Personality Disorders Flashcards
define a paranoid personality disorder
a patient with an unrelenting mistrust and suspicion of others without reason
often interprets others motives as harmful or hostile
risk factors of paranoid personality disorder
male sex
childhood abuse
FH of paranoid disorders
schizophrenia
clinical features of paranoid personality disorder
irrational suspicion and mistrust of others
hypersensitivity to criticism
reluctance to confide
preoccupied with percieved conspiracies against self
investigations of personality disorders
Minnesota multiphasic personality inventory (MMPI)
Eysenck personality inventory
management of paranoid personality disorder
CBT
atypical 2nd gen antipsychotic
give examples of atypical 2nd gen antipsychotics
quetiapine
olanzapine
define schizoid personality disorder
a patient with an inappropriate/lack of interpersonal relationships that often avoids others
risk factors of schizoid personality disorder
family history
mental health history
clinical features of schizoid personality disorder
lack of interest in others
apathy
lack emotional breadth and expression
prefer solitary activities
important additional investigation in schizoid personality disorder
CT head - to rule out organic causes
management of schizoid personality disorder
psychodynamic and/or group therapy
medications only if co-existing mental health disorder
define schizotypal personality disorder
a patient with odd behaviour and perceptual and cognitive distorsions
clinical features of schizotypal personality disorder
pattern of extreme difficulties in social interaction
bizarre/magical thinking
distorted perceptions
inappropriate behaviour/speech
investigations of schizotypal personality disorder
MMPI
thorough history
management of schizotypal personality disorder
psychotherapy
antipsychotics (only in acute phase)
define antisocial personality disorder (ASPD)
a patient with gross discrepancy between behaviour and social norms with a pervasive pattern of disregard and violation of others rights
clinical features of ASPD
patterns of unlawful, exploitative, reckless and deceitful actions
lack of empathy
selfish behaviour and consistent irresponsibility
aggressive
management of ASPD
mood stabilisers
antidepressants
define borderline personality disorder
a patient with:
- significant instability in interpersonal relationships, self image and mood
- patterns of fluctuating mood with strong tendencies towards suicidal thinking and self-harm
- transient psychotic symptoms
clinical features of borderline personality disorder
patterns of abrupt mood swings, unstable relationships and instability with self-image
tendency towards self-harm behaviour and suicidal thoughts
alternating relationship of idealisation and devaluation
lack of temper control
investigations of BPD
toxicology screen
MSE
risk assessment for crisis management
initial management of BPD
assess current level of risk to self/others
ask about previous episodes
coping mechanism
define narcissistic personality disorder
a patient with exaggerated feelings of self-worth that often lack empathy and require constant admiration
clinical features of narcissistic personality disorders
patterns of grandiosity constant need of admiration lack empathy self-entitled arrogant and have preoccupation with own fantasy and desires
