Personality Disorder

Question 1

List the personalities in cluster A

Answer 1

PSS
Paranoid
Schizoid
Schizotypal

Question 2

Brief Description of Cluster A (P)

Answer 2

Distrusts the motives and behaviour of others as deliberately demeaning and threatening,
Suspicious of deceit and exploitation
Questions loyalty of those close to them.
Often bears ongoing grudges.

Question 3

Brief Description of Cluster A (S)

Answer 3

Detachment from social relationships.
Limited expression of emotions
Does not need nor seem to enjoy close relationships.
Prefers being solitary
Indifferent to praise or criticism of others

Question 4

Brief description of cluster A (ST)

Answer 4

Pervasively uncomfortable with close relationships but not as bad as schizoid.
Have social and interpersonal deficits
Cognitive and perception distortions and eccentric behaviour.
Seen by the ideas of reference and idiosyncratic forms of thinking.

Question 5

List the personalities in cluster B

Answer 5

HANB
Histrionic
Antisocial
Narcissistic
Borderline

Question 6

Brief description of cluster B (H)

Answer 6

Excessive emotionality and attention-seeking behaviour, uncomfortable if not the centre of attention. May be inappropriately seductive or provocative.
Rapidly shifting emotions

Question 7

Description of cluster B (A)

Answer 7

Pervasive disregard of and violation of other’s rights. Disregards social norms may be deceitful, aggressive, impulsive and reckless. Disregard the safety of others.
Lack remorse and never learn from past experiences.

Question 8

Brief description of cluster B (N)

Answer 8

Pervasive pattern of grandiosity and need of constant admiration. Marked lack of empathy for others. Perceived arrogant and aloof and are often interpersonally exploitative.

Question 9

Brief description of cluster B (B)

Answer 9

Pervasive disturbance of interpersonal relationships, self-image and affect.
Marked efforts to avoid rejection leading to unstable and intense relationship, identity disturbances and impulsivity like self-harm and suicidal tendencies.
Stress-related dissociation or paranoid ideations.

Question 10

Brief description of cluster C (D)

Answer 10

Excessive need to be taken care of, tend to be cling and and submissive. May have separation anxiety and are indecisive. Require constant advise and reassurance from others

Question 11

Brief description of cluster C (O)

Answer 11

Preoccupied with order, perfectionism and control (mental and interpersonal) to the expense of flexibility and efficiency
Tend to be conscientious- find it difficult to delegate
Excessively moral, rigid and stubborn

Question 12

Brief description of cluster C (A)

Answer 12

Pervasive social inhibition due to the feelings of being inadequacy and the fear of being criticised. Avoid interpersonal contact unless assured of being accepted.

Question 13

List the personalities in cluster C

Answer 13

DOA
Dependent
Obsessive-Compulsive
Avoidant

Question 14

How do patients with borderline personality disorder usually present.

Answer 14

Anxiety
Suicidal/Self mutilation
Depression
Uncontrollable eg anger or violence

Question 15

DSM 5 criteria for borderline personality disorder

Answer 15

5/9 of DESPAIR
Dysphoria
1. Chronic feeling of emptiness
Emotional Dysregulation
2. Affect instability or mood reactivity
Suicidal or Self harm
3. Recurrent suicidal behaviour, gesture or threats OR self mutilation
Paranoia + Dissociation
4. Transient stress-related paranoia ideation and severe dissociative symptoms
Anger/Abandonment
5. Anger outburst, inability to control anger
6. Frantic efforts to avoid real or imagined abandonment
Identity disturbance/Impulsivity
7. Identity disturbance or unstable sense of self
8. Impulsivity in 2 or more of (spending, sex, substance abuse, binge eating and reckless driving
Relation instability
9. Unstable and intense relationship. Extremely alternating between idealisation or devaluation.

Question 16

When is personality disorder usually diagnosed

Answer 16

At the age of 18