personality disorders Flashcards
type A
paranoid, schizoid, schizotypal (odd and eccentric)
paranoid personality disorder
mistrust and suspiciousness of others
reluctant to confide in others
feels attacked by others and reacts to this
suspects partner of unfaithfulness
management for paranoid PD
low dose antipsychotic
CBT
schizoid PD
Pattern of detachment from social relationships and a restricted range of expression of emotion in interpersonal settings
neither desires nor enjoys close relationships
prefers solitary activity
little sexual interest
few close friends
indifferent- unconcerned
schizotypal
social anxiety
no close relationships except family
eccentric behavior
odd beliefs, thinking, speech and affect paranoid ideation
management of schizotypal PD
low dose neuroleptics
Anti- social
since 15
lack of remorse
irresponsible, reckless
deceitful, impulsive, irritable, aggressive
pattern of disregard for and violation of the rights of others
borderline personality
abandonment issues unstable relationships identity disturbance suicidal behavior chronic feelings of emptiness inappropriate anger transient paranoia
Aetiology of borderline PD
history of abuse or neglect
high incidence of depression, anxiety, self harm, relationship problems
management for borderline PD
SSRI’s, mood stabilizers, low dose antipsychotics
histrionic
needs to be center of attention
sexually seductive
uses physical appearance to draw attention
exaggerates emotion and intimacy of relationships
narcissistic
lacks empathy arrogant and exploitative sense of entitlement believes they special requires excessive admiration self important fantasies of unlimited success
dependent
uncomfortable alone
struggles to disagree
needs excessive advice and reassurance
preoccupied with fears of being left alone
urgently seeks to replace ended relationship with new one
goes to great length for support
avoidant
fear of embarrassment
views self as inferior
feels inadequate
unwilling to get involved with people unless sure of being liked
avoidant PD management
imipramine, SSRI and RIMA