Personality Disorder 4 Flashcards
Cognitive behavioral therapy
- Focuses on patterns of thinking that are maladaptive and the beliefs that underlie such thinking
- Lessen rigid expectations
- Lessen emphasis on work and productivity
- Learn how to value close relationships, recreation, and fun
Tx for Obsessive Compulsive PD
- Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity).
- Is over conscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification).
Obsessive Compulsive PD
- Adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes.
- Shows rigidity and stubbornness.
Obsessive Compulsive PD
- Personality style → conscientious
- Predominant theme → preoccupation with perfectionism, mental and interpersonal control, and orderliness, at the expense of flexibility, openness, and efficiency
Obsessive Compulsive PD
- Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost.
- Shows perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met).
Obsessive Compulsive PD
- Impatience and cutting answers short
- Attempts to control treatment planning
Problematic behavior of provider tx pt w/ Obsessive Compulsive PD
•Development linked to backgrounds characterized by harsh discipline
Obsessive Compulsive PD
- Thorough history taking and careful diagnostic workups are reassuring
- Give clear and thorough explanation of diagnosis and treatment options
- Do not overemphasize uncertainties about treatments
- Avoid vague and impressionistic explanations
- Treat patient as an equal partner; encourage self-monitoring and allow patient participation in treatment
Provider strategies for tx pts w/ Obsessive Compulsive PD
- Rigid perfectionism
- Sense of self and self-worth in terms of work productivity
- Think that their way is the “right and best way” → everyone should conform to their rules
- Feel comfortable with self-imposed system or rules
Obsessive Compulsive PD
Which 4 disorders are in Cluster B?
- Antisocial
- Borderline
- Histrionic
- Narcissistic
Mnemonic for Obsessive Compulsive PD
L – loses points of activity (due to preoccupation with detail)
A – ability to complete tasks compromised by perfectionism
W – worthless objects (unable to discard)
F – friendships excluded
I – inflexible
R – reluctance to delegate
M – misery
S – stubbornness and rigidity
Which 3 disorders are in Cluster C?
- Avoidant
- Dependent
- Obsessive-Compulsive
- Is unable to discard worn-out or worthless objects even when they have no sentimental value.
- Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things.
Obsessive Compulsive PD
•Mood disorders, social phobia, obsessive-compulsive disorder, eating disorders
Comorbid disorders of Obsessive Compulsive PD
- Anger about disruption of routines
- Repetitive questions and excessive attention to detail
- Fear of relinquishing control to health care team
Problematic behavior of pt w/ Obsessive Compulsive PD
