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DSM - 5 > Personality Disorders +1 > Flashcards

Personality Disorders +1 Flashcards

1
Q

Paranoid Personality disorder

- onset

A

adult

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2
Q

Paranoid personality disorder

- symptoms

A

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

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3
Q

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

A

paranoid personality disorder

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4
Q

paranoid personality disorder

- interventions

A

Individual Therapy
Reality testing only after building rapport
Supportive Psychotherapy
CBT

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5
Q

Schizoid Personality disorder

- onset

A

adulthood

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6
Q

Schizoid personality disorder

- symptoms

A

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

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7
Q

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

A

Schizoid personality disorder

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8
Q

Schizoid personality disorder

- differential

A

Autism
SUD
other personality d/o
other mental d/o with psychosis

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9
Q

Schizoid personality disorder

- interventions

A

CBT

Social Skills Training

group therapy

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10
Q

Schizotypal personality disorder

- onset

A

adult

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11
Q

Schizotypal personality disorder

- symptoms

A

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

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12
Q

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

A

Schizotypal personality disorder

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13
Q

Schizotypal personality disorder

- differential

A

neurodevelopmental d/o

SUD; personality change other personality d/o; other mental d/o w/psychosis

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14
Q

Schizotypal personality disorder

- interventions

A 
CBT
Social Skills Training
Support/Encouragement 
Communication Skills- assertiveness, role-playing
Focus on Low Self-Esteem
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15
Q

Antisocial personality disorder

- duration/onset

A

diagnosed as an adult, symptoms must be present since age 15

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16
Q

Antisocial personality disorder

- symptoms

A

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

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17
Q

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

A

Antisocial personality disorder

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18
Q

Antisocial Personality disorder

- differential

A 
Schizophenia; 
Bipolar
Narcissistic; 
Histrionic; 
Borderline
Substance Use Disorder
Criminal behavior not associated with personality d/o
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19
Q

Antisocial Personality disorder

- interventions

A 
Role - Play
Modeling
Motivational Interviewing
Reframing
Rehearsal
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20
Q

Borderline Personality Disorder

- duration/onset

A

adult

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21
Q

Borderline Personality Disorder

- symptoms

A

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

22
Q

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

A

Borderline Personality Disorder

23
Q

Borderline Personality disorder

- differential

A 
depressive 
Bipolar
other personality d/o
personality change due to medical
Substance Use
Identity problems
24
Q

Borderline Personality Disorder

- interventions

A 
DBT
STEPPS
Mentalization-based therapy 
Cognitive Analytic Therapy 
Schema-focused
connect acts and feelings
transference-focused psychotherapy 
Narrative therapy 
Role-Play/Rehearsal
25
Q

Histrionic Personality Disorder

- symptoms

A

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

26
Q

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

A

Histrionic Personality disorder

27
Q

Histrionic Personality Disorder

- differential

A

other personality D/O

personality change due to medical

substance use

28
Q

Histrionic Personality Disorder

- interventions

A

CBT

Interpersonal psychotherapy

29
Q

Narcissistic Personality Disorder

- symptoms

A 
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
30
Q 
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
A

Narcissistic Personality disorder

31
Q

Narcissistic Personality Disorder

- differential

A

other personality disorder

mania/hypomania

substance use d/o

32
Q

Avoidant Personality Disorder

- symptoms

A

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

33
Q

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

A

avoidant personality disorder

34
Q

Avoidant Personality Disorder

- differential

A 
Social Anxiety; 
Agoraphobia
Dependent;
paranoid personality
schizoid 
schizotypal
substance use
personality change due to medical
35
Q

Avoidant Personality Disorder

- interventions

A 
Supportive Therapy
CBT- systematic desensitization, cognitive restructuring, coping skills,
Psychodynamic Therapy 
Coping Skills
Improve Self-Esteem
36
Q

Dependent Personality Disorder

- symptoms

A

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
37
Q

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
A

Dependent personality disorder

38
Q

Dependent personality disorder

- differential

A

Borderline; Histrionic Avoidant
Substance Use
due to other mental D/O: depression; panic; agoraphobia

39
Q

Dependent personality disorder

- interventions

A

Assertiveness training

social skills training

couples/family therapy

40
Q

Obsessive Compulsive Personality Disorder

symptoms

A

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
41
Q

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
A

Obsessive Compulsive personality disorder

42
Q

Obsessive Compulsive Personality Disorder

- differential

A 
OCD 
Hoarding
other personality d/o 
personality change due to medical
substance use d/o
43
Q

Obsessive Compulsive Disorder

- interventions

A

CBT

psychodynamic

44
Q

Personality Change due to medical condition

- duration/onset

A

adult

child - marked deviation from normal development that lasts at least a year

45
Q

Personality Change due to Medical Condition

- symptoms

A

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

46
Q

Personality Change due to Medical Condition

- specifiers

A 
labile- affective lability; 
Disinhibited- poor impulse; 
Aggressive; 
Apathetic; 
Paranoid; 
other Type; 
Combined, 
Unspecified
47
Q

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

A

Personality Change due to Medical Condition

48
Q

Gender Dysphoria

- duration

A

greater than or equal to 6 months

49
Q

Gender Dysphoria

- symptoms

A

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

50
Q

Gender Dysphoria

- specifiers

A
  • with disorder or sex development

- posttransition

51
Q

Gender Dysphoria

- differential

A

Nonconformity to gender roles;
Transvestic;
Body Dysmorphic;
Schizophrenia/other psychotic d/o

52
Q

Gender Dysphoria

- interventions

A

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

DSM - 5 (13 decks)

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