Personality Disorders +1 Flashcards
Paranoid Personality disorder
- onset
adult
Paranoid personality disorder
- symptoms
mistrust of others, actions of other’s are seen as malevolent w/o evidence
bears grudges; perceives attacks on character/reputation not seen by others; quick to react angrily
suspicion of infidelity w/o evidence
mistrust of others, actions of other’s are seen as malevolent w/o evidence
bears grudges; perceives attacks on character/reputation not seen by others; quick to react angrily
suspicion of infidelity w/o evidence
paranoid personality disorder
paranoid personality disorder
- interventions
Individual Therapy
Reality testing only after building rapport
Supportive Psychotherapy
CBT
Schizoid Personality disorder
- onset
adulthood
Schizoid personality disorder
- symptoms
lacks desire for relationships, including family
chooses solitary activities; lacks interest in sexual experiences; pleasure in few activities
lacks close friends, indifferent to praise or criticism, emotional coldness, detachment, flat affect
lacks desire for relationships, including family
chooses solitary activities; lacks interest in sexual experiences; pleasure in few activities
lacks close friends, indifferent to praise or criticism, emotional coldness, detachment, flat affect
Schizoid personality disorder
Schizoid personality disorder
- differential
Autism
SUD
other personality d/o
other mental d/o with psychosis
Schizoid personality disorder
- interventions
CBT
Social Skills Training
group therapy
Schizotypal personality disorder
- onset
adult
Schizotypal personality disorder
- symptoms
interprets minor events as highly personally significant, odd beliefs, magical thinking bizarre/eccentric behaviors, lack of close friends
suspiciousness/paranoia
social anxiety related to paranoia-not low self-esteem
interprets minor events as highly personally significant, odd beliefs, magical thinking bizarre/eccentric behaviors, lack of close friends
suspiciousness/paranoia
social anxiety related to paranoia-not low self-esteem
Schizotypal personality disorder
Schizotypal personality disorder
- differential
neurodevelopmental d/o
SUD; personality change other personality d/o; other mental d/o w/psychosis
Schizotypal personality disorder
- interventions
CBT Social Skills Training Support/Encouragement Communication Skills- assertiveness, role-playing Focus on Low Self-Esteem
Antisocial personality disorder
- duration/onset
diagnosed as an adult, symptoms must be present since age 15
Antisocial personality disorder
- symptoms
3 or more:
pattern of disregard and violation of rights of others
breaking law, deceitfulness,
impulsivity/failure to plan ahead
irritability/aggressiveness
reckless disregard for safety self/others
irresponsibility-unable maintain work/meet financial obligations
lack of remorse
3 or more:
pattern of disregard and violation of rights of others
breaking law, deceitfulness,
impulsivity/failure to plan ahead
irritability/aggressiveness
reckless disregard for safety self/others
irresponsibility-unable maintain work/meet financial obligations
lack of remorse
Antisocial personality disorder
Antisocial Personality disorder
- differential
Schizophenia; Bipolar Narcissistic; Histrionic; Borderline Substance Use Disorder Criminal behavior not associated with personality d/o
Antisocial Personality disorder
- interventions
Role - Play Modeling Motivational Interviewing Reframing Rehearsal
Borderline Personality Disorder
- duration/onset
adult
Borderline Personality Disorder
- symptoms
5 or more:
Fear of abandonment
problems in relationship
unstable self-image/sense of self
impulsivity - sex, spending, drugs, reckless driving, binge eating
suicidal behavior
self-harm
unstable affect - dissatisfaction, irritability, anxiety
transient stress-related paranoia/dissociation
5 or more:
Fear of abandonment
problems in relationship
unstable self-image/sense of self
impulsivity - sex, spending, drugs, reckless driving, binge eating
suicidal behavior
self-harm
unstable affect - dissatisfaction, irritability, anxiety
transient stress-related paranoia/dissociation
Borderline Personality Disorder
Borderline Personality disorder
- differential
depressive Bipolar other personality d/o personality change due to medical Substance Use Identity problems
Borderline Personality Disorder
- interventions
DBT STEPPS Mentalization-based therapy Cognitive Analytic Therapy Schema-focused connect acts and feelings transference-focused psychotherapy Narrative therapy Role-Play/Rehearsal
Histrionic Personality Disorder
- symptoms
5 or more:
center of attention
inappropriate sexually seductive behavior
shallow expression of emotions
use physical appearance to get attentions
speech lacks details
emotional expression is dramatic
easily influenced
sees relationships to be more intimate than actually are
5 or more:
center of attention
inappropriate sexually seductive behavior
shallow expression of emotions
use physical appearance to get attention
speech lacks details
emotional expression is dramatic
easily influenced
sees relationships to be more intimate than actually are
Histrionic Personality disorder
Histrionic Personality Disorder
- differential
other personality D/O
personality change due to medical
substance use
Histrionic Personality Disorder
- interventions
CBT
Interpersonal psychotherapy
Narcissistic Personality Disorder
- symptoms
5 or more: grandiose fantasies of unlimited success believes being special/unique, requires admiration entitled takes advantage of others lacks empathy, envious of others or believes others are envious of them arrogant behaviors
5 or more: grandiose fantasies of unlimited success believes being special/unique, requires admiration entitled takes advantage of others lacks empathy, envious of others or believes others are envious of them arrogant behaviors
Narcissistic Personality disorder
Narcissistic Personality Disorder
- differential
other personality disorder
mania/hypomania
substance use d/o
Avoidant Personality Disorder
- symptoms
pattern of social inhibition, feelings of inadequacy, hypersensitive to criticism
AEB 4 or more:
avoids occupational activities-fear of criticism/disapproval;
preoccupied w/ being criticized/rejected
avoid interactions w/ people unless sure of being liked;
restraint w/ intimate relationships
view self as inferior/socially inept;
unusually reluctant to take personal risks- fear of embarrassment
pattern of social inhibition, feelings of inadequacy, hypersensitive to criticism
AEB 4 or more:
avoids occupational activities-fear of criticism/disapproval;
preoccupied w/ being criticized/rejected
avoid interactions w/ people unless sure of being liked;
restraint w/ intimate relationships
view self as inferior/socially inept;
unusually reluctant to take personal risks- fear of embarrassment
avoidant personality disorder
Avoidant Personality Disorder
- differential
Social Anxiety; Agoraphobia Dependent; paranoid personality schizoid schizotypal substance use personality change due to medical
Avoidant Personality Disorder
- interventions
Supportive Therapy CBT- systematic desensitization, cognitive restructuring, coping skills, Psychodynamic Therapy Coping Skills Improve Self-Esteem
Dependent Personality Disorder
- symptoms
Pervasive need to be taken care of that leads to submissive and clinging behavior, fears of separation
AEB 5 or more:
- difficulty making everyday decisions without excessive advice from others
- needs others to assume responsibility in most major areas of life
- difficulty expressing disagreement with others fears loss of support/approval
- difficulty initiating projects or doing things on own
- excessive lengths to obtain nurturance/support from others
- uncomfortable or helpless when alone because of exaggerate fears of being unable to care for self
- urgently seeks another relationship when a close relationship ends
- unrealistically preoccupied with fears of being left alone
Pervasive need to be taken care of that leads to submissive and clinging behavior, fears of separation
AEB 5 or more:
- difficulty making everyday decisions without excessive advice from others
- needs others to assume responsibility in most major areas of life
- difficulty expressing disagreement with others fears loss of support/approval
- difficulty initiating projects or doing things on own
- excessive lengths to obtain nurturance/support from others
- uncomfortable or helpless when alone because of exaggerate fears of being unable to care for self
- urgently seeks another relationship when a close relationship ends
- unrealistically preoccupied with fears of being left alone
Dependent personality disorder
Dependent personality disorder
- differential
Borderline; Histrionic Avoidant
Substance Use
due to other mental D/O: depression; panic; agoraphobia
Dependent personality disorder
- interventions
Assertiveness training
social skills training
couples/family therapy
Obsessive Compulsive Personality Disorder
symptoms
Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness and efficiency
AEB 4 or more:
- preoccupation with details, rules, lists, orders, etc. to the point that the main objective of the activity is lost
- perfectionism that interferes with task completion
- excessively devoted to work and productivity to the exclusion of leisure activities and friendships
- overconscientious, scrupulous and inflexible about matters of morality, ethics, or values
- unable to discard worn-out or worthless objects even when they have no sentimental value
- reluctant to delegate tasks
- miserly spending style toward self or others
- rigidity and stubbornness
Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness and efficiency
AEB 4 or more:
- preoccupation with details, rules, lists, orders, etc. to the point that the main objective of the activity is lost
- perfectionism that interferes with task completion
- excessively devoted to work and productivity to the exclusion of leisure activities and friendships
- overconscientious, scrupulous and inflexible about matters of morality, ethics, or values
- unable to discard worn-out or worthless objects even when they have no sentimental value
- reluctant to delegate tasks
- miserly spending style toward self or others
- rigidity and stubbornness
Obsessive Compulsive personality disorder
Obsessive Compulsive Personality Disorder
- differential
OCD Hoarding other personality d/o personality change due to medical substance use d/o
Obsessive Compulsive Disorder
- interventions
CBT
psychodynamic
Personality Change due to medical condition
- duration/onset
adult
child - marked deviation from normal development that lasts at least a year
Personality Change due to Medical Condition
- symptoms
Persistent personality disorder that represents a change from the individual’s previous characteristic personality pattern
Evidence that it is the result consequence of a medical condition
Personality Change due to Medical Condition
- specifiers
labile- affective lability; Disinhibited- poor impulse; Aggressive; Apathetic; Paranoid; other Type; Combined, Unspecified
Persistent personality disorder that represents a change from the individual’s previous characteristic personality pattern
Evidence that it is the result consequence of a medical condition
Personality Change due to Medical Condition
Gender Dysphoria
- duration
greater than or equal to 6 months
Gender Dysphoria
- symptoms
strong feeling born the wrong gender and strong desire to become a member of the other gender;
must be associated with clinically significant distress or impairment in social, school or other important areas of functioning
Gender Dysphoria
- specifiers
- with disorder or sex development
- posttransition
Gender Dysphoria
- differential
Nonconformity to gender roles;
Transvestic;
Body Dysmorphic;
Schizophrenia/other psychotic d/o
Gender Dysphoria
- interventions
Children- individual/family
Focus on child’s feelings about their gender, behaviors, and any disturbances occurring now-not what may happen in adulthood
Adolescent- goals focus on life satisfaction, improving adjustment at home, school and work.
Supportive therapy to alleviate distress Psychoeducation Individual psychotherapy Family therapy Environmental change Group therapy Image Building
