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Mental Health (Post-Exam 3 Content) > Personality Disorder (ATI + Panopto) Flashcards > Flashcards

Personality Disorder (ATI + Panopto) Flashcards

1
Q

This is a theory that everyone possesses genetic and biological vulnerabilities to certain illnesses such as personality disorders =

A

Diathesis Stress Model

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2
Q

Personality Cluster A Comorbidities =

A

Major depressive disorder
Substance use disorder
Obsessive compulsive disorder
Agoraphobia
Anxiety disorders
Schizophrenia
Delusional disorders
Bipolar
Phobias
Posttraumatic stress disorder

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3
Q

Personality Cluster B Comorbidities =

A

Social phobias
General anxiety disorder
Substance use disorder
Anxiety disorders
Mood disorders

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4
Q

Personality Cluster C Comorbidities =

A

Mood disorders
Social phobias
Obsessive compulsive disorder
Anorexia nervosa
Substance use disorders

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5
Q

What’s the DSM-5-TR criteria for Paranoid Personality Disorder?

A

Suspects, without sufficient basis, that others are exploiting, harming, or deceiving them

Is preoccupied with unjustified doubts about loyalty or trustworthiness of friends or associates

Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against them

Reads hidden demeaning or threatening meaning into benign remarks or events

Persistently bears grudges (i.e., is unforgiving of insults, injuries, or slights)

Perceives attacks on their character or reputation that are not apparent to others and is quick to react angrily or to counterattack

Has recurrent suspicions, without justification, regarding fidelity of spouse of sexual partner

Does not occur exclusively during the course of schizophrenia, a bipolar disorder or depressive disorder with psychotic features, or another psychotic disorder and is not attributable to the physiological effects of another medical condition

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6
Q

What are all of the instruments used to diagnose personality disorders?

A

The DSM-5-TR, the Minnesota Multiphasic Personality Inventory (MMPI), the Eysenick Personality Inventory, and the Personality Diagnostic Questionnaire

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7
Q

The main treatment for all 10 personality disorders is -

A

Psychotherapy

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8
Q

Some of the most common types of psychotherapy that are used are-

A

Cognitive Behavioral Therapy
Dialectical Behavior Therapy
Psychodynamic Psychotherapy
Supportive Therapy
Social Skills Training

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9
Q

Do meds treat personality disorders directly?

A

No

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10
Q

While medications do not directly treat personality disorders, they are often used as-

A

An Adjunct to therapy to manage manifestations of the disorder

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11
Q

Clients who experience a cluster A personality disorder often demonstrate -

A

Odd or Eccentric Behaviors

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12
Q

Clients who have cluster B personality disorders often exhibit-

A

Dramatic, emotional, and sometimes erratic behaviors

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13
Q

Clients who have cluster C personality disorders often exhibit-

A

Anxious and fearful behaviors

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14
Q

What’s the DSM-5-TR criteria for Schizoid Personality Disorder?

A

Neither desires nor enjoys close relationships, including being part of a family

Almost always chooses solitary activities

Has little, if any, interest in having sexual experiences with another person

Takes pleasure in few, if any, activities

Lacks close friends or confidants other than first-degree relatives

Appears indifferent to the praise or criticism of others

Shows emotional coldness, detachment, or flattened affectivity

Does not occur exclusively during the course of schizophrenia, a bipolar disorder or depressive disorder with psychotic features, or another psychotic disorder and is not attributable to the physiological effects of another medical condition

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15
Q

What is an Affect?

A

It’s the emotions that someone shows on their face and tone of voice

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16
Q

If someone has a Flat Affect, what does that mean?

A

They are not expressive of any emotions

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17
Q

What does it mean if a pt has a Broad Affect?

A

They express emotions

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18
Q

What does it mean if a pt’s behavior is Incongruent?

A

They don’t accurately express the emotions that they should be feeling.

EX: Stating “My dog died yesterday” but is smiling.

EX: Stating “I won the lottery yesterday” but is frowning.

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19
Q

What does it mean if a pt’s behavior is Congruent?

A

They accurately express the emotions that they should be feeling.

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20
Q

What’s the DSM-5-TR criteria for Antisocial Personality Disorder?

A

Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest

Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure

Impulsivity or failure to plan ahead

Irritability and aggressiveness, as indicated by repeated physical fights or assaults

Reckless disregard for the safety of self or others

Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations

Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another​​​​​​​

The individual is at least 18 years

There is evidence of conduct disorder with onset before age of 15 years

The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder

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21
Q

What’s the DSM-5-TR criteria for Borderline Personality Disorder?

A

A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and presents in a variety of contexts, as indicated by five (or more) of the following:

Frantic efforts to avoid real or imagined abandonment

A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation

Identity disturbance: markedly and persistently unstable self-image or sense of self

Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating)

Recurrent suicidal behavior, gestures, threats, or self-mutilating behavior

Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)

Chronic feelings of emptiness

Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)

Transient, stress-related paranoid ideation or severe dissociative symptoms​​​​​​​

22
Q

What’s the DSM-5-TR criteria for Histrionic Personality Disorder?

A

A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

Is uncomfortable in situations in which they are not the center of attention

Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior

Displays rapidly shifting and shallow expressions or emotions

Consistently uses physical appearance to draw attention to self

Has a style of speech that is excessively impressionistic and lacking in detail

Shows self-dramatization, theatricality, and exaggerated expression of emotion

Is suggestible (i.e., easily influenced by others or circumstances)

Considers relationships to be more intimate than they actually are​​​​​​​

23
Q

What’s the DSM-5-TR criteria for Narcissistic Personality Disorder?

A

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)

Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love

Believes that they are “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)

Requires excessive admiration

Has a sense of entitlement (i.e., unreasonable expectations of especially favorable treatment or automatic compliance with their expectations)

Is interpersonally exploitative (i.e., takes advantage of others to achieve their own ends)

Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others

Is often envious of others or believes that others are envious of them

Shows arrogant, haughty behaviors or attitudes​​​​​​​

24
Q

What’s the DSM-5-TR criteria for Avoidant Personality Disorder?

A

A pervasive pattern of social inhibition, feeling of inadequacy, and hypersensitivity to negative evaluation, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval, or rejection

Is unwilling to get involved with people unless certain of being liked

Shows restraint within intimate relationships because of the fear of being shamed or ridiculed

Is preoccupied with being criticized or rejected in social situations

Is inhibited in new interpersonal situations because of feelings of inadequacy

Views self as socially inept, personally unappealing, or inferior to others

Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing​​​​​​​ ​​​​​​

25
Q

What is the DSM-5-TR criteria for Dependent Personality Disorder?

A

A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others

Needs others to assume responsibility for most major areas of their life

Has difficulty expressing disagreement with others because of fear of loss of support or approval (Note: Do not include realistic fears of retribution.)

Has difficulty initiating projects or doing things on their own (because of a lack of self-confidence in judgment or abilities rather than a lack of motivation or energy)

Goes to excessive lengths to obtain nurturance and support from others to the point of volunteering to do things that are unpleasant

Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for themself

Urgently seeks another relationship as a source of care and support when a close relationship ends

Is unrealistically preoccupied with fears of being left to take care of themself​​​​​​​

26
Q

What is the DSM-5-TR criteria for Obsessive-Compulsive Personality Disorder?

A

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

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 their own overly strict standards are not met)

Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by cultural or religious identification)

Is overconscientious, scrupulous, and inflexible about matters or morality, ethics, or values (not accounted for by cultural or religious identification)

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 exactly to their way of doing things

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​​​​​​​

27
Q

What are intense emotional swings of mood called?

A

Affective Liability

28
Q

Psychoeducation that changes the patterns of thought of someone =

A

Schema Therapy

29
Q

What are Schemas?

A

Patterns of thought

30
Q

What should your care planning be like for a pt with a Cluster A Personality Disorder?

A

Finding and maintaining interpersonal relationships

31
Q

What should your care planning be like for a pt with a Cluster B Personality Disorder?

A

Safety and maintaining appropriate boundaries

32
Q

What should your care planning be like for a pt with a Cluster C Personality Disorder?

A

Decreasing anxiety

33
Q

What do pt’s with personality disorders believe? Do they experience distress?

A

They believe that problems exist outside of themselves and don’t experience distress

34
Q

The APA defines how many personality disorders?

A

10

35
Q

What does is the APA an abbreviation for?

A

The American Psychiatric Association

36
Q

Paranoid Personality Disorder, Schizoid Personality Disorder, & Schizotypical Personality Disorder are all examples of which cluster?

A

Cluster A

37
Q

How common are the Cluster B Personality Disorders?

A

Uncommon

38
Q

Borderline Personality Disorder, Narcissistic Personality Disorder, Histrionic Personality Disorder, & Antisocial Personality Disorder are all examples of which cluster?

A

Cluster B

39
Q

People with Cluster B personality disorders are typically what you’d consider to be-

A

Staff Splitters (They pin people against each other)

40
Q

A pt with borderline personality disorder will likely do what things?

A

They may want to bend the rules, make everyone work around what they want, or work around their schedule

41
Q

With Borderline Personality Disorder, there can be a lot of which kinds of issues?

A

Issues with controlling Impulsivity and can get violent

42
Q

Someone who is diagnosed with a Histrionic Personality Disorder is someone who is very-

A

Somatic (They make a lot of complaints of things relating to the body)

43
Q

Someone who is diagnosed with a Antisocial Personality Disorder is someone who -

A

Acts and seems interested in what you may be trying to teach them, but may try to con you into doing something

44
Q

Someone who is diagnosed with Antisocial Personality Disorder is someone who views you as-

A

A utility or something that they can use for their own agenda

45
Q

Oftentimes, people with Antisocial Personality have -

A

Went to prison

46
Q

Someone who is diagnosed with Narcissistic Personality Disorder is someone who -

A

Only considers themselves.

47
Q

Someone who is diagnosed with Narcissistic Personality Disorder will view everything that everyone else does as-

A

Related back to themselves in their mind

48
Q

Someone who is diagnosed with Narcissistic Personality Disorder will view you as someone who-

A

Is only their for their own convenience

49
Q

What are the most common Cluster B Personality Disorders?

A

Borderline Personality Disorder, Narcissistic Personality Disorder, Histrionic Personality Disorder, & Antisocial Personality Disorder

50
Q

A person with a Cluster C personality type may be-

A

Avoidant / Timid

Dependent

Obsessive-Compulsive

Mental Health (Post-Exam 3 Content) (2 decks)

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