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Mental Health > Chapter 24: Personality Disorders > Flashcards

Chapter 24: Personality Disorders Flashcards

1
Q

common characteristics of personality disorders

A

emotional dysregulation
difficulty in three areas of day to day functioning
- thoughts and emotions
- participation in interpersonal relationships
- managing impulses

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2
Q

why do most patients with personality disorders not seek treatment

A

they do not recognize their symptoms as uncomfortable

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3
Q

all PDs have 4 characteristics in common

A
  • inflexible and maladaptive response to stress
  • disability in working and loving
  • ability to evoke interpersonal conflict
  • capacity to frustrate others
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4
Q

cluster A disorders

A

paranoid
schizoid
szhizotypal

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5
Q

cluster A characteristics

A

Odd/eccentric
unusual levels of suspiciousness
magical thinkng
cognitive impairment

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6
Q

cluster B disorders

A

borderline
antisocial
histrionic
narcissistic

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7
Q

cluster B characterisitcs

A

dramatic
emotional
erratic
problems with impulse control

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8
Q

cluster C disorders

A

avoidant
dependent
obsessive compulsive

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9
Q

cluster C characteristics

A

anxious/fearful
shyness
awakardness

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10
Q

common feature in cluster A

A

social awkwardness and withdrawl

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11
Q

paranoid PD characteristics

A

longstanding distrust and suspicion towards others
hypervigilant
anticipate hostility
provoke responses

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12
Q

paranoid PD how they act as adults

A

jealous
controlling

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13
Q

paranoid PD forgiveness

A

unwilling

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14
Q

paranoid PD defense mechanism

A

projection

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15
Q

therapy for paranoid PD

A

pyschotherapy
group therapy for social skills

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16
Q

pharm for paranoid PD

A

antiaxitey (diazepam)
antipsychotics for severe delusions (haloperidol, pimozide)

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17
Q

schizoid way to remember

A

avoid

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18
Q

schizoid PD characteristics

A

loners
poor academic performance
social withdraw
emotional detachment
avoid close relationships
depersonalization and derealization

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19
Q

schizoid PD relationships generate

A

fear and confusion

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20
Q

schizoid PD therapy

A

psychotherapy
group therapy for practicing interactions

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21
Q

schizoid PD pharm

A

antidepressants
2nd gen antipsychotics

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22
Q

schizotypal PD characteristics

A

severe social and interpersonal deficits
anxiety in social situations
paranoia
brief hallucinations and delusions
magical thinking
strained social relationships

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23
Q

schizotypal PD investigate with

A

cults

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24
Q

schizotypal PD treatment (nonpharm)

A

supportive psychological care

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25
Q

schizotypal PD pharm

A

low dose antipsychotics

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26
Q

difference between schizotypal and schizophrenia

A

people with schizotypal can be made aware of suspiciousness, magical thinking, and odd beleifs

schizophrenia has far stronger delusions

27
Q

histrionic PD characteristics

A

excitable, dramatic
bold behaviors
limited ability to make meaningful behaviors
attention seeking
center of attention
high functioning drama queen

28
Q

histrionic PD and suicide

A

gestures may result in patent entry into health care system

29
Q

histrionic PD therapy

A

psychotherapy
group

30
Q

histrionic PD pharm

A

underlying symptoms

31
Q

histrionic PD nursing care guidelines

A

ignore flirtations
model concrete language

32
Q

narcissistic PD characteristics

A

entitlement
lack of empathy
weak self esteem
hypersensitivity to criticism
grandiosity

33
Q

narcissistic PD therapy

A

CBT
group
- difficult to treat, patients not likely to seek help or contront shortcomings

34
Q

narcissistic PD pharm

A

lithium for mood swings
depression=antidepressants

35
Q

antisocial PD characteristics

A

antagonistic behaviors
lack of empathy
absence of remorse or guilt
manipulative
sociopath

36
Q

precursor to antisocial PD

A

conduct disorder

37
Q

antisocial PD therapy

A

CBT
MBT (mentalization behavioral therapy)
DBT (dialectical behavior therapy)
- may bond with psychotherapists

38
Q

antisocial PD pharm

A

mood stabilizers-aggression
SSRI-decrease irritability
benzos-antixitey
ritalin

39
Q

antisocial PD do this patients stick to long term relationship with provider

A

no

40
Q

borderline PD characteristics

A

emotional lability
impulsivity
self destruction
splitting (black and white thinking)
unstable relationships

41
Q

borderline PD and histrionic

A

borderline has underlying fear of abandonment

42
Q

borderline PD defense mechanism

A

splitting

43
Q

borderline PD suicide and self harm

A

yes this behavior is frequently seen

44
Q

borderline PD has a fear of

A

abandonment

45
Q

borderline PD screening tool

A

MMPI
- Minnesota multiphasic personality inventory)

46
Q

borderline PD therapies

A

CBT
DBT
schema focused therapy

47
Q

nurses respond borderline PD

A

matter of factly
clear straight forward communication

48
Q

borderline PD pharm

A

SSRI
anticonvulsants
lithium
naltrexone-reduce self harm behaviors
second gen for anger and psychosis

49
Q

CBT goal

A

identify and change inaccurate perceptions and harmful behavior

50
Q

DBT goal

A

using mindfulness to be aware of thoughts and shape them

51
Q

schema focused goal

A

CBT plus other therapy that works on reframing

52
Q

avoidant PD characteristics

A

low self esteem
shyness (increases with age)
feelings of inferiority
social inhibition
hypersensitivity to crisitim
fear of rejection
low self esteem
hypersensitive

53
Q

avoidant PD therpay

A

individual
- assertiveness
group (see other people have issues)

54
Q

avoidant PD pharm

A

anti anxiety
beta blocker
SSRI/SNRI

55
Q

dependent PD characteristics

A

high need to be taken care of
submissiveness
fears of separation and abandonment
clinging
helpless when alone
manipulation to make others take charge

56
Q

dependent PD nursing care

A

set limits that don’t make the patient feel punished
strong countertransference

57
Q

dependent PD therapy

A

psychotherapy

58
Q

dependent PD pharm

A

underlying symptoms of anxiety and depression

59
Q

obsessive-compulsive PD characteristics

A

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

60
Q

obsessive-compulsive PD affection

A

feels genuine affection for friends and family

61
Q

obsessive-compulsive PD therapy

A

group and behavioral

62
Q

obsessive-compulsive PD pharm

A

clomiramine or fluoxetine
- for obessions, anxiety, depression

63
Q

do obsessive-compulsive PD patient seek help

A

yes

64
Q
A

Mental Health (81 decks)

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