Personality Disorder Flashcards
What is a personality disorder?
Enduring pattern of innter experience and behavior that leads distress/impairment and is pervasive/inflexible
What are the subtypes of Cluster A? B? C?
- Paranoid, Schizoid, Schizotypal
- Antisocial, Histrionic, Narcissistic, Borderline
- Avoidant, Dependent, Obsessive Compulsive
How are Cluster A Personality Disorders described?
“Psychotic-like but not psychotic”
What is Paranoid PD?
Distrust and Suspicion of others; It DOES NOT occur during the course of schizophrenia or other psychotic disorders
What is schizotypal PD?
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
What is schizoid PD?
Detachment from social relationships and restricted range of expression of emotions w/o course of schizophrenia or other psychotic disorder
What are the Cluster B PDs?
Antisocial, Histrionic, Narcissistic, Borderline
What is antisocial PD?
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
What is histrionic pd?
Pervasisve pattern of excessive emotionality and attention seeking, beginning by early adulthood - sexually seductive, drama, theatrical, considers relationships more intimate than they actually are
What is narcissistic PD?
Pervasive pattern of grandiosity beginning by early adulthood; Need for admiration, lack empathy, sense of entitlement
What are the DSM criteria for borderline PD?
Pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood > 5/9 needed
- Frantic efforts to aboid real/imagined abandonment
- Unstable and intense interpersonal relationships; alternating idealization and devaluation
- Persistently unstable self-image or sense of self
- Impulsivity that is potentially self-damaging
- Recurrent suicidal behavior or threats, or self-mutilation
- Mood lability and reactivity
- Chronic feelings of emptiness
- Frequent/intense anger outburst
- Transient paranoid ideation or severe dissociative Syx
What are the cluster C PDs?
Avoidant, Obsessive Compulsive, Dependent
What is avoidant PD?
Pervasive pattern of social inhibition beginning by early adulthood; Inhibited in social situations because of feelings of inadequacy; Hypersensitive to criticism or rejection
What is Obsessive Compulsive PD?
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
What is Dependent PD?
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
What are the five factors in the five factor model?
Extraversion, Neuroticism, Openness to experience, Conscientiousness, Agreeableness
What is typical heritability of PDs?
20-40%
In general, what percentage of PD patients go into remission with Tx?
50% no longer meet criteria!
Tx for Cluster A Txs?
Not much study, but Antipsychotics and psychotherapy are probably best
Tx for Cluster B? What meds can exacerbate condition?
Mood stabilizers have modest efffect? Benzos; Psychodynamic and CBT highly effective for Borderline PD
Tx for Cluster C?
Psychopharmacology for avoidant PD
CBT and Psychodynamic good as well
