8% Personality Disorders Flashcards
(RoshReview)
“A 32-year-old man presents to the therapist at his family’s request. He reports that his family is frequently concerned because he does not desire social relationships. He reports that he works as a scientist alone in a laboratory. His hobbies include hunting and fishing alone. Which of the following personality disorders is the most likely diagnosis?”
SCHIZOID
(RoshReview)
what’s the difference b/w schizoid personality disorders and avoidant personality disorders?
avoidant personality disorder pts have a desire for social relationships but have social anxiety limiting the pursuit of those relationships.
schizoid personality disorder pts do not desire social relationsips
(RoshReview)
“A 26-year-old woman presents for psychotherapy. Her condition is marked by unstable emotions, behaviors, and interpersonal relationships. She has a poorly formed identity and intense fear of abandonment from her close relationships.” Which additional findings would most support the suspected personality disorder?
recurrent suicidal behaviors
this is borderline personality disorder
(RoshReview)
Which personality disorder is characterized by detachment from social relationships due to a lack of desire for them?
schizoid
(RoshReview)
“A 26-year-old man presents to the psychiatry clinic for treatment of anxiety predominantly related to his landscaping business. He reports that he spends hours at work focused on orderliness, which sometimes comes at the expense of efficiency. He says he has difficulty delegating work to others because he believes this will compromise the quality of the work, which leads to him working long hours and experiencing increased stress. His wife, who accompanies him to the visit, reports that it is difficult for him to get rid of things, and he is rigid in the way he runs his business.” what’s the most likely diagnosis?
Obsessive-compulsive personality disorder
why?
“marked by a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, which come at the expense of flexibility, openness, and efficiency”
(RoshReview)
what’s the difference b/w OCD and obsessive-compulsive personality disorder?
OCD is marked by obsessions and compulsions that are time-consuming, distressing, and impairing. Obsessions are recurrent, intrusive, and undesired thoughts, and compulsions are behaviors that patients perform to relieve the obsessions. Patients with obsessive-compulsive personality disorder do not have distressing obsessions and compulsions.
obsessive-compulsive personality disorder is preoccupied with perfectionism to the extent the major point of the activity is lost, it’s perfectionism that interferes with task completion
(RoshReview)
“What is the minimum age requirement for diagnosis of antisocial personality disorder?”
18 yrs
“To be diagnosed with antisocial personality disorder, the individual must be 18 years of age with evidence of conduct disorder before the age of 15 years.”
Tx is difficult, pharmacotherapy isn’t usually recommended
(RoshReview)
“Which personality disorders are part of the cluster A characteristics, where individuals may often appear eccentric or odd?”
Cluster A =
paranoid
schizoid
schizotypal
(RoshReview)
BUZZWORDS
personality disorder with “little interest in sexual activity”
schizoid personality disorder
Cluster A
(RoshReview)
which Cluster A personality disorder is NOT anxious about social interactions, and does not desire relationships
schizoid personality disorder
Cluster A
(RoshReview)
which personality disorder has anxiety about social interactions
avoidant personality disorder
Cluster C
(RoshReview)
“Which personality disorders are in cluster C?”
avoidant
dependent
obsessive-compulsive personality disorder
(RoshReview)
BUZZWORDS:
“odd and eccentric” personality disorder
Cluster A
paranoid
schizoid
schizotypal
BUZZWORDS:
“dramatic, emotional erratic”
Cluster B personality disorders
antisocial
borderline
histrionic
narcissistic
BUZZWORDS:
“anxious and fearful”
Cluster C Personality Disorders
avoidant
dependent
obsessive-compulsive PD
