B3.062 - Personality Disorders Flashcards
What is personality
a way of understanding normal human behavior and information processing
what are other issues commonly seen in personality disorder patients
Mood disorders Anxiety Adjustment Substance abuse Frequent ER visits Social problems Illegal activities Inflexible coping strategies
describe cluster A
Odd or eccentric
what are the disorders in cluster A
Paranoid
Schizoid
Schizotypal
describe cluster B
dramatic, emotional, erratic
what are types of disorders in cluster B
borderline
narcissistic
histrionic
antisocial
describe cluster C
anxious, avoidant, fearful
what are disorders in cluster C
Obsessive compulsive
Dependent
Avoidant
describe paranoid personality disorder
patter of irrational suspicion and mistrust of others, interpreting motivations as malevolent
describe schizoid personality disorder
lack of interest and detachment from social relationships and restricted emotional expression
“autistic thinking”
what does schizoid disorder get confused with
antisocial
describe schizotypal personality disorder
a pattern of extreme discomfort interacting socially, distorted cognitions and perceptions, behavioral eccentricities
“magical thinking”
describe borderline personality disorder
pervasive pattern of instability in relationships, self image, identity, behavior and affect often leading to self harm and impulsivity
describe narcissistic personality disorder
pervasive pattern of grandiosity, need for admiration, lack of empathy
describe histrionic personality disorder
pervasive pattern of attention seeking behavior and excessive emotions
seduction/manipulation of others
describe antisocial personality disorder
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
describe obsessive compulsive disorder
rigid conformity to rules, perfectionism and control
describe dependent personality disorder
pervasive psychological need to be cared for by other people
describe avoidant personality disorder
pervasive feelings of social inhibition and inadequacy, extreme sensitivity to negative evaluation
strong social anxiety
what is borderline personality disorder associated with
childhood sexual abuse
what is antisocial personality disorder associated with
childhood physical abuse
parental marital abuse
poverty
foster care
traumatic events have been show in animal models to sensitize
the HPA system, altered functioning of the amygdala and limbic connections with the prefrontal lobes in animal models/post mortem studies
what affects development of hippocampus (decreased size)
repetitious brain exposure to higher levels of NTs like noradrenaline
cortisol increases what
excitatory neurotransmission
sympathetic nervous system contributes to what
arousal
exaggerated startle response
what does the limbic system constitute
hippocampus and anterior cingulate
dysfunction of prefrontal limbic circuits in antisocial personality disorder and BPD show what
lower volume of hippocampus, LPFC, cingulate
what neurologically is associated with schizotypal personality disorder
compromise of temporal lobe nad basal striato thalmic structures
parent is intrusive-dismissive is associated with which cluster
A
parent is terrorizing/disorganized is associated with which cluster
cluster B
parent is rejecting or fearful is associated with which cluster
C
which cluster is most responsive to treatment
B
disorders with grater treatment response to CBT spectrum counseling
Borderline
OCD
Avoidant
Dependent
disorders with less response to psychotherapy
cluster A
antisocial
what is DBT
Dialectical behavior therapy
Tailored to Borderline
what are the 4 modules of DBT
mindfulness
distress tolerance
emotion regulation
interpersonal effectiveness
