Personality Disorder Flashcards
A PD is:
An enduring pattern of inner experience and behaviour that:
- Deviates markedly from the ___ of the individual’s __ AND
- Is __ and __ (across a broad range of personal and social situations AND)
- Has onset in __ or __ __ AND
- Is __ over time AND
- __ to distress or ___ in social, occupational or other important areas of functioning
- Deviates markedly from the expectation of the individual’s culture AND
- Is pervasive and inflexible (across a broad range of personal and social situations AND)
- Has onset in adolescence or early adulthood AND
- Is stable over time AND
- Leads to distress or impairment in social, occupational or other important areas of functioning
Definition: pervasive distrust and suspiciousness of others motives
Symptoms: SUSPECT (4/7 of the following)
- Suspicious that others are exploiting or deceiving them
- Unforgiving (have grudges)
- Spousal infidelity suspected without justification
- Perceive attacks of characters and counterattacks quickly
- Enemy or friend? Preoccupied with acquaintance trustworthiness
- Confiding in others is feared
- Threats interpreted in benign remarks
Paranoid Personality Disorder
Definition: detachment from social relationships without overt longing for others and restricted emotional expression
Schizoid Personality Disorder
to diagnose schizoid, a person needs __/7 of the following (DISTART)
D; detached/flat affect
I: indifferent
S: Sexual experience of little interest
T: tasks done alone
A: absenece of close friends
Relationships N: neither desires nor enjoys close
T: takes pleasure in few hobbies
Definition: acute discomfort in close relationships; multiple oddities and eccentricities (ideas of reference, magical thinking, illusions, derealization). Usually a stable diagnosis, but are at higher risk for developing schizophrenia/other psychotic disorder.
Epi; more common in individuals with relatives with schizophrenia.
schizotypal personality disorder
schizotypal personality disorder needs __/9 of the following: ME PECULIAR
5/9:
M; magical thinking
E: eccentric
P: paranoia
E: experiences/unusual perception
C: Constricted affect
U: unusual thinking/speech
L: lacks close friends
I: ideas of reference
A: anxiety in social situations
R: rule out other psychotic disorders
Borderline Personality Disorder needs ___/9 of the following:
Definition: pattern of ___ in interpersonal relationships, __-__ and __; usually increased __
Definition: pattern of instability in interpersonal relationships, self-image and affect; usually increased impulsivity
needs 5/9 of IMPULSIVE
I: impulsive
M: moodiness
P: paranoia or dissociation under stress
U: unstable self image
L: labile intense relationships
S: suicidal gesturse/self-harm
I: inappropriate anger
V: aVOIDING abandonment
E: emptiness
Key management of borderline personality disorder
dialectical behavioural therapy \
CBT primarily focuses on learning ways to change unhelpful thoughts and behaviours. DBT teaches people to accept their thoughts, feelings and behaviours, and the techniques to change them. Not only are personal skills taught in DBT, but skills for interpersonal relationships are also emphasized.
Utilizes mindfulness, distress tolerance, interpersonal effectiveness and emotional regulation to recognize and curtail their behaviours/negative thought spirals.
Complications: 10% suicide completion, lots of attempts
Symptoms: ACTRESS (5/8 of the following)
- Appearance used to attract attention
- Center of attention or else uncomfortable
- Theatrical
- Relationships believed to be more intimate than they are
- Easily influenced
- Seductive behaviour
- Shallow expression of emotions which rapidly shift
Histrionic Personality Disorder
Definition: dramatic, emotional, attention-seeking style
Definition: pattern of grandiosity, need for admiration and lack of empathy
Narcissistic Personality Disorder
Definition: pattern of grandiosity, need for admiration and lack of empathy
Symptoms: SPEEECIAL
- Special
- Preoccupied with fantasies of unlimited success, power, brilliance or ideal love
- Envious of others or believes envied
- Excess admiration required
- Entitled
- Conceited (grandiose sense of self-importance)
- Interpersonal exploitations
- Arrogant
- Lacks empathy
- Cannot conform to the law
- Obligations ignored/irresponsible
- Reckless disregard for safety
- Remorseless
- Underhanded/deceitful
- Planning insufficient/impulsive
- Temper irritable and aggressive
Antisocial Personality Disorder
Antisocial Personality Disorder
Definition: pattern of disregard for and violation of the rights of others
Symptoms: CORRUPT (3/7 of the following). The individual must be 18 and needs a diagnosis of Conduct disorder with onset before the age of 15
- Cannot conform to the law
- Obligations ignored/irresponsible
- Reckless disregard for safety
- Remorseless
- Underhanded/deceitful
- Planning insufficient/impulsive
- Temper irritable and aggressive
Complications: highly lethal suicide → often chooses highly lethal methods that have difficulty with timely interventioon (ex/ gun shot, hanging, rather than poisoning)
Symptoms of OCPD
Definition: preoccupation with perfectionism, orderliness and mental and interpersonal control at the expense of flexibility and efficiency
Symptoms: LAW FIRMS. NOT THE SAME AS OCD→ OCDPD is more “logical”
- • Loses point of activity due to perfectionism
- • Ability to complete tasks compromised by perfectionism
- • Worthless objects cannot be discarded
- • Friendships and leisure activities excluded due to preoccupation with work
- • Inflexible, scrupulous and over-conscientious on matter of morality
- • Reluctant to delegate (unless other to submit to specific ways of doing)
- • Miserly spending style with self and others
- • Stubbornness and rigidity
Dependent Personality Disorder
Definition: excessive wish to be taken care of leading to submissive and clinging behaviour
Symptoms: RELIANCE (5/8 of the following):
R;reassurance required
E: expressing disagreement is difficult
L: life controlled by others
I: initiating projects difficult due to lack of self confidence
A: alone and feels helpless
N: nurturance
C: companionship urgently sought when close relaionthip ends
E: exaggerated fears of being left to car for self
Definition: social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation to be a severe form of social phobia
Symptoms: CRINGES
- Certainty of being liked required to get involved with others
- Rejection/criticism preoccupy thoughts in social situations
- Intimate relationships restrained to avoid being shamed
- New interpersonal relationships are inhibited
- Gets around (avoids) occupational activity with significant interpersonal contact
- Embarrassment prevents new activities or taking risks
- Self is viewed as inept, unappealing or inferior
avoidant personality disorder
T/F separation anxiety is normal between 10-18 months
true
Separation Anxiety: NORMAL between 10-18 months. Separation from attachment figure results in distress.
