Personality Disorder

Question 0

Prevalence of PD

Answer 0

Cluster A; 5.7%
Cluster B; 1.5%
Cluster C; 6%
Any PD: 9%

Question 1

Big five

Answer 1

Extroversion 
Neuroticism 
Agreeableness 
Conscientiousness 
Openness to experience

Question 2

Diagnostic criteria

Answer 2

Experience & behavioural deviates markedly from expectations of individuals’s culture

• cognition
• affect
• interpersonal functioning
• impulse control

Inflexible and pervasive across situation

Question 3

Cluster A

Answer 3

Odd and eccentric

• schizoid
• schizotypal
• paranoid

Question 4

Schizoid personality

Answer 4

Cluster A

Detachment from social relationship

Restricted range of expression of in interpersonal setting

Question 5

Schizotypal personality

Answer 5

Cluster A (not in ICD10)

Social and interpersonal deficit

Acute discomfort with & reduced capacity for , close relationship

Cognitive or perceptual distortions

Eccentricities of behaviour

Question 6

Paranoid personality

Answer 6

Cluster A

Distrust and suspicious of others

Others motives are interpreted as malevolent

Question 7

Cluster B

Answer 7

Flamboyant, emotional & erratic

Antisocial
Borderline/emotionally unstable
Histrionic
Narcissistic

Question 8

Antisocial

Answer 8

Cluster B

Disregard for & violation of the right of others

Deceit and manipulation

Question 9

Borderline/emotionally unstable

Answer 9

Cluster B

Intense but unstable interpersonal relationship, self image,& affect

Affective dysregulation

Cognitive or perceptual distortion

Marked impulsivity

60-70% of them attempt suicide

Question 10

Historionic

Answer 10

Cluster B

Excessive emotionality

Excessive attention seeking

Question 11

Narcissistic

Answer 11

Cluster B

Grandiosity (fantasy/behaviour)

Need for admiration

Lack of empathy

Question 12

Cluster C

Answer 12

Fearful & avoidant

Avoidant (anxious avoidant)
Dependent
Obsessive-compulsive (anankastic)

Question 13

Avoidant

Answer 13

Cluster C

Social inhibition

Feeling of inadequacy

Hypersensitive to negative evalution

Question 14

Dependent

Answer 14

Cluster C

Pervasive and excessive need to be taken care of

Submissive and clinging behaviour

Fears of separation

Question 15

Obsessive-compulsive

Answer 15

Cluster C

Inflexible perfectionism

General psychological inflexibility

Rigid conformity to rules, & procedure, moral code

And/or excessive orderliness

Question 16

Diagnostic criteria ; three P

Answer 16

Problematic
Persistent
Pervasive

Question 17

Treatment for cluster A

Answer 17

Management strategy
Low dose antipsychotic
Antidepressant
Substance abuse treatment programs

Question 18

Treatment for cluster B

Answer 18

Borderline: patient communication
Psychotherapy
Mood stabilizer or anticonvulsant
Substance abuse treatment

Narcissistic: patient communication
Substance abuse team

Historionic: patient communication
Substance abuse

Antisocial: communication
Psychotherapy
Substance abuse treatment

Question 19

Treatment for cluster C

Answer 19

Avoidant: patient communication
Management strategy
Psychotherapy
Substance abusers

Dependent; communication
Management strategy
Psychotherapy
Substance abuse

Obsessive compulsive
         Communication 
         Management 
         Psychotherapy  
         Substance abuse

Question 20

Evidence based therapies for personality disorder

Answer 20

DBT
MBT
SFT
CBT

Question 21

Key factor in PD

Answer 21

Paranoia 
Odd thinking 
Restricted range of emotions 
Anger and irritability 
Excessive emotionality and unstable mood state
Anxiety and tension 
Impulsive behaviours 
Grandiosity 
Self harm

Question 22

Test to consider

Answer 22

Suicide risk screening question
Standardized assessment of personality-abbreviated scale (SAPAS)
Million clinical multiaxial inventory-iii (MCMI-III)
Structured clinical interview for DSM-IV Axis II Personality Disorder
MRI/CT scan of brain
Urine drug screen
The primary care evaluation of mental disorder
Patient health questionnaire 9 (PHQ)
Mood disorder questionnaire
Generalized anxiety disorder 7

Question 23

Summary of PD

Answer 23

Relatively common,chronic pattern of perceptual and behavioural abnormalities. These manifest as problem in at least 2 of the following domains: cognitive-perceptual, affect regulation, interpersonal functioning, or impulse control

Onset of symptoms in childhood/adolescence with stability over time

Typical presentation involves comorbid disorder (more than one personality disorder or additional diagnosis of depression, anxiety, somatoform or substance abuse disorder)