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MRCPSYCH_B_MENTOR&More_ART > Personality Disorders - 1 > Flashcards

Personality Disorders - 1 Flashcards

1
Q

Mnemonic for Avoidant Personality Disorder? DSM-5

A

SHYNESS

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2
Q

Mnemonic for Borderline Personality Disorder? DSM-5

A

Instabili

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3
Q

Mnemonic for Dependent Personality Disorder? DSM-5

A

GROWS NEEDY

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4
Q

Mnemonic for Historionic personality disorder? DSM-5

A

DRAMATIC

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5
Q

Mnemonic for Narcissistic Personality Disorder? DSM-5

A

GRANDIOSITY

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6
Q

Mnemonic for OC personality disorder? DSM-5

A

Perfectionist

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7
Q

Mnemonic for Paranoid personality disorder? DSM-5

A

SUSPICION

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8
Q

Mnemonic for Schizoid personality Disorder? DSM-5

A

DISTANT

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9
Q

Mnemonic for Schizotypal personality disorder? DSM-5

A

MAGICAL

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10
Q

DSM-5 Criteria for Avoidant PD?

A

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

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11
Q

How many inclusion criterias needed for Avoidant (shyness) for DSM-5?

A

4 or more

all other PDs 5 or more

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12
Q

Avoidant PD in ICD 11?

A

uses qualifier for ‘detachment trait’

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13
Q

Core features of avoidant accord. to ICD 11?

A

Tencency for social detachment
Tencency for emotional detachment

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14
Q

History behind the term borderline personality disorder?

A

from 20th centure as the border between psychosis and neurosis

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15
Q

Who coined the term Borderline?

A

Adolph Stern 1938

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16
Q

Key elements of Borderline PD, according to Otto Kernberg?

A

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

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17
Q

Who based the modern concept of borderline PD?

A

John Gunderson 1981

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18
Q

Borderline PD (BPD) in ICD-11?

A

Offered the qualifier of the “borderline pattern’’

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19
Q

“borderline pattern’’ in ICD 11 characterised by?

A

instable :
interpersonal relationships
self-image
Affect
Impulsivity

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20
Q

affective dysregulation in BPD vs affective symptoms

A

Affective dysregulation is rapid intense, inappopriate, reactive anger which shifts rapidly (goes back to normal)

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21
Q

prevalence of child abuse of any sort in BPD?

A

87%

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22
Q

prevalence of sexual child abuses in BPD?

A

40-71%

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23
Q

prevalence of Physical child abuses in BPD

A

25-71%

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24
Q

True or False

Effect of abus does not depend on stage of psychological development?

A

False.
It does.

25
Q

The earlier child abuse …..BPD’s damaging effects.

Fill the blank

A

the worse

26
Q

Most common psychiatric commorbidity in Borderline PD (BPD)?

A

Major Depression

53-83%

27
Q

NICE recommendation of medications for core symptoms of BPD?

A

None

28
Q

Psychological options in Rx for BPD

A

DBT (Dialectical Behavioural therapyy
MBT (mentalisation based Therapy)
SFT (schema-focused therapy)
TFP (transferrence Focused Thrapy)

29
Q

Who developed DBT?

A

Linehan

30
Q

what is most well known, researched and a widely available psychological Rx for BPD?

A

DBT

31
Q

What does DBT aim to do?

A

equip patient with skills in emotional regulations

32
Q

which psychological Rx tried to restructure personality?

A

SFT

33
Q

what about personality SFT tried to change?

A

negative patterns of thinking, feeling ahand behaving to alternative

34
Q

which psychological Rx in BPD suggests what is called “limited-repaprenting”?

A

Schema-Focused Therapy

Attachment between client and therapist

35
Q

what are schemas on which SFT focuses?

A
  • Detached protector
    -Punitive Parent
    -Abandoned Child (abused child)
    -Angry-Impulsive child
36
Q

which psychological therapyin BPD Rx is based on Otto Kernberg’s concept of the disorder?

A

Transferrence Focused Psychotherapy
TFP

37
Q

Clinical Personality Disorder Definition?

A

Enduring, Stable & Pervasive Patterns
of
Inner experience & Behaviours
that
Deviate for cultural norms
and
Start from early adulthood

38
Q

DSM 5 Diagnosis criteria for Personality Disorder

A

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

39
Q

accroding to DSM-5 can personality disorder be diagnosed in adolescent?

A

Yes.
Except for Antisocial personality (not below 18)

40
Q

does ICD 11 allows personality disorder dx in childhood?

A

not typically

41
Q

which personality disorder remit by age?

A

Borederline (Instabili)
Antisocial

42
Q

what personality disorder worsen by age?

A

OC (PERFECTIONIST) & Schizotypal (MAGICAL)

43
Q

what are clinicians advised about personalityy disorder dx in children?

A

Avoid making dx in young children

44
Q

Main characteristic of paranoids PD?

A

Extreme Distrust
Own set of internal logic (unrelated to consensus reality)
Unforgiving
Hold grudes

45
Q

Main characteristic of Schizoid PD

A

Limited Emotion Expression
Flat affect
Withdrawn

46
Q

Main characteristic of Schizotypal PD

A

Same as schizo except for hallucination
Disorderd thoughts
Magical thinking
No logical sense

47
Q

Main characteristic of Narcissitic PD

A

Important person
Emanating Gradiosity
Omnipotence
Lack Empathy
Draw Admiration and attention
Intoleranct & hypersensity

48
Q

Main characteristic of BORDER PD

A

Unstable identityy
Unstable relationship
Impulsive
Affective dysregulation

49
Q

Main characteristic of antisocial PD

A

Disregard for morality, legality and culture
previously called psychopaths and sociopaths

50
Q

Main characteristic of Historionic PD

A

Higly exaggerated & inappropriate emotional display (Fake & Shallow)

51
Q

Main characteristic of Obsessive compulsive PD

A

Perfectionist
Inflexible about rules
Control freek

52
Q

Main characteristic of Dependant PD

A

Needy
Independent
No initiative
Lack of self-confidence
Lack of self-esteem

53
Q

Main characteristic of Avoidant PD

A

Social inhibition
Feelings of inadequacy
Sensitive to criticism

54
Q

Clusters of personality in DSM 5

A

Cluster A – Mad
Cluster B – Bad
Cluster C – Sad

55
Q

Cluster A

A

Paranoid
Schizoid
Schizotypal

56
Q

Cluster B

A

Histrionic
Antisocial
Borderline
Narcissistic

57
Q

Cluster C

A

Anankastic (OC personality)
Dependent
Avoidant

58
Q
A

MRCPSYCH_B_MENTOR&More_ART (47 decks)

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