B3.062 - Personality Disorders Flashcards

1
Q

What is personality

A

a way of understanding normal human behavior and information processing

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2
Q

what are other issues commonly seen in personality disorder patients

A
Mood disorders
Anxiety
Adjustment
Substance abuse
Frequent ER visits
Social problems
Illegal activities
Inflexible coping strategies
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3
Q

describe cluster A

A

Odd or eccentric

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4
Q

what are the disorders in cluster A

A

Paranoid
Schizoid
Schizotypal

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5
Q

describe cluster B

A

dramatic, emotional, erratic

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6
Q

what are types of disorders in cluster B

A

borderline
narcissistic
histrionic
antisocial

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7
Q

describe cluster C

A

anxious, avoidant, fearful

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8
Q

what are disorders in cluster C

A

Obsessive compulsive
Dependent
Avoidant

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9
Q

describe paranoid personality disorder

A

patter of irrational suspicion and mistrust of others, interpreting motivations as malevolent

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10
Q

describe schizoid personality disorder

A

lack of interest and detachment from social relationships and restricted emotional expression
“autistic thinking”

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11
Q

what does schizoid disorder get confused with

A

antisocial

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12
Q

describe schizotypal personality disorder

A

a pattern of extreme discomfort interacting socially, distorted cognitions and perceptions, behavioral eccentricities
“magical thinking”

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13
Q

describe borderline personality disorder

A

pervasive pattern of instability in relationships, self image, identity, behavior and affect often leading to self harm and impulsivity

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14
Q

describe narcissistic personality disorder

A

pervasive pattern of grandiosity, need for admiration, lack of empathy

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15
Q

describe histrionic personality disorder

A

pervasive pattern of attention seeking behavior and excessive emotions
seduction/manipulation of others

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16
Q

describe antisocial personality disorder

A

a pervasive pattern of disregard for and violation of the rights of others, lack of empathy
must first have history of conduct disorder during childhood

17
Q

describe obsessive compulsive disorder

A

rigid conformity to rules, perfectionism and control

18
Q

describe dependent personality disorder

A

pervasive psychological need to be cared for by other people

19
Q

describe avoidant personality disorder

A

pervasive feelings of social inhibition and inadequacy, extreme sensitivity to negative evaluation
strong social anxiety

20
Q

what is borderline personality disorder associated with

A

childhood sexual abuse

21
Q

what is antisocial personality disorder associated with

A

childhood physical abuse
parental marital abuse
poverty
foster care

22
Q

traumatic events have been show in animal models to sensitize

A

the HPA system, altered functioning of the amygdala and limbic connections with the prefrontal lobes in animal models/post mortem studies

23
Q

what affects development of hippocampus (decreased size)

A

repetitious brain exposure to higher levels of NTs like noradrenaline

24
Q

cortisol increases what

A

excitatory neurotransmission

25
Q

sympathetic nervous system contributes to what

A

arousal

exaggerated startle response

26
Q

what does the limbic system constitute

A

hippocampus and anterior cingulate

27
Q

dysfunction of prefrontal limbic circuits in antisocial personality disorder and BPD show what

A

lower volume of hippocampus, LPFC, cingulate

28
Q

what neurologically is associated with schizotypal personality disorder

A

compromise of temporal lobe nad basal striato thalmic structures

29
Q

parent is intrusive-dismissive is associated with which cluster

A

A

30
Q

parent is terrorizing/disorganized is associated with which cluster

A

cluster B

31
Q

parent is rejecting or fearful is associated with which cluster

A

C

32
Q

which cluster is most responsive to treatment

A

B

33
Q

disorders with grater treatment response to CBT spectrum counseling

A

Borderline
OCD
Avoidant
Dependent

34
Q

disorders with less response to psychotherapy

A

cluster A

antisocial

35
Q

what is DBT

A

Dialectical behavior therapy

Tailored to Borderline

36
Q

what are the 4 modules of DBT

A

mindfulness
distress tolerance
emotion regulation
interpersonal effectiveness