18. Clinical Approach to Personality Disorders Flashcards
What disorder is an enduring pattern on inner experience and behavior that deviates from the expectations of the individuals culture, manifested in two of the following: cognition, affect (emotional range), interpersonal functioning, and impulse control, pattern is stable and of long duration, may not be diagnosed under 18?
Personality Disorders
Personality Disorders generally not diagnosed in children or adolescents, traits may not persist into adulthood, diagnosis of Personality Disorders in the elderly population is notoriously ?
Unreliable
Cluster A known as weird-odd or eccentric disorders have schizoid, schizotypal and paranoid personality disorders. What disorder is characterized by irrational suspicions and mistrust of others, that others are being untrustworthy, hidden meanings, partner being unfaithful, risk of MDD, OCD, and substance abuse?
Paranoid Personality Disorder
What cluster A disorder is having a lack of interest in social relationships, sees no point in sharing time with others, often seem cold or aloof (lack emotion), little pleasure in activities, lacks close friends, solitary lifestyle?
Schizoid Personality Disorder
What cluster A (AVOIDANT) disorder is characterized by odd behavior or thinking, ideas of reference, odd beliefs or magical thinking, vague speech, excessive social anxiety that doesnt diminish with familiarity?
Schizotypal Personality Disorder (look psychotic)
Cluster B (BAD-dramatic, emotional or erratic disorders) contains antisocial, borderline, histronic, and narcissistic personality disorders. Which disorder has violations of the law, lying and deception, persuasive, aggressive, reckless disregard for safety, lack of remorse, 3x MC in men, at risk for anxiety/substance abuse/path gambling?
Antisocial Personality Disorder
What cluster B disorder have efforts to avoid abandonment, unstable interpersonal relationships, unstable self image, impulsive in self damaging areas, recurrent suicidal behaviors, feeling empty, intense anger, paranoia, 3x MC in women, cuts self but doesnt want to kill self, very manipulative, immature (carry teddy bear), usual victims of sexual/emotional abuse, high rate of MDD?
Borderline Personality Disorder
What cluster B disorder is excessive emotionally and attention seeking behavior, dramatic, sexually provocative or seductive, emotionally labile, bright red dress to funeral?
Histronic Personality Disorder
What cluster B disorder is exaggeration of their own talents or accomplishments, sense of entitlement, lack empathy, envy others, arrogant/haughty attitude, 75% male, at risk for anorexia nervosa, substance abuse and depression?
Narcissistic Personality Disorder
Cluster C (anxious or fearful disorders) cosists of avoidant, dependent and obessisve-compulsive personality disorders. Which disorder is assoc with social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation and avoidance of social interaction, desire relationships with others- shy?
Avoidant Personality Disorder
What cluster C disorder has difficulty making decisions without guidance, need for others for most of persons life, cant express disagreement, cant initiate activites, helpless when alone, urgent seeking for relationship when one has ended?
Dependent Personality Disorder
What cluster C disorder is markedly preoccupied with perfectionism and control, lack flexibility or openness, stingy and stubborn, 2x mc in male,inflexible about matters of morality, ethics, and values to a point beyond cultural norms?
Obsessive Compulsive Personality Disorder
What disorder is the presence of two+ distinct identities or personalities, more common in women, associated with a history of sexual abuse?
Dissociative Identity Disorder (multiple personality DO)
Tx for personality disorders is therapy/psychodynamic psychotherapy, *cognitive behavior therapy, group psychotherapy, and what which is used in borderline personality disorder, therapy is on the development of coping skills to improve affective stability and impulse control and on reducing self harmful behaviors?
Dialectical Behavior Therapy DBT
MEDS dont work
For personality disorders, TCAs and MAOIs are not prescribed, SSRIs are safe and somewhat effective, anticonvulsants like valproic acid and SGAs are used sometimes. Complications include suicide, substance abuse, accidental injury, homocide (mostly in paranoid and antisocial PD) and?
depression
