Personality Disorder Flashcards

1
Q

what are the 4 characteristics common with all Personality disorders?

A
  1. Dangerous impulsivity that may result in self-harm
  2. Instability in interpersonal relationships
  3. Mood instability w/ chronic feelings of emptiness and intense anger
  4. Unstable self image and sense of self
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2
Q

What is the etiology of antisocial personality disorder?

A

Genetically linked
Twin studies indicate a predisposition to this disorder
Set into motion by a childhood environment of inconsistent parenting, significant abuse, and extreme neglect

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3
Q

What is the etiology of Borderline personality disorder?

A

A result of early abandonment
Unstable view of self and others
Biological predisposition
Twin studies identify a heritability of 69%

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4
Q

What is the etiology of Narcissistic personality disorder?*

A

May be the result of childhood neglect and criticism
Child does not learn that other people can be a source of comfort & support
Adult: individual hides feelings of emptiness with an exterior of invulnerability and self-sufficiency
Little is know about inborn traits or heritability for this disorder

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5
Q

What is the etiology of Avoidant personality disorder?*

A

Linked w/ parental & peer rejection & criticism
Biological predisposition to anxiety
Physiological arousal in social situations has also been suggested
Genetically, this disorder may be part of a continuum of disorders related to social phobia

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6
Q

What is the etiology of Obsessive-Compulsive personality disorder?*

A

May be related to excessive parental criticism, control, shame
Responds by trying to control his or her environment through perfectionism & orderliness
Heritable traits: compulsivity, oppositionality, lack of emotional expressiveness, perfectionism

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7
Q

What are the disorders associated with Cluster A disorder?

A

Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Disorder

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8
Q

What are the personality disorders associated with Cluster B Disorder?

A

Borderline Personality Disorder
Antisocial Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder

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9
Q

What are the personality disorders associated with Cluster C disorder?

A

Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive- Compulsive Personality Disorder

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10
Q

What are the general behavior pattern and traits of Cluster A?

A
Eccentric & odd behavior
Unusual levels of suspiciousness
Magical thinking
Cognitive distortion
Believes something cause by something they did
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11
Q

Describe the Paranoid Personality Disorder.

A
don't trust others
Projection main defense mechanism (coping mechanism)
Don't be too nice
Limit setting when are being threatening
Reject treatment
Difficult to interview
!st line treatment: Psychotherapy
Group therapy, improve social skills 
Antianxiety & Antipsychotic : treated according to their disorder
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12
Q

Describe the Schizoid Personality Disorder.

A
Social withdrawal, solitary jobs
Restricted emotional
don't try to make them socialize, in social groups
Protect against ridicule
Psychotherapy: improve social cues
Group therapy: social interactions
Antidepressants & 2nd gen. antipsychotics
No hallucinations & delusions
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13
Q

Describe the Schizotypal Personality Disorder.

A
Severe social deficit
Extreme anxiety in social situations
Paranoia
Naturally suspicious
Psychotherapy
Benefit from low dose antipsychotics
Antidepressants & Antianxiety
No hallucination & delusion
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14
Q

What are the General behavior pattern & traits of Cluster B?

A

Dramatic, chaotic behavior
Problem impulse control
Limit insight into disease
Higher risk for suicide of all personality disorder (*borderline)

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15
Q

Describe Borderline Personality Disorder.

A
instability in emotion regulation
self-image distortion
Shorten alleles in serotonin transporter gene
Emotional lability
Pathological fear of separation
Antagonism relationships
Impulsivity- emotions
*common->unintentional death, SI
Dichotomous thinking: Black or white
Splitting: change attitude in 1sec
boundaries & consistency essential
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16
Q

Describe Antisocial Personality Disorder.

A
only people over 18yrs old can be diagnosed w/ APD
Under 18yrs: Conduct disorder
Callousness: Profound lack of empathy
Lack social norms
Witty/Charming
Long treatment
Boundaries & Limits
Angry/Aggressive when confined
Medications for comorbid conditions
17
Q

Describe Histrionic Personality Disorder.

A

Emotional expressiveness, Dramatic
Poor insight/relationships->psychotherapy
Stress response: seductive behavior
Antidepressants, Antianxiety, Antipsychotic (if delusions)

18
Q

Describe the Narcissistic Personality Disorder.

A
entilement
lack empathy
Weak self-esteem & hypersensitivity to criticism
Arrogant, Need admiration
Antagonism, Grandiose, Attention seeking
Difficult treatment
Group or family therapy
19
Q

What are the personality disorders include in Cluster C?

A

Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder

20
Q

What are the general behavior and traits of Cluster C?

A

Anxious, fearful
shy, regid,
Hypersensitive
Relationship dependency

21
Q

Describe the Avoidant Personality Disorder.

A

Low self-esteem, inferiority
Preoccupied w/ rejection, humiliation, failure
Infant: Shy in ado, early adult
Don’t push social situations
SSRI & SNRI to reduce social anxiety
Beta-adrenergic receptor antagonists-> reduce ANS hyperactivity*** (Beta-blocker)

22
Q

Describe the Dependent Personality Disorder.

A

chronic physical illness or punishment in child
Submissive & clingy behavior
fear: separation & abandonment
Vulnerable to exploitation
Lack independence
Psychotherapy: Best
CognitiveBehaviorTherapy, Antidepressive, Antianxiety

23
Q

Describe the Obsessive Compulsive Personality Disorder.

A
Oldest sibling, harsh discipline
Limited emotional expression, Perseverance, Perfectionism, Rigidity, Inflexibility, don't like change
Have insight*
Group therapy
Meds to reduce obsessions/anxiety
24
Q

What are the assessments for Personality Disorders?

A

Semi-structured interview preferred
To evaluate Personality: Minnesota Multiphasic Personality Inventory
No open-ended questions

25
Q

What are the outcomes/goals for Personality disorder patients?

A
Aggression
Sel-control
Social interaction skills
Abuse/manipulative behavior
Developing positive coping skills to reduce stress
26
Q

What interventions can be done with Manipulative behavior to set limits?

A

identify undesirable personal behaviour
Establish consequences
Refrain from arguing/bargaining
Set bounderies