Chapter 6 pt 3 Flashcards
patients with avoidant personality disorder have
a pervasive pattern of social intuition and an intense fear of rejection
avoid situations in which they may be rejected
fear of rejection is so overwhelming they it affects all aspects of life
patients DESIRE companionship but are extremely shy and easily injured
avoidant personality disorder has large overlap with what
Social Anxiety Disorder (social phobia)
may be same syndrome/spectrum
what is the criteria for avoidant personality disorder
social inhibitor, hypersensitivity, feeling of inadequacy since early adulthood
4 or more:
-avoids occupation that involves interpersonal contact due to fear of criticism and rejection
-unwilling to interact unless certain of being liked
-cautious of interpersonal relationships
-preoccupied with being criticized or rejected in social situations
-inhibited in new social situations because he or she feels inadequate
-believes he or she is socially inept and inferior
-reluctant to engage in ew activities for rear of embarrassment
what is the pneumonic for the symptoms of avoidant personality disorder
AFRAID Avoids occupation with others Fear of embarrassment and criticism Reserved unless they are certain they are liked Always thinking rejection Isolates from relationships Distances self unless certain liked
differences in avoidant personality and social anxiety
social anxiety fear of EMBARRASSMENT
avoidant is fear of REJECTION
if patients with avoidant personality’s support system fails they are left susceptible to what
depression, anxiety, anget
differences b/w avoidant and dependent personalities
both cling to relationships but
avoidant slow to get involved
dependent actively and aggressively seek relationships
what is treatment for avoidant personality
PSYCHOTEHRAPY (assertiveness and social skills training) is most effective
group therapy can be good
patients with dependent personality disorder (DPD) have
poor self-confidence and fear of separation
excessive need to be taken care of and allow others to make decisions for them
feel helpless when left alone
what is criteria for dependent personality disorder
pattern of excessive need to be taken care of that leads to submissive and clinging behavior
5 or more:
- difficulty making everyday decisions without reassurance from others
- needs others to assume responsibilities for most areas of his or her life
- difficulty expressing disagreement because of fear of loss of approval
- difficulty initiating projects beach of lack of self-confidence
- goe to excessive lengths to obtain support from others
- feels helpless when alone
- urgently seeks another relationship when one ends
- preoccupied with fears of being left to care care of self
what is treatment for dependent personality
PCTHCOTHERPAY (CBT, assertiveness, and social skills training) treatment of choice
patients with OCPD have
pervasive pattern of perfectionism, inflexibility, and orderliness
preoccupied with unimportant details that they are unable to complete simple tasks in a timely fashion
appear stiff, serious, and formal, with constricted affect
often successful professionally but have poor interpersonal relationships
what is criteria for OCPD
preoccupation with orderliness, control, and perfectionism at the expense of efficiency and flexibility
4 or more:
- preoccupation with details, rules, lists, and organization such that the major pint of the activity is lost
- perfectionism that is detrimental to completion of task
- excessive devotion to work
- excessive consciousness and scrupulousness about morals and ethics
- will not delegate tasks
- unable to discard worthless objects
- miserly spending style
- rigid and stubborn
whats a big difference b/w OCD and OCPD
OCD is ego-dystonic (patient aware that they have a problem and wish that their thoughts and behaviors would go away)
OCPD is ego-syntonic
what is treatment for OCPD
PSYCHOTHERAPY (CBT) is treatment of choice
what is personality change due to another medical condition
refers to persistent personality change from a previous pattern due to a direct pathophysiology result of a medical condition (head trauma, strokes, epilepsy, CNS infections, neoplasms)
subtypes include: labile disinhibited aggressive apathetic paranoid
what is Other Specified Personality Disorder
diagnosis reserved fora personality disorder that does not meed the criteria for an of the disorder, but here the clinician choses to communicate the specific reason that the presentation does not meet the criteria for ant specified personality disorder
ex: mixed personality disorder
what is unspecified personality disorder
used for a personality disorder that does not meet the full criteria for any of the disorders but where the clinician chooses not to spicy there reason that the criteria are not met for ant specific personality disorder
ex: not enough information to make a more specific diagnosis
