Chapter 24: Personality Disorders Flashcards
common characteristics of personality disorders
emotional dysregulation
difficulty in three areas of day to day functioning
- thoughts and emotions
- participation in interpersonal relationships
- managing impulses
why do most patients with personality disorders not seek treatment
they do not recognize their symptoms as uncomfortable
all PDs have 4 characteristics in common
- inflexible and maladaptive response to stress
- disability in working and loving
- ability to evoke interpersonal conflict
- capacity to frustrate others
cluster A disorders
paranoid
schizoid
szhizotypal
cluster A characteristics
Odd/eccentric
unusual levels of suspiciousness
magical thinkng
cognitive impairment
cluster B disorders
borderline
antisocial
histrionic
narcissistic
cluster B characterisitcs
dramatic
emotional
erratic
problems with impulse control
cluster C disorders
avoidant
dependent
obsessive compulsive
cluster C characteristics
anxious/fearful
shyness
awakardness
common feature in cluster A
social awkwardness and withdrawl
paranoid PD characteristics
longstanding distrust and suspicion towards others
hypervigilant
anticipate hostility
provoke responses
paranoid PD how they act as adults
jealous
controlling
paranoid PD forgiveness
unwilling
paranoid PD defense mechanism
projection
therapy for paranoid PD
pyschotherapy
group therapy for social skills
pharm for paranoid PD
antiaxitey (diazepam)
antipsychotics for severe delusions (haloperidol, pimozide)
schizoid way to remember
avoid
schizoid PD characteristics
loners
poor academic performance
social withdraw
emotional detachment
avoid close relationships
depersonalization and derealization
schizoid PD relationships generate
fear and confusion
schizoid PD therapy
psychotherapy
group therapy for practicing interactions
schizoid PD pharm
antidepressants
2nd gen antipsychotics
schizotypal PD characteristics
severe social and interpersonal deficits
anxiety in social situations
paranoia
brief hallucinations and delusions
magical thinking
strained social relationships
schizotypal PD investigate with
cults
schizotypal PD treatment (nonpharm)
supportive psychological care
schizotypal PD pharm
low dose antipsychotics
difference between schizotypal and schizophrenia
people with schizotypal can be made aware of suspiciousness, magical thinking, and odd beleifs
schizophrenia has far stronger delusions
histrionic PD characteristics
excitable, dramatic
bold behaviors
limited ability to make meaningful behaviors
attention seeking
center of attention
high functioning drama queen
histrionic PD and suicide
gestures may result in patent entry into health care system
histrionic PD therapy
psychotherapy
group
histrionic PD pharm
underlying symptoms
histrionic PD nursing care guidelines
ignore flirtations
model concrete language
narcissistic PD characteristics
entitlement
lack of empathy
weak self esteem
hypersensitivity to criticism
grandiosity
narcissistic PD therapy
CBT
group
- difficult to treat, patients not likely to seek help or contront shortcomings
narcissistic PD pharm
lithium for mood swings
depression=antidepressants
antisocial PD characteristics
antagonistic behaviors
lack of empathy
absence of remorse or guilt
manipulative
sociopath
precursor to antisocial PD
conduct disorder
antisocial PD therapy
CBT
MBT (mentalization behavioral therapy)
DBT (dialectical behavior therapy)
- may bond with psychotherapists
antisocial PD pharm
mood stabilizers-aggression
SSRI-decrease irritability
benzos-antixitey
ritalin
antisocial PD do this patients stick to long term relationship with provider
no
borderline PD characteristics
emotional lability
impulsivity
self destruction
splitting (black and white thinking)
unstable relationships
borderline PD and histrionic
borderline has underlying fear of abandonment
borderline PD defense mechanism
splitting
borderline PD suicide and self harm
yes this behavior is frequently seen
borderline PD has a fear of
abandonment
borderline PD screening tool
MMPI
- Minnesota multiphasic personality inventory)
borderline PD therapies
CBT
DBT
schema focused therapy
nurses respond borderline PD
matter of factly
clear straight forward communication
borderline PD pharm
SSRI
anticonvulsants
lithium
naltrexone-reduce self harm behaviors
second gen for anger and psychosis
CBT goal
identify and change inaccurate perceptions and harmful behavior
DBT goal
using mindfulness to be aware of thoughts and shape them
schema focused goal
CBT plus other therapy that works on reframing
avoidant PD characteristics
low self esteem
shyness (increases with age)
feelings of inferiority
social inhibition
hypersensitivity to crisitim
fear of rejection
low self esteem
hypersensitive
avoidant PD therpay
individual
- assertiveness
group (see other people have issues)
avoidant PD pharm
anti anxiety
beta blocker
SSRI/SNRI
dependent PD characteristics
high need to be taken care of
submissiveness
fears of separation and abandonment
clinging
helpless when alone
manipulation to make others take charge
dependent PD nursing care
set limits that don’t make the patient feel punished
strong countertransference
dependent PD therapy
psychotherapy
dependent PD pharm
underlying symptoms of anxiety and depression
obsessive-compulsive PD characteristics
rigidity
inflexible standards for others and self
excessive goal seeking that is self defeating or realationship defeating
unhealthy focus on perfection
too busy to have friends
stubbornness
control
obsessive-compulsive PD affection
feels genuine affection for friends and family
obsessive-compulsive PD therapy
group and behavioral
obsessive-compulsive PD pharm
clomiramine or fluoxetine
- for obessions, anxiety, depression
do obsessive-compulsive PD patient seek help
yes
