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Psychiatry :):( > PD > Flashcards

PD Flashcards

1
Q

How to categorise PD

A

ICD-10/DSM IV

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2
Q

What are the classifications of PD using DSM

A

Cluster A = paranoid, schizoid

Cluster B = dissocial, emotionally unstable, histrionic

Cluster C = anxious/avoidant, dependent, anankastic

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3
Q

What is the mental illness connected with Cluster A

A

schizophrenia

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4
Q

What is the mental illness related to cluster C

A

anxiety

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5
Q

Are people with a PD more likely to experience mental illness

A

oui

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6
Q

What are the components of cluster A

A

paranoid and schizoid

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7
Q

what are the components of cluster B

A

dissocial, emotionally unstable, histrionic

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8
Q

what are the components of cluster C

A

anxious/avoidant, dependent and anankastic

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9
Q

what is the definition of a pD

A

It is an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individuals culture in two or more of the following areas:

  1. cognition
  2. affectivity
  3. interpersonal functioning
  4. impulse control

if it aint pervasive or causing distress it aint a disorder xx

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10
Q

can a PD be tracked back to childhood or is that more likely to be a mental illness

A

yes it can

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11
Q

What are the five components of the five-factor model?

A

CANOE

C - conscientiousness 
A - agreeableness 
N - neuroticism 
O - openness to experience
E - extraversion
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12
Q

What are the components of the three-factor model?

A

PEN

P - psychoticism
E - extraversion
N - neuroticism

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13
Q

Why is defining a PD hard

A

hard to know what the ‘normal’ standard of behaviour and personality is

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14
Q

in a clinical scenario should you use a dimensional/categorical approach to diagnosing PD

A

categorical - ICD-10 or DSM IV

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15
Q

What is important to remember when taking a psychiatric history and considering PD as a diagnosis

A

that psychiatric illness can distort someones personality

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16
Q

hallmarks of a dissocial PD

A

doesnt care, no empathy, low frustration tolerance, no care for social norms, blames others

17
Q

Good test for dissocial PD

A

the blink reflex

18
Q

the two classifications of emotionally unstable PD

A

impulsive type and a borderline type

19
Q

hallmarks of an impulsive type emotionally unstable person

A

at least three of:

  • unpredictable
  • quarrelsome
  • explosive
  • desultory
  • capricious
20
Q

definition of a borderline emotionally unstable person

A

at least three from impulsive and 2 of:

  • poor self-image
  • relationship crisis
  • fear of abandonment
  • self-harm
  • feelings of emptiness
21
Q

Believed aetiology of borderline emotionally unstable PD

A

increased rates of childhood sexual and physical abuse

22
Q

What does beck and freeman propose about emotionally unstable PD

A

the world is a dangerous place, the person is vulnerable and powerless, and the person is inherently unacceptable

23
Q

Characteristics of anankastic/obsessive compulsive PD

A

At least four of the following:

  • cautious
  • orderliness
  • perfectionist
  • conscientiousness
  • productivity
  • pedantic
  • rigid
  • marinette
24
Q

Defining qualities of a narcissistic PD

A

at least four of:

  • grandiose
  • high ideals
  • self-opinionated
  • needs admiration
  • exploits others
  • expects privilege
  • lacks empathy
  • envy
  • arrogant
25
Q

TX for dependent PD

A

problem solving counselling

26
Q

How to diagnose PD

A

clinical picture created from detailed Hx

27
Q

Most commonly diagnosed PD

A

borderline

28
Q

TX for borderline

A

consider psychotherapy - dialectic behaviour therapy/community group stuff
drugs is non-specific but fluoxetine can be beneficial

29
Q

what drug is known to worsen borderline PD

A

tricyclic antidepressants

30
Q

can you give antipsychotics in PD

A

yes but in smaller doses and only for short term

31
Q

is lithium carbonate and carbamazepine known to be beneficial in PD

A

yes, can be good to stabilise mood e.g. in aggression

Psychiatry :):( (11 decks)

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