Personality disorders Flashcards

1
Q

Define personality disorder

A

A way of thinking, feeling and behaving that deviates from cultural norms, is pervasive and inflexible, present throughout life, and leads to significant distress or impairment

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2
Q

What are some ways of differentiating personality disorder from personality traits?

A
  • Pervasive: affects multiple areas of life
  • Persistent: over long period of time
  • Pathological: causing impairment/distress
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3
Q

How are personality disorders categorised? Give examples

A

Cluster A: odd and eccentric

  • Schizoid
  • Schizotypal
  • Paranoid

Cluster B: dramatic, emotional, erratic

  • Antisocial
  • EUPD/borderline
  • Histrionic
  • Narcissistic

Cluster C: anxious, fearful

  • Avoidant
  • Anankastic
  • Dependent
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4
Q

Describe some features of paranoid PD

A
'Suspicious- everyone is out to get me'
Tendency to believe conspiracy theories
Suspicious of others
Perceive others as hostile 
Hold grudges
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5
Q

Describe some features of schizoid PD

A
'Loner'
Withdrawn
Perceived by others as cold 
Prefer solitary activities, lacks close relationships 
Decreased capacities to express feelings
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6
Q

Describe some features of schizotypal PD

A

Withdrawn
Odd and eccentric behaviour
Suspicious, paranoid ideas
Unusual perceptual experiences

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7
Q

Describe some features of antisocial PD

A
Persistent disregard for social norms and morals
Heartless
Aggressive tendencies
Lack of remorse
Frequent offenders
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8
Q

How is schizotypal PD different from paranoid?

A

They have unusual perceptions and odd behaviours, similar to schizophrenia, whereas paranoid PD is usually just suspicious

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9
Q

Describe some features of EUPD

A

‘Unstable’
Prone to outbursts
Impulsive
Unpredictable labile mood

Borderline:
Chronic empty feelings
Intense and unstable relationships, lots of conflict
Self-harm and suicide

Impulsive (Chris): impulsive, sensitive to criticism, outbursts

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10
Q

Describe some features of histrionic PD

A

‘Theatrical’
Attention-seeking behaviour
Self dramatisation

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11
Q

Describe some features of narcissistic PD

A
'Superiority complex'
Perceive self very highly 
Expect special treatment
Lack empathy
Demeaning others
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12
Q

Describe some features of avoidant PD

A

‘Insecure’
Hypersensitive to criticism
Yearning to be liked and accepted

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13
Q

Describe some features of dependent PD

A

Helpless
Fear of abandonment
Reliance and compliance

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14
Q

Describe some features of anankastic PD

A

‘OCD’

  • Perfectionism
  • Preoccupied with details
  • Rigid, stubborn
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15
Q

What is the management of personality disorders?

A

Psychological therapies

  • EUPD: DBT, psychotherapy
  • Antisocial: group based rehabilitation
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16
Q

What are the complications of personality disorders?

A

All- difficulties in relationships, depression, anxiety
EUPD: self-harm, suicide, substance misuse
Antisocial: violence, criminal activity
Anankastic: OCD
Dependent: risk of victimisation eg domestic violence