Personality and Impulse Control Disorders

Question 1

Definition of a personality disorder

Answer 1

Enduring patter of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has its onset in adolescence or early adulthod, is stable over time, and leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning

Question 2

What percentage of the population has personality disorders

Answer 2

10-20% of the general population

Question 3

When do they generally start

Answer 3

late adolescence….late onset personality changes are often associated with other problems like neurological problems or substance abuse

Question 4

People who were raised in chaos and/or abuse are, understandably, deficient in “basic trust”

Answer 4

ok

Question 5

Extended early emotional trauma and abuse have been shown to adversely affect coping skills as well as brain development

Answer 5

ok

Question 6

Remember that defense mechanisms are what

Answer 6

mostly unconscious cognitive strategies to help deal with stressful information

Question 7

Three personality clusers

Answer 7

weird, wild, worried

Question 8

Cluster A (weird) encompasses which types of personalities?

Answer 8

• Paranoid
• Schizoid
• Schizotypal

Question 9

Paranoid personality

Answer 9

• Always look for wrong doing and malicious meaning
• rigid, defensive,
• suspicious
• unforgiving

Question 10

Schizoid

Answer 10

solitary

• Does not want close relationships
• Emotionally cold and detached
• chooses solitary jobs and night shifts

Question 11

Schizotypal personality

Answer 11

• cognitive and perceptual distortions and eccentricities, odd appearance and speech, no close friends
• this can be the premorbid phase of schiophrenia

Question 12

Cluster B (wild)

Answer 12

Impulsive, dramatic, mood swings
Extroverted
Short attention span
Intense/ stormy relationships

Question 13

Antisocial Personality Disorder

Answer 13

Means the patient “defies social rules”. Has nothing to do with being not-social.

No conscience/ never at fault

Question 14

Antisocial Personality disorder age guidelines

Answer 14

• Patient must be 18 or older for diagnosis and have shown evidence of conduct disorder with onset age before 15.

Question 15

Histrionic

Answer 15

Multiple somatic complaints
sexually seductive/ unaware
Emotionally labile

Question 16

Narcissistic

Answer 16

pretty self-explanatoyr

Question 17

Borderline Personality

Answer 17

Unstable moods, mood swings
STORMY RELATIONSHIPS, poor choices
Often confused wit bipolar disorder
All or nothing thinking

Often seen in ppl with hx of substance abuse, physical abuse, self-injurious behavior, suicidal gestures/attempts

Question 18

Borderline features

Answer 18

• substance abuse or misuse
• history of severe physical, emotional, sexual abuse
• Self- injurious behavior
• chronic feelings of emptiness relieved by pain

Question 19

Splitting

Answer 19

Seeing the world in only black and white

• Playing ppl against each other
• Causes discord and stress in the environment

Question 20

Cluster C (anxious) subgroups

Answer 20

OCD, Dependent, Avoidant

Question 21

Intermittent explosive diorder

Answer 21

Sudden bursts of anger that are disproportionate to the triggering event. These attacks remit spontaneously, usually followed by deep regret.

Question 22

What does the DSM-IV require for the diagnosis of all personality disorders..

Answer 22

Requires that the person display core maladaptive characteristics in multiple contexts, such as in both a social and occupational setting.

Also, elements of the disorder must appear before age 18 but the diagnosis is generally not applied until adulthood.