Personality disorder

Question 1

What is the ICD-10 definition of a personality disorder?

Answer 1

A severe disturbance in the constitution & behavioural tenancies of the individual
Usually involving several areas of the personality
Nearly always associated w/considerable personal & social disruption

Question 2

What must be excluded before a diagnosis of PD can be made?

Answer 2

Damage to the brain

Other psychiatric disorders

Question 3

What is a good way of remember the different cluster types of PD?

Answer 3

A: The ‘mad’
B: The ‘bad’
C: The ‘sad’

Question 4

How common is PD?

Answer 4

10% of the population

Question 5

What are the symptoms according to ICD-10 for emotionally unstable PD?

Answer 5

Impulsive
Unstable mood
Intense anger & violent outbursts
Disturbance of self-image
Intense unstable relationships
Self-harm & suicidal threats

Question 6

How is PD managed?

Answer 6

Psychological: DBT (learn skills to address problems), CBT, communities
Manage crisis plans
Manage comorbidities

Question 7

What are the symptoms of a paranoid PD?

Answer 7

Suspicious
Sensitive
Mistrustful
Jealous
Resentful
Self-important
Bears grudges

Question 8

What are the symptoms of an antisocial PD?

Answer 8

Callous
Transient relationships
Irresponsible
Impulsive & irritable
Lack guilt & remorse
Fail to accept responsibility

Question 9

What are the symptoms of an obsessive-compulsive PD?

Answer 9

Preoccupied with details
Inhibited by perfectionism
Overconscientious
Rigid to routine & stubborn