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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

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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
Rather than aiming for a cure, treatments typically focuses on --
enhancing client's coping skills solving short-term probs building relationship skills
26
Schizoid Personality Disorder looks like --
loners / hermits
27
Which meds for Schizotypal PD?
low does antipsychtics (clozapine) SSRI
28
This therapy recognizes the fragility of the self esteem in clients with a personality disorder and works to build a kind, caring therapeutic relationship.
Dialectical Behavior Therapy
29
Defense Mechanism for PD: pretending the truth is not reality
Denial
30
Defense Mechanism for PD: resorting to earlier more comfortable level of functioning that is less demanding and responsible
Regression
31
Cluster A PD: Odd/Eccentric Neuroimaging shows an association b/t Cluster A symptoms and --
decreased prefrontal grey matter increased corpus callosum white matter
32
Cluster A Personality Disorders:
Paranoid Personality Schizoid Personality Schizotypal Personality
33
Nursing care for Schizoid PD:
- 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
-- -- have been shown to be the most effective intervention for modifying some forms of difficult behavior displayed by people with personality disorders
Psychotherapeutic interventions
35
How many adults have a personality disorder?
1 in 10
36
-- is effective for Borderline PD.
Dialectical Behavior Therapy
37
-- affects 0.5-2.5% of the population and is more common in males.
Paranoid Personality
38
Who got the rod shot through their head in 1800s?
Phineas Gage - his injury laid groundwork for understanding Personality Disorder
39
The deviations of perception, thinking, and behavior w/ PD affect which areas?
Cognition Affectivity Interpersonal Functioning Impulse Control * must affect two or more of these
40
Class B Personality Disorders:
Antisocial Borderline Histrionic Narcissistic
41
Identifies eight stages of development w/ specific tasks for each stage that when met, causes emotional growth
Erikson's Psychosocial Development Theory
42
Schizotypal PD looks like --
eccentric behavior
43
50% of Schizotypal PD have --
major depression and/or another PD such as avoidant or paranoid
44
Which Personality Disorder? - Odd thought and behavioral patterns - Persistent pattern of social and interpersonal deficits - Severe social anxiety
Schizotypal Personality - Cluster A: Odd/Eccentric
45
Personality disorders tend to form in --- and continue through the lifetime.
adolescence or early adulthood
46
--- consists of psychological tasks or lessons presented in age bound stages that are mastered for the development and maturing of the personality.
Peplau’s interpersonal theory
47
What does medication management focus on w/ PD?
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
-- 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.
Freud’s psychoanalytic theory
49
Is Schizotypal PD genetic?
yes
50
Defense Mechanism for PD: attributing feelings or impulses unacceptable to one’s self to another person
Projection
51
Which Personality Disorder? - Mistrustful, suspicious, watchful - Irritable, short-fuse, bad temper - Hostile attitude - Accusatory communication style - Externalizes blame for problems
Paranoid Personality Cluster A: Odd/Eccentric
52
Defense Mechanism for PD: consciously refusing to think about it
Suppression
53
-- is the father of child psychology.
Peplau
54
-- believed that the personalty and behavior are outcomes of interpersonal relationships.
Sullivan's Interpersonal Theory
55
Antianxiety Meds for PD:
Benzos
56
What are the Gerontological Implications of Personality Disorder?
The personality generally remains stable over time; therefore a personality change may indicate a change in physical health
57
How many personality disorders have been identified by DSM-5?
10 grouped into 3 clusters
58
Anticonvulsants for PD:
carbamazepine valproic acid lithium
59
How many clusters are there of the 10 Personality disorders?
3 Clusters: Cluster A: Odd, Eccentric Cluster B: Dramatic, Emotional, Erratic Cluster C: Anxious, Fearful, Insecure, Feelings of Inadequacy
60
Best Meds for Cluster B PD:
anti-seizure mood stabilizing agents MAOIs
61
Diagnostic criteria generally state that the patient exhibits --
an enduring pattern of perception, thinking, and behaviors that deviates significantly from the norms and expectations of his/her culture
62
Can Personality Disorders be cured?
No
63
Defense Mechanism for PD: blaming others; refusing to take responsibility or to own or acknowledge behavior
Externalization
64
Class C Personality Disorders:
Avoidant Dependent Obsessive-Compulsive
65
Are medications helpful with Schizoid Personality Disorder?
Not really, unless client is experiencing major depression or severe anxiety or psychosis
66
The traits of the Antisocial and Borderline Personality Disorders tend to become -- with age.
less evident
67
What four characteristics do ALL Personality Disorders Share?
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
Nursing care for Schizotypal PD?
- 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
Best Meds for Cluster C PD:
antianxiety meds andtidepressants
70
Social judgment, insight, motivation, goal setting and planning, executive function Which lobe?
Frontal lobe

Mental Health (Josh) (26 decks)

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