Personality Disorder Flashcards

1
Q

What is a personality disorder?

A

Enduring pattern of innter experience and behavior that leads distress/impairment and is pervasive/inflexible

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2
Q

What are the subtypes of Cluster A? B? C?

A
  1. Paranoid, Schizoid, Schizotypal
  2. Antisocial, Histrionic, Narcissistic, Borderline
  3. Avoidant, Dependent, Obsessive Compulsive
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3
Q

How are Cluster A Personality Disorders described?

A

“Psychotic-like but not psychotic”

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4
Q

What is Paranoid PD?

A

Distrust and Suspicion of others; It DOES NOT occur during the course of schizophrenia or other psychotic disorders

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5
Q

What is schizotypal PD?

A

Pervasive pattern of interpersonal deficits marked by cognitive or perrceptual disortions/eccentricities of behavior that do not occur in the course of schizophrenia or other psychotic disorders; Ex: ESP, tell future

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6
Q

What is schizoid PD?

A

Detachment from social relationships and restricted range of expression of emotions w/o course of schizophrenia or other psychotic disorder

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7
Q

What are the Cluster B PDs?

A

Antisocial, Histrionic, Narcissistic, Borderline

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8
Q

What is antisocial PD?

A

Pervasive pattern of disregard for and violation of rights of others occurring since 15 yo; evidence of conduct disorder with onset before age 15; not occurring w/ schizophrenia or manic episode

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9
Q

What is histrionic pd?

A

Pervasisve pattern of excessive emotionality and attention seeking, beginning by early adulthood - sexually seductive, drama, theatrical, considers relationships more intimate than they actually are

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10
Q

What is narcissistic PD?

A

Pervasive pattern of grandiosity beginning by early adulthood; Need for admiration, lack empathy, sense of entitlement

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11
Q

What are the DSM criteria for borderline PD?

A

Pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood > 5/9 needed

  1. Frantic efforts to aboid real/imagined abandonment
  2. Unstable and intense interpersonal relationships; alternating idealization and devaluation
  3. Persistently unstable self-image or sense of self
  4. Impulsivity that is potentially self-damaging
  5. Recurrent suicidal behavior or threats, or self-mutilation
  6. Mood lability and reactivity
  7. Chronic feelings of emptiness
  8. Frequent/intense anger outburst
  9. Transient paranoid ideation or severe dissociative Syx
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12
Q

What are the cluster C PDs?

A

Avoidant, Obsessive Compulsive, Dependent

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13
Q

What is avoidant PD?

A

Pervasive pattern of social inhibition beginning by early adulthood; Inhibited in social situations because of feelings of inadequacy; Hypersensitive to criticism or rejection

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14
Q

What is Obsessive Compulsive PD?

A

By early adulthood:

  • Preoccupied with details and lists
  • Perfectionism interferes with tasks
  • Excessively devoted to work/productivity
  • Scrupulous about morality
  • Unable to discard worn-out objects
  • Micro-manages tasks
  • Miserly spending style
  • Rigid and stubborn
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15
Q

What is Dependent PD?

A

Pervasive and excessive need to be taken care of beginning in early adulthood; Indecisive, submissive and clingy, difficulty expressing diagreement; goes to excessive lengths to obtain nurturance and support from others

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16
Q

What are the five factors in the five factor model?

A

Extraversion, Neuroticism, Openness to experience, Conscientiousness, Agreeableness

17
Q

What is typical heritability of PDs?

A

20-40%

18
Q

In general, what percentage of PD patients go into remission with Tx?

A

50% no longer meet criteria!

19
Q

Tx for Cluster A Txs?

A

Not much study, but Antipsychotics and psychotherapy are probably best

20
Q

Tx for Cluster B? What meds can exacerbate condition?

A

Mood stabilizers have modest efffect? Benzos; Psychodynamic and CBT highly effective for Borderline PD

21
Q

Tx for Cluster C?

A

Psychopharmacology for avoidant PD

CBT and Psychodynamic good as well