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Psychiatry Y5 > Personality disorder > Flashcards

Personality disorder Flashcards

1
Q

Define personality disorder.

A

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.

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2
Q

What is the aetiology of personality disorders.

A

Some genetic contribution.

Early adversity contributes to development: social stressor, child abuse, dysfunctional family.

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3
Q

Summarise the epidemiology of personality disorder.

A

Symptoms begin late in adolescent years. 5% of population and 40% of psychiatric patients have a PD.

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4
Q

What are the three clusters for symptoms of personality disorder?

A
  • Odd/Eccentric
  • Dramatic/Emotional
  • Fearful/Anxious
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5
Q

What are the subtypes of odd/eccentric personality disorder traits?

A

Paranoid

Schizoid

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6
Q

What are some paranoid personality disorder symptoms?

A
  • Sensitive to setbacks
  • Suspicious of intentions
  • Bears grudges
  • Suspicious of partner fidelity
  • Self importance
  • Conspirational view of events
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7
Q

What are some schizoid personality disorder symptoms?

A
  • Emotional coldness
  • Few activities give pleasure
  • Limited capacity to express feelings
  • Indifference to praise or criticism
  • Little interest in sex
  • Prefer solitary activities
  • Preoccupied with fantasy
  • Insensitive to social norms
  • Uninterested in close friends.
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8
Q

What are the subtypes of dramatic/emotional personality disorder traits?

A

Histrionic

Dissocial

Emotionally unstable (impulsive type)

Emotionally unstable (borderline type)

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9
Q

What are some histrionic personality disorder symptoms?

A
  • Shallow and liabile affect
  • Self dramatisation
  • Suggestibility
  • Seeks centre of attention
  • Inappropriate seductiveness
  • Very concerned with physical attractiveness.
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10
Q

What are some dissocial personality disorder symptoms?

A
  • Blames others
  • Callous unconcern
  • Gross and persistent irresponsibility
  • Unable to endure relationships
  • No guilt
  • Low violence threshold
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11
Q

What are some emotionally unstable (impulsive type) personality disorder symptoms?

A
  • Unstable mood
  • Impulsivity
  • Conflict
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12
Q

What are some emotionally unstable (borderline type) personality disorder symptoms?

A
  • Emptiness
  • Effort to avoid abandonment
  • Unstable intense relationships
  • Uncertain self image
  • Self harm
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13
Q

What are the subtypes of fearful/anxious personality disorder traits?

A

Anakastic

Dependent

Anxious

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14
Q

What are some anakastic personality disorder symptoms?

A
  • Preoccupied with detail
  • Perfectionist
  • Doubtful
  • Rigid/stubborn
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15
Q

What are some dependent personality disorder symptoms?

A
  • Allows others to make important decisions
  • Unwilling to make reasonable demands on others
  • Helpless when alone
  • Subordination of own needs to others
  • Fear of abandonment
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16
Q

What are some anxious personality disorder symptoms?

A
  • Feeling of tension and apprehension
  • Preoccupied when criticised
  • Feeling of socially inept
  • Restrict lifestyle due to need of security
17
Q

What are some investigations for personality disorder?

A

?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.

18
Q

What is the management for personality disorder?

A

Treat comorbid disorders.

?Low dose antipsychotics. Antidepressant in emotionally unstable personality disorder. Carbemazapine to manage aggression in odd/eccentric cluster.

Psychotherapy (DBT)

19
Q

What are the complications associated with personality disorder? What is the prognosis of personality disorder?

A

High morbidity and mortality.

  • Paranoid: Poor prognosis, difficulties pervasice
  • Schizoid: Poor prognosis, difficulties pervasive
  • Histrionic: May improve with age, drug abuse linked.
  • Dissocial: Variable, may improve with age
  • Emotionally unstable: May improve with age. Abuse of substances, depressive risk and suicide risk.
  • Anakastic: May go on to develop OCD, may do well at jobs requiring obsessional behavior.
  • Dependent: Good outcome with treatment. Loss of person they are dependent on has poor prognosis.
  • Anxious: May develop social phobia.

Psychiatry Y5 (26 decks)

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