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YR5 Psychiatry > Personality disorder > Flashcards

Personality disorder Flashcards

1
Q

Define personality disorder.

A

Enduring, deeply pervasive + inflexible patterns of experience + behavior, which are maladaptive in the individual/s culture + therefore cause distress + impairment of work + 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

Sx begin late in adolescent years.

5% of population + 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 + 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 + 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 + 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 + 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 + 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 + suicide risk.
  • Anakastic: May go on to develop OCD, may do well at jobs requiring obsessional behavior.
  • Dependent: Good outcome with tx. Loss of person they are dependent on has poor prognosis.
  • Anxious: May develop social phobia.

YR5 Psychiatry (33 decks)

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