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Grad Program Exam > BPD > Flashcards

BPD Flashcards

1
Q

What are the 5 components of the “Big 5”?

A

Openness, consciousness, extraversion, agreeableness, neuroticism

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2
Q

Which bio-factors can contribute to BPD?

A

Emotional vulnerability, genetic temperament, neurological pathways, in-utero experiences

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3
Q

Which social factors can contribute to BPD?

A

Regulation, sense of self, mentalization and epistemic trust, trauma

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4
Q

What two factors combine to create pervasive emotional dysregulation?

A

Emotional sensitivity and an invalidating environment

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5
Q

How heritable is BPD?

A

40-60%

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6
Q

How heritable are the big five?

A

40-60%

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7
Q

What four types of attachment are there?

A

Secure, anxious, avoidant (dismissive) and avoidant (fearful)

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8
Q

Describe secure attachment

A

Trusts easily, attuned to emotions, communicates upset easily, cooperative and flexible behavior/relationships

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9
Q

Describe anxious attachment

A

Sensitive nervous system, struggles communicating directly, tends to “act out” when triggered

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10
Q

Describe avoidant (dismissive)

A

Downplays importance of relationships, extremely self-reliant, can become vulnerable during crisis

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11
Q

Describe avoidant (dismissive)

A

More dependent in relationships, fears rejection, low self-esteem, high anxiety in relationships

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12
Q

Describe functions of the brain stem

A

Most primitive part of the brain, autonomic reflexes, memory and learning

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13
Q

Describe functions of amygdala

A

Triggers emotional responses. Typically gets signals from neocortex, can hijack the brain in an emergency

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14
Q

Describe the functions of the neocortex

A

Most recently evolved, involved in complex thought

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15
Q

What are the three main components of emotional vulnerability?

A

High sensitivity, high reactivity and slow return to baseline

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16
Q

What is the DSM criteria for a disordered personality?

A

Enduring pattern of inner experience and behavior that deviates from the individual’s culture. In cognition, affectivity, interpersonal functioning and impulse control. This leads to distress or impairment of functioning

17
Q

Name three common features of BPD

A

Frantic efforts to avoid abandonment, unstable and intense relationships with extremes of idealisation and devaluation. Distorted or unstable self-image. Impulsiveness. Recurrent SI/SH threats. Affective instability. Chronic feelings of emptiness. Difficulty controlling anger. Dissociative symptoms or paranoid ideation

18
Q

What percentage of BPD dx if for women?

A

75%, but likely is closer to 50/50

19
Q

What is the heritability of BPD?

A

42-68%

20
Q

What percentage of the population has BPD? Including psychiatric outpatients and inpatients

A

1-2%. 15% of psychiatric outpatients and 25% of inpatients

21
Q

What are the rates of self-injury and suicide of BPD consumers?

A

Self-injury: 75%
Suicide: 4-10%

22
Q

What does anankastic mean?

A

OCPD

23
Q

What the most common co-occurring conditions with BPD?

A

Avoidant and dependent personality disorders, OCPD, depression, anxiety, SUD and BPAD

24
Q

What percentage of people with BPD have a history of trauma?

A

80%

25
Q

What are some of the symptoms of trauma?

A

Flashbacks, nightmares, dissociative experiences, depersonalization, feelings of guilt, shame and helplessness. Poor regulation of flight and or fight responses

26
Q

What specialised treatments are usually used for BPD?

A

Dialectical behaviour therapy (DBT). Mentalization based treatment (MBT). Transference-Focused Therapy (TFP). Schema-focused therapy (SFT)

27
Q

What are the 5 P’s of shared formulation

A

Presenting problem, predisposing factors, precipitating factors,
perpetuating factors, protective factors

28
Q

What are the four components of the risk matrix? Starting at 12 and moving clockwise

A

High lethality method, new pattern, low lethality method, chronic pattern

29
Q

What should you do if the risk matrix produces high chronic risk?

A

Careful community treatment

30
Q

What should you do if the risk matrix produces high acute risk?

A

Increased community supports or consider admission

31
Q

What should you do if the risk matrix produces low chronic risk?

A

Support as usual

32
Q

What should you do if the risk matrix produces low acute risk?

A

Assess why there was a change in self-harm pattern

33
Q

What is transference?

A

A phenomenon in which one
seems to direct feelings or desires related to an important figure in one’s
life – such as a parent – toward someone who is not that person

34
Q

What is counter-transference?

A

A clinician’s feelings
about a client in general, including a clinician’s emotional responses to a
client’s feelings.

Grad Program Exam (14 decks)

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