Personality Disorders - 1 Flashcards
Mnemonic for Avoidant Personality Disorder? DSM-5
SHYNESS
Mnemonic for Borderline Personality Disorder? DSM-5
Instabili
Mnemonic for Dependent Personality Disorder? DSM-5
GROWS NEEDY
Mnemonic for Historionic personality disorder? DSM-5
DRAMATIC
Mnemonic for Narcissistic Personality Disorder? DSM-5
GRANDIOSITY
Mnemonic for OC personality disorder? DSM-5
Perfectionist
Mnemonic for Paranoid personality disorder? DSM-5
SUSPICION
Mnemonic for Schizoid personality Disorder? DSM-5
DISTANT
Mnemonic for Schizotypal personality disorder? DSM-5
MAGICAL
DSM-5 Criteria for Avoidant PD?
Shyness
S-Sensitivity to negative evaluation
H-Hesitant to engage
Y-Yearning for acceptance
N-Negative self-image
E-Extreme Avoidance
S-Social withdrawal
S-Self-Imposed isolation
How many inclusion criterias needed for Avoidant (shyness) for DSM-5?
4 or more
all other PDs 5 or more
Avoidant PD in ICD 11?
uses qualifier for ‘detachment trait’
Core features of avoidant accord. to ICD 11?
Tencency for social detachment
Tencency for emotional detachment
History behind the term borderline personality disorder?
from 20th centure as the border between psychosis and neurosis
Who coined the term Borderline?
Adolph Stern 1938
Key elements of Borderline PD, according to Otto Kernberg?
IMPULSIVE
I- Impulsivity (Self damaging behaviours)
M-Mood instability
P-Paranoidal Ideation & dissociation unders stress
U-Unstable Relationship
L-Lability of affect
S-suicidality
I-Identity confusion
V-Vulnerabilityy in stress
E-Emotional dysregualtions
Who based the modern concept of borderline PD?
John Gunderson 1981
Borderline PD (BPD) in ICD-11?
Offered the qualifier of the “borderline pattern’’
“borderline pattern’’ in ICD 11 characterised by?
instable :
interpersonal relationships
self-image
Affect
Impulsivity
affective dysregulation in BPD vs affective symptoms
Affective dysregulation is rapid intense, inappopriate, reactive anger which shifts rapidly (goes back to normal)
prevalence of child abuse of any sort in BPD?
87%
prevalence of sexual child abuses in BPD?
40-71%
prevalence of Physical child abuses in BPD
25-71%
True or False
Effect of abus does not depend on stage of psychological development?
False.
It does.
The earlier child abuse …..BPD’s damaging effects.
Fill the blank
the worse
Most common psychiatric commorbidity in Borderline PD (BPD)?
Major Depression
53-83%
NICE recommendation of medications for core symptoms of BPD?
None
Psychological options in Rx for BPD
DBT (Dialectical Behavioural therapyy
MBT (mentalisation based Therapy)
SFT (schema-focused therapy)
TFP (transferrence Focused Thrapy)
Who developed DBT?
Linehan
what is most well known, researched and a widely available psychological Rx for BPD?
DBT
What does DBT aim to do?
equip patient with skills in emotional regulations
which psychological Rx tried to restructure personality?
SFT
what about personality SFT tried to change?
negative patterns of thinking, feeling ahand behaving to alternative
which psychological Rx in BPD suggests what is called “limited-repaprenting”?
Schema-Focused Therapy
Attachment between client and therapist
what are schemas on which SFT focuses?
- Detached protector
- Punitive Parent
- Abandoned Child (abused child)
- Angry-Impulsive child
which psychological therapyin BPD Rx is based on Otto Kernberg’s concept of the disorder?
Transferrence Focused Psychotherapy
TFP
Clinical Personality Disorder Definition?
Enduring, Stable & Pervasive Patterns
of
Inner experience & Behaviours
that
Deviate for cultural norms
and
Start from early adulthood
DSM 5 Diagnosis criteria for Personality Disorder
Enduring Pattern of (Two of)
-Cognitive or
-Affecdtive or
-Interpersonal related or
-Impulsive
inner experience and behaviours
which
Deviatef from cultural norm
Inflexible & pervasive across a range of social situations
Distressfull
Starts in early adulthood
Not due to medical or drugs
accroding to DSM-5 can personality disorder be diagnosed in adolescent?
Yes.
Except for Antisocial personality (not below 18)
does ICD 11 allows personality disorder dx in childhood?
not typically
which personality disorder remit by age?
Borederline (Instabili)
Antisocial
what personality disorder worsen by age?
OC (PERFECTIONIST) & Schizotypal (MAGICAL)
what are clinicians advised about personalityy disorder dx in children?
Avoid making dx in young children
Main characteristic of paranoids PD?
Extreme Distrust
Own set of internal logic (unrelated to consensus reality)
Unforgiving
Hold grudes
Main characteristic of Schizoid PD
Limited Emotion Expression
Flat affect
Withdrawn
Main characteristic of Schizotypal PD
Same as schizo except for hallucination
Disorderd thoughts
Magical thinking
No logical sense
Main characteristic of Narcissitic PD
Important person
Emanating Gradiosity
Omnipotence
Lack Empathy
Draw Admiration and attention
Intoleranct & hypersensity
Main characteristic of BORDER PD
Unstable identityy
Unstable relationship
Impulsive
Affective dysregulation
Main characteristic of antisocial PD
Disregard for morality, legality and culture
previously called psychopaths and sociopaths
Main characteristic of Historionic PD
Higly exaggerated & inappropriate emotional display (Fake & Shallow)
Main characteristic of Obsessive compulsive PD
Perfectionist
Inflexible about rules
Control freek
Main characteristic of Dependant PD
Needy
Independent
No initiative
Lack of self-confidence
Lack of self-esteem
Main characteristic of Avoidant PD
Social inhibition
Feelings of inadequacy
Sensitive to criticism
Clusters of personality in DSM 5
Cluster A – Mad
Cluster B – Bad
Cluster C – Sad
Cluster A
Paranoid
Schizoid
Schizotypal
Cluster B
Histrionic
Antisocial
Borderline
Narcissistic
Cluster C
Anankastic (OC personality)
Dependent
Avoidant
