problems, and developing relationship skills through long-term psychotherapy

specific symptom medications (depression, anxiety, etc.), education.

48
Q

– theory is a complex combination of three unique components of the personality (Id, Ego, Superego), topography of the mind (Conscious, Preconscious, Unconscious), and stages of psychosexual development.

A

Freud’s psychoanalytic theory

49
Q

Is Schizotypal PD genetic?

A

yes

50
Q

Defense Mechanism for PD:

attributing feelings or impulses unacceptable to one’s self to another person

A

Projection

51
Q

Which Personality Disorder?

  • Mistrustful, suspicious, watchful
  • Irritable, short-fuse, bad temper
  • Hostile attitude
  • Accusatory communication style
  • Externalizes blame for problems
A

Paranoid Personality

Cluster A: Odd/Eccentric

52
Q

Defense Mechanism for PD:

consciously refusing to think about it

A

Suppression

53
Q

– is the father of child psychology.

A

Peplau

54
Q

– believed that the personalty and behavior are outcomes of interpersonal relationships.

A

Sullivan’s Interpersonal Theory

55
Q

Antianxiety Meds for PD:

A

Benzos

56
Q

What are the Gerontological Implications of Personality Disorder?

A

The personality generally remains stable over time; therefore a personality change may indicate a change in physical health

57
Q

How many personality disorders have been identified by DSM-5?

A

10

grouped into 3 clusters

58
Q

Anticonvulsants for PD:

A

carbamazepine
valproic acid
lithium

59
Q

How many clusters are there of the 10 Personality disorders?

A

3 Clusters:

Cluster A: Odd, Eccentric

Cluster B: Dramatic, Emotional, Erratic

Cluster C: Anxious, Fearful, Insecure, Feelings of Inadequacy

60
Q

Best Meds for Cluster B PD:

A

anti-seizure mood stabilizing agents

MAOIs

61
Q

Diagnostic criteria generally state that the patient exhibits –

A

an enduring pattern of perception, thinking, and behaviors that deviates significantly from the norms and expectations of his/her culture

62
Q

Can Personality Disorders be cured?

A

No

63
Q

Defense Mechanism for PD:

blaming others; refusing to take responsibility or to own or acknowledge behavior

A

Externalization

64
Q

Class C Personality Disorders:

A

Avoidant

Dependent

Obsessive-Compulsive

65
Q

Are medications helpful with Schizoid Personality Disorder?

A

Not really, unless client is experiencing major depression or severe anxiety or psychosis

66
Q

The traits of the Antisocial and Borderline Personality Disorders tend to become – with age.

A

less evident

67
Q

What four characteristics do ALL Personality Disorders Share?

A

1) INFLEXIBILITY; maladaptive responses to stress
2) DISABILITY in social and professional relationships
3) Tendency to provoke interpersonal CONFLICT
4) Capacity to cause IRRITATION or DISTRESS in others

68
Q

Nursing care for Schizotypal PD?

A
  • Patient may relate well to some nurses but not others
  • Recognize need for physical and emotional distance
  • Offer persistent consistent care
  • Active listening
  • Give time to make decisions
69
Q

Best Meds for Cluster C PD:

A

antianxiety meds

andtidepressants

70
Q

Social judgment, insight, motivation, goal setting and planning, executive function

Which lobe?

A

Frontal lobe

Mental Health (Josh) (26 decks)

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