Personality 3

Question 1

What is the postulated theory for etiology of Borderline Personality Disorder?

Answer 1

Biological vulnerability + Invalidating environment..

Parent’s don’t validate child’s emotional responses and/or has erratic vs over/under rxns to child, so child learns to 1) not trust their feelings/emotions, and 2) uses behavior to communicate.

Question 2

What is the main evidence based benefit of DBT for BPD?

Answer 2

reduces suicide risk.

Question 3

What are the two evidence based therapies that are helpful in BPD?

Answer 3

1. Transference focused psychotherapy

2. Dialectical behavioral therapy.

Question 4

What are the four parts of DBT?

Answer 4

1. Weekly individual therapy
2. Weekly group therapy
3. Phone contact
4. Therapist support group (for the therapists)

Question 5

What are the four main element of weekly group therapy in DBT?

Answer 5

1. Mindfullness
   - Observing without reacting
   - Learning to name reactions/emotions
   - Learning to participate without self-consciousness.
2. Interpersonal effectiveness (includes assertiveness training)
3. Emotion regulation skills (mostly CBT)
4. Distress tolerance

Question 6

Histrionic PD is highly comorbid with what Axis 1 illness?

Answer 6

Somatic Symptom Disorder.

Question 7

What interesting brain changes do you see in individuals with Narcissistic PD when they are interacting with others?

Answer 7

Activation of motor and pre-motor regions of the brain.

Question 8

Which PD are women more likely to have?

Which PD are men more likely to have?

Answer 8

Women:

• BPD
• Histrionic
• Avoidant
• Dependent

Men:

• ASPD
• OCPD
• Schizoid

Narcissistic M= F

Question 9

What axis 1 illnesses increase your lifetime prevalence of OCPD?

Answer 9

Anxiety disorders (panic, social phobia, GAD)

BPAD

Question 10

What mechanism of disease is implicated in:

1. Avoidant Personality Disorder?

2, BPD?

Answer 10

1. Hyper-reactivity of Amygdala during reappraisal tasks.

2. Reduced lateral pre-frontal -amygdala communication.