Mehl. personality disorders

Question 1

M. Cluster A (odd, eccentric). what 3 types?

Answer 1

Paranoid, Schizoid, Schizotypal

Question 2

M. Cluster A (odd, eccentric).
Paranoid defintion?

Answer 2

Broad, general suspicion and distrust of others that causes impairment in many areas of life, such as relationships and work.

Question 3

M. Cluster A (odd, eccentric).
Broad, general suspicion and distrust of others that causes impairment in many areas of life, such as relationships and work.??

Answer 3

Paranoid

Question 4

M. Cluster A (odd, eccentric). Paranoid. what defense mechanism?

Answer 4

Projection is a common defense mechanism.

Question 5

M. Cluster A (odd, eccentric). Paranoid. vs delusional disorder?

Answer 5

Delusional disorder, in contrast, will be one false belief in just one area of life (e.g., work

Question 6

M. Cluster A (odd, eccentric). Schizoid. definition?

Answer 6

Person is a loner/recluse and prefers for it to be that way (ego-syntonic).

Question 7

M. Cluster A (odd, eccentric).
Person is a loner/recluse and prefers for it to be that way (ego-syntonic).?

Answer 7

Schizoid.

Question 8

M. Cluster A (odd, eccentric). Schizoid. vs avoidant personality disorder?

Answer 8

This is in contrast to avoidant personality disorder (discussed below), where the patient doesn’t wish for this to be the case (ego-dystonic).

Question 9

M. Cluster A (odd, eccentric). Schizoid.
The USMLE will say a guy works at a plastics factor or is computer programmer (i.e., some random boring job without social interaction) and just stays alone.

Answer 9

.

Question 10

M. Cluster A (odd, eccentric). Schizotypal.
definition?

Answer 10

Wild thinking / unusual beliefs. Patient may have superstitious thinking or fixation on astrology or Buddhist temples, but he/she doesn’t qualify for any psychotic disorder.

Question 11

M. Cluster A (odd, eccentric).

Wild thinking / unusual beliefs. Patient may have superstitious thinking or fixation on astrology or Buddhist temples, but he/she doesn’t qualify for any psychotic disorder.???

Answer 11

Schizotypal

Question 12

M. Cluster A (odd, eccentric). Schizotypal.

Often experience socio-occupational dysfunction, where they might appear odd or peculiar to coworkers, clients, or others.

Answer 12

.

Question 13

M. Cluster B (dramatic, emotional, erratic). 4 types?

Answer 13

Borderline, Histrionic, Narcissistic, Antisocial

Question 14

M. Cluster B (dramatic, emotional, erratic). Borderline. definition?

Answer 14

Unstable personal relationships, self-image, emotions, and impulsivity.

Question 15

M. Cluster B (dramatic, emotional, erratic).
Unstable personal relationships, self-image, emotions, and impulsivity.

Answer 15

Borderline

Question 16

M. Cluster B (dramatic, emotional, erratic). Borderline. what behavious can demostrate?

Answer 16

Patient can demonstrate parasuicidal behavior, which are suicidal gestures without true intent to commit suicide, such as slicing/cutting of one’s wrists and legs.

Question 17

M. Cluster B (dramatic, emotional, erratic). Borderline. Hx of what?

Answer 17

Patient may have history of being engaged to multiple prior partners.

Question 18

M. Cluster B (dramatic, emotional, erratic). Borderline. Dx?

Answer 18

Tx = dialectal behavioral therapy (DBT).

Question 19

M. Cluster B (dramatic, emotional, erratic). Histrionic. definiton/CP?

Answer 19

Attention-seeking, eccentricity, sexual suggestibility.

Question 20

M. Cluster B (dramatic, emotional, erratic). Attention-seeking, eccentricity, sexual suggestibility.

Answer 20

Histrionic.

Question 21

M. Cluster B (dramatic, emotional, erratic). Histrionic.

Patient is uncomfortable when not center of attention, often using their appearance to draw attention.

Answer 21

.

Question 22

M. Cluster B (dramatic, emotional, erratic). Histrionic.

USMLE might give a female who is highly flirtatious and sexually provocative with her physician. They can also give a male who wears bright colors (i.e., a 44-year-old man presents to emergency high-energy and dressed all in yellow).

Answer 22

.

Question 23

M. Cluster B (dramatic, emotional, erratic). Narcissistic.
definition?

Answer 23

Inflated sense of self-importance; deep need for excessive attention and admiration; lack of empathy for others.

Question 24

M. Inflated sense of self-importance; deep need for excessive attention and admiration; lack of empathy for others.Dx?

Answer 24

Cluster B (dramatic, emotional, erratic). Narcissistic.

Question 25

M. Cluster B (dramatic, emotional, erratic). Antisocial. CP, age?

Answer 25

Person who breaks the law who is over 18.

Question 26

M. Cluster B (dramatic, emotional, erratic). Antisocial. must have Hx of what?

Answer 26

they must have had a history of conduct disorder starting earlier than 15. This demonstrates the pattern of law-breaking is consistent, rather than haphazard or one-off.

Question 27

M. Cluster C. (anxious, fearful). 3 types?

Answer 27

Avoidant, Dependent, Obsessive- compulsive (OCPD)

Question 28

M. Cluster C. (anxious, fearful). Avoidant. definition?

Answer 28

Extreme social inhibition, inadequacy, and sensitivity to rejection or negative criticism.

Question 29

Extreme social inhibition, inadequacy, and sensitivity to rejection or negative criticism.

Answer 29

M. Cluster C. (anxious, fearful). Avoidant.

Question 30

M. Cluster C. (anxious, fearful). Avoidant. Patient might be reluctant to engage in new activities or meet strangers due to fears of inadequacy; patient might view him or herself as socially inept or unappealing.

Answer 30

.

Question 31

M. Cluster C. (anxious, fearful). Avoidant. do they want social engagement?

Answer 31

go-dystonic, where the patient desires social interaction but is unable to engage in it. This contrasts with schizoid, which is ego-syntonic, where the patient prefers not to have social interaction.

Question 32

M. Cluster C. (anxious, fearful). Avoidant. vs what?

Answer 32

Schizoid. Ego-dystonic, where the patient desires social interaction but is unable to engage in it. This contrasts with schizoid, which is ego-syntonic, where the patient prefers not to have social interaction.

Question 33

M. Cluster C. (anxious, fearful). Dependent. defintion?

Answer 33

Pervasive/excessive need to be taken care of; clinging behavior and fear of separation.

Question 34

Pervasive/excessive need to be taken care of; clinging behavior and fear of separation. ???

Answer 34

Cluster C. (anxious, fearful). Dependent.

Question 35

M. Cluster C. (anxious, fearful). Dependent. Patient will often go to great lengths to avoid being alone, constantly seeking to be physically close to intimate partner.

Answer 35

.

Question 36

M. Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD). Definition?

Answer 36

Preoccupation with orderliness, perfectionism, and control; patient is overly focused on productivity to the detriment of personal relationships, often with insistence that his/her way of doing things is the only right way.

Question 37

Preoccupation with orderliness, perfectionism, and control; patient is overly focused on productivity to the detriment of personal relationships, often with insistence that his/her way of doing things is the only right way.

Answer 37

Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD).

Question 38

M. Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD). The key here is that the pattern of behavior causes detriment to socio-occupational functioning – e.g., a secretary insists on reading every letter she prints a minimum of 9 times before sending it off to check for spelling errors, but this creates inefficiency at the office.

Answer 38

.

Question 39

M. Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD). vs OCD?

Answer 39

Ego-syntonic, whereas OCD is ego-dystonic.