Personality D/O Flashcards
General Personality Disorder IICA
A. Enduring pattern or inner experience and behavior, deviates from cultural expectations. 2+ sx IICA 1. Cognition 2. Affectivity 3. Interpersonal functioning. 4. Impulse control. B. pattern is inflexible and pervasive across a broad range of personal and social situations. C. ClinSig D. Stable, long duration. E. NBE Mental F. NBE Substance/Medical
Paranoid Personality Disorder SLC MAIG
A. A pervasive distrust and suspiciousness of others, 4+ sx
SLC MAIG
1. Suspects others are harming, etc.
2. unjustified doubts about loyalty of family/friends
3. Is reluctant to confide in others
4. Reads hidden meanings into benign remarks
5. Persistently bears grudges
6. sees attacks that are not evident, may counterattack
7. suspects infidelity of partner
B. NBE Medical/Mental
Schizoid PD RSS AFIC
A. pervasive pattern of detachment, 4+ Sx RSS AFIC
1. Neither desires nor enjoys close relationships
2. Almost always chooses solitary activities.
3. Has little, if any, interest in having sex w/other
4. Takes pleasure in few, if any, activities.
5. Lacks close friends or confidants other than first-degree relatives.
6. Appears indifferent to the praise or criticism of others.
7. Shows emotional coldness, detachment, or flattened affectivity.
B. NBE Mental/Medical
Note: add “premorbid” if criteria met pre-schizophrenia
Schizotypal PD ROMPS AFA
A. A pervasive pattern of social defecits and cognitive/perceptual eccentricities, 5+ Sx ROMPS AFA
1. Ideas of reference
2. Odd beliefs or magical thinking that influences behavior (NBE culture/religion)
3. Unusual perceptual experiences, including bodily illusions.
4. Odd thinking and speech
5. Suspiciousness or paranoid ideation.
6. Inappropriate or constricted affect.
7. Behavior or appearance that is odd, eccentric, or peculiar.
8. Lack of close friends or confidants other than first-degree relatives.
9. Excessive social anxiety
B. NBE Medical/Mental
Note: Premorbid if applies
Antisocial PD INDI RCL
A. A pervasive pattern of disregard for and violation of the rights of others, since 15yo, 3+ Sx INDI RCL
1. Failure to conform to social norms with respect to lawful behaviors
2. Deceitfulness
3. Impulsivity or failure to plan ahead.
4. Irritability and aggressiveness
5. Reckless disregard for safety of self or others.
6. Consistent irresponsibility
7. Lack of remorse
B. The individual is at least age 18 years.
C. There is evidence of conduct disorder with onset before age 15 years.
D. NBE Mental
Borderline PD AA II PURES
A Instability in relationships, self image, affect. Lasting impulsivity across contexts, 5+ Sx AAII PURES
- Frantic efforts to avoid real or imagined abandonment.
- Inappropriate, intense anger or difficulty controlling anger
- Identity disturbance
- Impulsivity in at least two areas (e.g., spending, sex,
substance abuse, reckless driving, binge eating) - Transient, stress-related paranoid ideation or severe dissociative symptoms.
- unstable and intense interpersonal relationships
- Affective instability due to a marked reactivity of mood
- Chronic feelings of emptiness.
- Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
Histrionic PD APE OSSSI
A excessive emotionality and attention seeking, pervasive pattern, 5+ APE OSSSI
- uncomfortable if not the center of attention.
- Uses physical appearance to get attention
- rapidly shifting shallow emotions.
- emotionally overdramatic
- inappropriate sexually seductive behavior.
- speech is impressionistic and lacking in detail.
- Is suggestible
- Considers relationships to be more intimate than they actually are.
Narcisisstic PD
A pervasive pattern of grandiosity, lack of empathy, 5+
- high self-importance
- Is preoccupied with fantasies of unlimited success,
- Believes that he or she is “special” and unique and can only be understood by, other special people
- Requires excessive admiration.
- Has a sense of entitlement
- Is interpersonally exploitative
- Lacks empathy
- Is often envious of others or believes that others are envious of him or her.
- Shows arrogant, haughty behaviors or attitudes.
Avoidant PD
A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, 4+
- Avoids occupational activities that involve significant interpersonal contact because of fears of criticism,
- Is unwilling to get involved with people unless certain of being liked.
- Shows restraint within intimate relationships because of the fear of being shamed or ridiculed.
- Is preoccupied with being criticized or rejected in social situations.
- Is inhibited in new interpersonal situations because of feelings of inadequacy.
- Views self as socially inept, personally unappealing, or inferior to others.
- Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.
Dependent PD
A pervasive and excessive need to be taken care of that leads to submissive and clinging, 5+
- Has difficulty making everyday decisions
- Needs others to assume responsibility
- Has difficulty expressing disagreement
- Has difficulty initiating projects or doing things on own
- will volunteer to do unpleasant things to get nurturance
- Feels uncomfortable or helpless when alone
- Urgently seeks another relationship as a source of care
- unrealistically preoccupied with fears of being left to take care of himself or herself.
Obsessive Compulsive PD
A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, 4+
- Is preoccupied with details, rules, lists, order
- Shows perfectionism that interferes with task completion
- Is excessively devoted to work and productivity
- Is overconscientious and inflexible about morality, ethics,
- Is unable to discard worn-out or worthless objects even when they have no sentimental value.
- Is reluctant to delegate tasks or to work with others
- Adopts a miserly spending style
- Shows rigidity and stubbornness.
