Personality Disorder Flashcards
Prevalence of PD
Cluster A; 5.7%
Cluster B; 1.5%
Cluster C; 6%
Any PD: 9%
Big five
Extroversion Neuroticism Agreeableness Conscientiousness Openness to experience
Diagnostic criteria
Experience & behavioural deviates markedly from expectations of individuals’s culture
- cognition
- affect
- interpersonal functioning
- impulse control
Inflexible and pervasive across situation
Cluster A
Odd and eccentric
- schizoid
- schizotypal
- paranoid
Schizoid personality
Cluster A
Detachment from social relationship
Restricted range of expression of in interpersonal setting
Schizotypal personality
Cluster A (not in ICD10)
Social and interpersonal deficit
Acute discomfort with & reduced capacity for , close relationship
Cognitive or perceptual distortions
Eccentricities of behaviour
Paranoid personality
Cluster A
Distrust and suspicious of others
Others motives are interpreted as malevolent
Cluster B
Flamboyant, emotional & erratic
Antisocial
Borderline/emotionally unstable
Histrionic
Narcissistic
Antisocial
Cluster B
Disregard for & violation of the right of others
Deceit and manipulation
Borderline/emotionally unstable
Cluster B
Intense but unstable interpersonal relationship, self image,& affect
Affective dysregulation
Cognitive or perceptual distortion
Marked impulsivity
60-70% of them attempt suicide
Historionic
Cluster B
Excessive emotionality
Excessive attention seeking
Narcissistic
Cluster B
Grandiosity (fantasy/behaviour)
Need for admiration
Lack of empathy
Cluster C
Fearful & avoidant
Avoidant (anxious avoidant)
Dependent
Obsessive-compulsive (anankastic)
Avoidant
Cluster C
Social inhibition
Feeling of inadequacy
Hypersensitive to negative evalution
Dependent
Cluster C
Pervasive and excessive need to be taken care of
Submissive and clinging behaviour
Fears of separation
Obsessive-compulsive
Cluster C
Inflexible perfectionism
General psychological inflexibility
Rigid conformity to rules, & procedure, moral code
And/or excessive orderliness
Diagnostic criteria ; three P
Problematic
Persistent
Pervasive
Treatment for cluster A
Management strategy
Low dose antipsychotic
Antidepressant
Substance abuse treatment programs
Treatment for cluster B
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
Treatment for cluster C
Avoidant: patient communication
Management strategy
Psychotherapy
Substance abusers
Dependent; communication
Management strategy
Psychotherapy
Substance abuse
Obsessive compulsive
Communication
Management
Psychotherapy
Substance abuse
Evidence based therapies for personality disorder
DBT
MBT
SFT
CBT
Key factor in PD
Paranoia Odd thinking Restricted range of emotions Anger and irritability Excessive emotionality and unstable mood state Anxiety and tension Impulsive behaviours Grandiosity Self harm
Test to consider
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
Summary of PD
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)
