Diagnoses - personality disorders Flashcards
Personality d/o w chronic feelings of emptiness, transient psychotic sx, mood swings, tumultuous relationships, self-mutilation, poor self-image, impulsivity? (7x)
BORDERLINE
Which disorder has greatest co-incidence of alcohol abuse and dependence? (3x)
ANTISOCIAL PERSONALITY DISORDER
What personality disorder results in displays of rapidly shifting and shallow expression of emotions in patients? (3x)
HISTRIONIC
What personality d/o is associated with transient psychotic symptoms (2x)
BORDERLINE
Personality d/o should be considered in ddx of cyclothymic d/o? (2x)
HISTRIONIC
Pts with which personality d/o sees themselves socially inept, personally unappealing, or inferior to others? (2x)
AVOIDANT
Pt prominently uses the defenses of isolation of affect & intellectualization. Description of life events appears to involve reaction formation. What personality trait is most likely to characterize this pt? (2x)
OBSESSIVE-COMPULSIVE
Another psychiatrist refers to a pt by saying this pt is “special” and need really good treatment. You need to be careful with the pt to: (2x)
ANTICIPATE THE POTENTIAL FOR SPLITTING BETWEEN THE REFERRING MD AND YOURSELF.
Avoidant PD differs from Schizoid PD by: (2x)
DESIRE FOR SOCIAL RELATIONS
Interpersonal exploitativeness is a diagnostic feature of (2x):
NARCISSISTIC PERSONALITY DISORDER
40 y/o hand surgeon has come into conflict with the hospital admin. Though the hospital went out of its way to recruit this surgeon, he has felt consistently betrayed and has accused the administration of trying to exploit him by expecting that he should take more calls, though this has never been stated. The doctor-hospital relationship deteriorated further when peer review raised a question about one of the surgeon’s cases. The surgeon believes that none of his complaints have been satisfactorily resolved. He has become more unforgiving and isolated: (2x)
PARANOID PERSONALITY DISORDER
Borderline patient pulling away from a relationship due to growing up in abusive household is stuck in which stage
RAPPROCHEMENT
30 yo is pushed by family to get help for isolation she is uncomfortable around others and have problems making friends unless convinced they will accept her. She thinks others are highly critical of her and only has 2 close friends from childhood and has never dated. Fears of embarrassment interfere with job seeking as well. What is this dx?
AVOIDANT PERSONALITY DISORDER
29 y/o F w/ mood swings- mood changes very rapidly, sometimes without prompting, from elation to depression or intense anger. These moods last minutes to hours. Her history is significant for promiscuity, spending sprees, tumultuous relationships, unstable self-image, and occasional use of cocaine. Hx of a brief period of paranoia and AH? During and emotional break-up with her last boyfriend, which remitted after a 2-day admission to the psych unit. When asked about SI, she reports that it is always in her mind and that, whenever she is under stress, she cuts her arms with a sharp blade to relieve a strong feeling of emptiness. Most likely Dx?
BORDERLINE PERSONALITY D/O
Which personality d/o is most commonly found in pts w/ severe factitious d/o?
BORDERLINE PERSONALITY
Person with covert obstructionism, procrastination, stubbornness, and inefficiency may be classified as suffering from which personality d/o outside of current DSM classification?
PASSIVE-AGGRESSIVE
Common symptoms of paranoid personality disorder
PREOCCUPATION W/ UNJUSTIFIED DOUBTS OF LOYALTY/TRUSTWORTHINESS OF FRIENDS/ASSOCIATES
Underlying dynamic of much of the behavior of pts with paranoid personality d/o:
A DEVELOPMENTAL FAILURE TO ACHIEVE OBJECT CONSTANCY
20 y/o M with poor performance in college, before was very good student except for not being able to finish assigned projects at college. Classmates have described bizarre behavior, such as counting loudly or repeating words silently. He does not want to follow others rules but his owns, he believes nobody understands him and are against him.
OBSESSIVE COMPULSIVE PERSONALITY DISORDER
Pt with body dysmorphic d/o may have what personality d/o?
NARCISSISTIC
Which personality disorder is characterized by a style of speech that is excessively impressionistic and lacking in detail?
HISTRIONIC
Pt becomes panicky and distressed every time psychiatrist goes on vacation, this pattern is most likely a characteristic of:
DEPENDENT PERSONALITY
Pt with histrionic personality d/o storms in his psychodynamic session and a few minutes late, clearly in rage. He expresses hopelessness and declares vehemently that he must divorce his wife. Next best intervention:
ENCOURAGE THE PT TO REFLECT MORE ON WHAT HAS HAPPENED TO TRIGGER SUCH PAINFUL FEELINGS.
22 y/o borderline splitting inpatient staff. You should:
EDUCATE STAFF ABOUT SPLITTING
DDx of histrionic personality disorder includes what other personality d/o?
DEPENDENT PERSONALITY DISORDER
Which personality d/o should be in the dif dx of agoraphobia:
DEPENDENT PERSONALITY DISORDER
23 y/o M w/ Borderline. Had fight w/ g/f now psychotic, cutting, AH w/ command to harm self. What level of care:
BRIEF INPATIENT HOSPITALIZATION
Pts w/ this personality d/o most likely to have 1st degree relatives with depression
BORDERLINE
According to DSM-IV-TR, what personality disorder in adults requires evidence of another specific psychiatric diagnosis prior to age 15?
ANTISOCIAL
Pt repeatedly becomes distressed after what seems, even to the pt, to be minor disappointments. Pt also seems to suffer from extreme narcissistic vulnerability. A therapist utilizing self-psychology would be most likely to interpret this as due to?
A LACK OF DEVELOPMENTALLY APPROPRIATE EMPATHIC CAREGIVERS.
DBT has been shown to be effective in the treatment of what personality disorder?
BORDERLINE
What personality disorders should be the main consideration in differential dx of schizotypal personality disorder?
AVOIDANT
16-year-old adolescent is being evaluated for possible schizophrenia. A family history of which of the following personality d/o is most strongly associated with this dx?
SCHIZOTYPAL
25 y/o hospitalized for appy. Pt reports being “bothered by surgeon’s aura”. Lives alone, no close friends, gets on websites about auras and crystal work. Pt’s mother affirms he’s “always been this way.” Which personality disorder?
SCHIZOTYPAL
Which intervention is helpful in dealing with a borderline pt on a medical ward?
SETTING LIMITS WITH THE PT ON THE STRUCTURE OF THE MEDICAL CARE
Extremely demanding patient repeatedly calls psychiatrist’s office and berates staff in offensive terms. Which step should the psychiatrist take first?
SET LIMITS WITH THE PATIENT
Useful info to confirm diagnosis of antisocial personality d/o (APD) in 20 y/o patient?
SCHOOL COUNSELING RECORDS
Pts that “cut” as a form of self-mutilation typically:
CLAIM TO FEEL NO PAIN
Which test to confirm personality disorder?
MILLON CLINICAL MULTIAXIAL INVENTORY (MCMI-III)
