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Clin med Psych > Personality disorder > Flashcards

Personality disorder Flashcards

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1
Q

When do personality disorders normally begin

A

Adolescents or adulthood

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2
Q

What are the different domains for personality disorders

A

Cognition
affectivity
interpersonal function
impulse control

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3
Q

how many clusters are there for personality disorders

A

3

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4
Q

What personality disorders are listed in cluster A (Mad)

A

Abnormal thinking
psychotic symptoms
disordered self expression (eccentric)
Interpersonal relationships (reclusiveness)
Thinking problems

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5
Q

What personality disorder traits are in cluster B (Bad)

A

Dramatic
violations of social norms/ others rights
impulsivity
hyper emotional
grandiose
acting out
Emotional problems

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6
Q

What personality disorder traits are in cluster C (Sad)

A

Anxious
need for control
fear
isolation
*

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7
Q

Which gender is more effected by paranoid personality disorder

A

males

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8
Q

What is associated with paranoid personality disorder

A

Hx of childhood trauma / abuse
genetic etiology
rarely a sole dx

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9
Q

What is the DSM 5 criteria for paranoid personality disorder

A

Pervasive distrust, suspiciousness, skepticism indicated by 4+ properties
-suspicious of ‘out to get’ them
-untrustworthiness of others
-grudge holding
- perceived infidelity of partner

Not better explained by another condition

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10
Q

How does one present clinically with paranoid personality disorder

A

Significant distrust of others

no true delusions / hallucinations

defensive/hostile

feel they have been treated unfairly

grudge holding

react poorly to authority

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11
Q

What is the first line treatment for paranoid personality disorder

A

Psychotherapy (not group therapy)

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12
Q

What antipsychotics and benzos can be used to treat paranoid personality disorder

A

Olanzapine / haloperidol (for agitation)

Diazepam / clonazepam (for anxiety)

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13
Q

What generally causes schizoid PD and who is generally effected

A

Males (tend to be more severe)
h/o childhood trauma (especially neglect)

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14
Q

What is the DSM-5 criteria for Schizoid personality disorder

A

Pervasive detachment from social relationships and restricted range of emotions indicated by 4+ properties

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15
Q

How does Schizoid personality disorder present clinically

A
  • Self absorbed
  • Loners
  • Failed intimate relationships & no interest in making them work
  • Difficulty expressing emotions
  • May appear depressive
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16
Q

What are the main signs of Schizoid personality disorder (think Sheldon)

A

Neither desires nor enjoys close relationships

little to no interest in sexual experiences

Few to no close friends outside of family

Emotionally cold or detached or flattened affect

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17
Q

What is the first line treatment of schizoid personality disorder

A

psychotherapy

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18
Q

What pharmacological options are there for schizoid personality disorder

A

Antipsychotics
SSRIs
BZDs
*negative symptoms

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19
Q

What genetic association is there with schizotypal PD

A

fragile X syndrome

20
Q

What is the DSM 5 criteria for Schizotypal personality disorder

A

Pervasive social and interpersonal deficits

Discomfort with and/or reduce capacity for close relationships secondary to behavior, as indicated in 5+ properties

21
Q

How does Schizotypal personality disorder present clinically

A

Odd thinking or speech

odd behavior and appearance

oddities make it hard to communicate with them

May claim to be superstitious, clarevoyant, have special powers

Failed interpersonal relationships

flat affect

have have frank psychotic symptoms

22
Q

What is the first line treatment of Schizotypal disorder

A

Psychotherapy

23
Q

What are the pharmacological options for schizotypal disorder

A

Antipsychotics
-Risperidone
-Olanzapine

24
Q

Which gender is more effected by antisocial PD

A

Men

25
Q

Which patients are at higher risk of developing antisocial PD

A

Low SES
Hx od ADD/ADHD
Prior hx od ODD or conduct disorder
co-morbid SUD / anxiety disorder

26
Q

What are the DSM 5 criteria

A

Pervasive disregard for other or violation of other rights since age 15 as indicated by 3+ properties

Individual must be 18+ y/o

Evidence of conduct disorder before 15y/o

27
Q

How does antisocial personality disorder present clinically

A

Repeated conflicts
Arrests, fines
Substance misuse / promiscuity
Repeated physical altercations
Disregard for authority
Devoid of emotions
difficulty communication from rage

28
Q

Which gender is more effected by borderline personality disorder

A

Women
*rarely a sole diagnosis

29
Q

What generally occurs with borderline personality disorder

A

Anxiety
SUD
Mood DO

30
Q

What is the most common personality disorder

A

Borderline personality disorder

31
Q

What is the DSM 5 criteria for borderline personality disorder

A

Pervasive pattern of unstable personal relationships, self-image and/or affect with impulsivity and 5+ properties

intense unstable relationships

32
Q

How does borderline personality present in clinic

A
  • Lability in various facets
  • mood swings
  • persistent sense of ‘crisis’ in life
  • Intense unstable relationships
  • self destructive behavior
  • impulsivity
  • separation anxiety
33
Q

What is the first line treatment for borderline personality disorder

A

Psychotherapy
-DBT / CBT

34
Q

What is histrionic personality disorder

A

Exaggerated, uncontrollable emotion or excitement

35
Q

Which gender is more effected by histrionic personality disorder

A

Women

36
Q

What is the DSM 5 criteria for histrionic PD

A

Pervasive pattern of excessive emotionality and attention seeking with 5+ properties

37
Q

How does histrionic PD present clinically

A
  • Overly dramatic
  • Emotional expression seems insincere
  • May make inappropriate advances
  • Attention seeking behaviors
  • seek reassurance / validations
  • bright colored / revealing clothing
38
Q

Which gender is generally effected by Narcissistic PD

A

Men

39
Q

What are the two forms of Narcissistic PD

A

Grandiose -> More aggressive
Vulnerable -> overly sensitive

40
Q

What is the DSM 5 criteria for Narcissistic PD

A

Pervasive pattern of grandiosity, need for admiration and lack of empathy, indicated by 5 properties

41
Q

How does narcissistic PD present in clinic

A
  • Overly aggressive or sensitive
  • Arrogant behavior
  • Resist admitting fault
  • Sense of entitlement
  • Picky with their social circles
    -Fragile self esteem
    -Have high -standards
    -unable to tolerate rejection
    -subject to anger / hostility / depression
42
Q

What is often associated with avoidant personality disorder

A

h/o childhood trauma

43
Q

What is the DSM 5 criteria for avoidant PD

A

Pervasive social inhibition, sense of inadequacy, hypersensitivity and negative disposition, indicated by 4 properties

*Unlike other CDs they desperately WANT to be in relationships and seek reassurance

44
Q

How does avoidant PD present clinically

A
  • Anxiety w/ relationships / clinician
  • Overly sensitive to feedback
  • Intense fear of rejection
  • self defeating / self deprecating
  • repeatedly seeking reassurance
  • avoidance of vulnerable situations
45
Q

What are pharmacological treatments for avoidant personality disorder

A

Beta blocker (atenolol)
SSRIs

46
Q

What is the DSM 5 for dependent personality disorder

A

Pervasive need to be taken care of, leading to submissiveness, ‘clingy’ behavior +/- separation anxiety indicated by 5+ properties

47
Q

How does dependent PD look clinically

A
  • co-dependancy
  • poor self esteem
  • lack of self confidence
  • constant need for approval
  • Frequently seeking help
  • people pleasers
  • rule follower
  • avoids fear / confrontation
  • passive / submissive

Clin med Psych (10 decks)

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