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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
schizotypal PD pharm
low dose antipsychotics
26
difference between schizotypal and schizophrenia
people with schizotypal can be made aware of suspiciousness, magical thinking, and odd beleifs schizophrenia has far stronger delusions
27
histrionic PD characteristics
excitable, dramatic bold behaviors limited ability to make meaningful behaviors attention seeking center of attention high functioning drama queen
28
histrionic PD and suicide
gestures may result in patent entry into health care system
29
histrionic PD therapy
psychotherapy group
30
histrionic PD pharm
underlying symptoms
31
histrionic PD nursing care guidelines
ignore flirtations model concrete language
32
narcissistic PD characteristics
entitlement lack of empathy weak self esteem hypersensitivity to criticism grandiosity
33
narcissistic PD therapy
CBT group - difficult to treat, patients not likely to seek help or contront shortcomings
34
narcissistic PD pharm
lithium for mood swings depression=antidepressants
35
antisocial PD characteristics
antagonistic behaviors lack of empathy absence of remorse or guilt manipulative sociopath
36
precursor to antisocial PD
conduct disorder
37
antisocial PD therapy
CBT MBT (mentalization behavioral therapy) DBT (dialectical behavior therapy) - may bond with psychotherapists
38
antisocial PD pharm
mood stabilizers-aggression SSRI-decrease irritability benzos-antixitey ritalin
39
antisocial PD do this patients stick to long term relationship with provider
no
40
borderline PD characteristics
emotional lability impulsivity self destruction splitting (black and white thinking) unstable relationships
41
borderline PD and histrionic
borderline has underlying fear of abandonment
42
borderline PD defense mechanism
splitting
43
borderline PD suicide and self harm
yes this behavior is frequently seen
44
borderline PD has a fear of
abandonment
45
borderline PD screening tool
MMPI - Minnesota multiphasic personality inventory)
46
borderline PD therapies
CBT DBT schema focused therapy
47
nurses respond borderline PD
matter of factly clear straight forward communication
48
borderline PD pharm
SSRI anticonvulsants lithium naltrexone-reduce self harm behaviors second gen for anger and psychosis
49
CBT goal
identify and change inaccurate perceptions and harmful behavior
50
DBT goal
using mindfulness to be aware of thoughts and shape them
51
schema focused goal
CBT plus other therapy that works on reframing
52
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
53
avoidant PD therpay
individual - assertiveness group (see other people have issues)
54
avoidant PD pharm
anti anxiety beta blocker SSRI/SNRI
55
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
56
dependent PD nursing care
set limits that don't make the patient feel punished strong countertransference
57
dependent PD therapy
psychotherapy
58
dependent PD pharm
underlying symptoms of anxiety and depression
59
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
60
obsessive-compulsive PD affection
feels genuine affection for friends and family
61
obsessive-compulsive PD therapy
group and behavioral
62
obsessive-compulsive PD pharm
clomiramine or fluoxetine - for obessions, anxiety, depression
63
do obsessive-compulsive PD patient seek help
yes
64

Mental Health (81 decks)

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