First Aid Personality Disorders

Question 1

criteria for personality disorder

Answer 1

pattern of behavior is manifested by 2+:
-cognition
- affect
-personal relations
-impulse control
the pattern is pervasive, and inflexible. stable and onset no later than adolescene or early adulthood

Question 2

Cluster A personality disorders

Answer 2

schizoid, schizotypal and paranoid

Question 3

Cluster B personality disorders

Answer 3

antisocial, borderline, histrionic and narcissistic

Question 4

Cluster C personality disorders

Answer 4

avoidant, dependent and obsessive-compulsive

Question 5

treatment personality disorders

Answer 5

pharm doesn’t go very far

mainly psychotherapy and group therapy

Question 6

diagnosis paranoid personality disorder

Answer 6

suspicion, pre-occupation with doubts of loyalty or trust
reluctance to confide in others, interpretation of benign remarks as threatening, persistence of grudges, perception of attacks on his or her character that are not apparent to others, recurrence of suspicions regarding fidelity of spouse or lover

Question 7

treatment of choice for paranoid personality disorder

Answer 7

psychotherapy

Question 8

schizoid personality disorder diagnosis

Answer 8

voluntary social withdrawal and restricted range of emotional expression
4+:
- neither enjoying or wanting close relationships
-choosing solitary activities
-little interest in sexual activity
-taking pleasure in few activities
-few close friends or confidants
-indifference to praise or criticism
-emotional coldness, detachment or flattened affect

Question 9

treatment for schizoid personality disorder

Answer 9

psychotherapy and group

low dose antipsychotics

Question 10

schizotypal personality disorder criteria

Answer 10

social deficits with eccentric behavior, cognitive and perceptual distortions, discomfort in close relationships
5+:
-ideas of reference
-odd beliefs or magical thinking, inconsistent with cultural norms
-unusual perceptual experiences
-suspiciousness
-inappropriate or restricted affect
-odd or eccentric appearance or behavior
- few close friends or confidants
- odd thinking or speech
-excessive social anxiety

Question 11

treatment for schizotypal personality disorder

Answer 11

psychotherapy

short course low dose antipsychotics if necessary

Question 12

diagnosis antisocial personality disorder

Answer 12

disregard for others and violation of rights of others since age 15
at lease 18 y.o. for Dx
3+:
- failure to conform to social norms by committing unlawful acts
-deceitfulness/repeated lying/manipulating others for personal gain
impulsivity/failure to plan ahead
-irritability and aggressiveness/repeated fights or assaults
-recklessness and disregard for safety of self or others
-irresponsibility/failure to sustain work or honor financial obligation
-lack of remorse for actions

Question 13

treatment of antisocial personality disorder

Answer 13

DBT and BT

pharm for Sx of anxiety or depression but watch out for addiction issues

Question 14

diagnosis of borderline personality disorder

Answer 14

pervasive pattern of impulsivity and unstable relationships,a ffects,s elf image and behaviors
5+:
- desperate efforts to avoid real or imagined abandonment
- unstable, intense interpersonal relationships
- unstable self image
- impulsivity in at least 2 potentially harmful ways
-recurrent suicidal threats or attempts or self mutlation
- unstable mood affect
-general feelings of emptiness
-difficulty controlling anger
-transient stress related paranoid ideation

Question 15

treatment of borderline personality disorder

Answer 15

1) psychotherapy DBT, CBT and social skills training

pharm for depressive or psychotic Sx

Question 16

diagnosis histrionic personality disorder

Answer 16

pattern of excessive emotionality and attention seeking
5+:
- uncomfortable when no the center of attention
-inappropriately seductive or provocative behavior
-used physical appearance to draw attention to self
-has speech that is impressionistic and lacking in detail
-theatrical and exaggerated expression of emotion
-easily influenced by others or situation
-perceives relationships as more intimate than they actually are

Question 17

Tx histrionic personality disorder

Answer 17

psychotherapy

pharm for depression or anxiety Sx

Question 18

Diagnosis of narcissistic personality disorder

Answer 18

pattern of grandiosity, need for admiration and lack of empathy begining by early adulthood
5+:
-exaggerated sense of self importance
- preoccupation with fantasies of unlimited money, success, briliance
-believes that he or she is special or unique and can associate only with other high status individuals
-needs excessive admiration
-sense of entitlement
-takes advantage of others for self gain
-lacks empathy
-envious of others or believes others are envious of him or her
-arrogant or haughty

Question 19

treatment of narcissistic personality disorder

Answer 19

psychotherapy, groyp

antidepressants or lithium may be used as needed

Question 20

diagnosis avoidant personality disorder

Answer 20

social inhibition, hypersensitivity and feelings inadequacy
4+:
- avoids occupation that involves interpersonal contact due to a 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 new activities for fear of embarassment

Question 21

Tx for avoidant personality disorders

Answer 21

psychotherapy like assertiveness training

beta blockers for anxiety and SSRI for depression

Question 22

diagnosis dependent personality disorder

Answer 22

pattern of submissive and clinging behavior from excessive need to be taken care of
5+:
- difficulty making everyday decisions without reassurance from others
-needs others to assume responsibilities for most areas of his or her life
-cannot express disagreement because of fear of loss of approval
-difficulty initiating projects because of lack of self confidence
-goes 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 take care of self
** must manifest early in adulthood to be Dx with this disorder**

Question 23

Tx dependent personality disorder

Answer 23

psychotherapy in groups and social skills training

pharm is anxiety or depression

Question 24

diagnosis Obsessive Compulsive personlity Disorder

Answer 24

pattern preoccupation with orderliness, control and perfectionism at expense of efficiency
4+:
-preoccupation with details, rules, lists and organization such that the major point ot the activity is lost
-perfectionism that is detrimental to completion of task
-excessive devotion to work
-excessive conscientiousness and scrupulousness about morals and ethics
-will not delegate tasks
-unable to discard worthless objects
-misery
- rigid and stubborn

Question 25

Tx OCPD

Answer 25

psychotherapy! group and behavioral

pharm for assoc Sx

Question 26

personality disorders that are not otherwise specified

Answer 26

passive aggressive personality disorder

depressive personality disorder