Personality Disorder Flashcards
What us a personality disorder?
Enduring, deeply pervasive and inflexible patterns of experience and behavior, which are maladaptive in the individual/s culture and therefore cause distress and impairment of work and psychosocial functioning.
What is the aetiology of personality disorder?
Some genetic contribution. Early adversity contributes to development: social stressor, child abuse, dysfunctional family.
What is the epidemiology of personality disorder?
Symptoms begin late in adolescent years. 5% of population and 40% of psychiatric patients have a PD.
What would you find in the history and exam of someone with personality disorders?
Maladaptations manifest as: cognitions, affect, control over impulse and need gratification, manner of relating to others, handling interpersonal situations and stress handling.
What are the 3 symptom clusters?
Odd/ Eccentric
Dramatic/ Emotional
Fearful/ Anxious
What are the paranoid symptoms of Odd/Eccentric PD?
Sensitive to setbacks,
suspiciousness of intentions, bears grudges,
suspicious of partner fidelity, self importance, conspirational view of events.
What are the schizoid symptoms of Odd/Eccentric PD?
emotional coldness, few activities give pleasure,
limited capacity to express feeling, indifference to
praise or criticism, little interest in sex, prefer solitary activities, preoccupied with fantasy, insensitive to social norms, uninterested in close friends.
What are the symptoms of histrionic PD? (A Dramatic/ Emotional)
shallow and liabile affect, self dramatisation, suggestibility, seekx centre of attention, inappropriate seductiveness, very concerned with physical attractiveness.
What are the symptoms of dissocial PD? (A Dramatic/ Emotional)
blames others, callous unconcern, gross and persistent irresponsibility, unable to endure relaitonships, no guilt, low violence thresh.
What are the symptoms of Emotional instability (impulsive type) PD? (A Dramatic/ Emotional)
unstable mood,impulsivity. Conflict.
What are the symptoms of Emotionally unstable (borderline type) PD? (A Dramatic/ Emotional)
emptiness, effort to avoid abandonment, unstable intense relationships, uncertain self image. Self harm.
What are the symptoms of Anakastic PD? (Fearful/Anxious)
preccupied with detail, perfectionist, doubtful, rigid/stubborn
What are the symptoms of Dependent PD? (Fearful/Anxious)
allows others to make important decisions, unwilling to make reasonable demands on others, felpless when alone, subordination of own needs to others, fear of abandonment.
What are the symptoms of Anxious PD? (Fearful/Anxious)
feeling of tension and apprehension, preoccupied when criticised, felling of socially inept, restrict lifestyle due to need of security.
What investigations would you do for personality disorders?
?MRI if concern over organic causes of personality change (frontal tumor, SDH)
Careful and thorough assessment. Psychometric assessment i.e. Millon Clinical Multiaxial Inventory MCMI.
