Personality Disorders Flashcards
List 5 general tips for dealing with personality disorders
Establish limits Look for medical and psychatric at presentation and any changes Watch for counter transference Limit use of benzos Evaluate previous dianosis for yourself
General treatments for Cluster A
Structure
Rehab
Support Medications
Couse generally stable and doens’t improve
General treatments for Cluster B
Support
Exploration
Therapy
Meds
Generally unstable
Some go into remission with age
Schizoid diagnosis
4/7 Detached/Flat affect Indifferent to others opinion Sexual experiences of little interest Tasks done solitarily Absence of close friends Neither desires or enjoys relationship Takes pleasure in few activites
Elaborate fantasy worlds substitute relationships
Schizotypal
5/9
Magic thinking Experiences unusual perceptions Paranoid ideation Ecccentric behavior and appearance Constricted affect Unusual thinking or speech Lacks close friends Ideas of reference Anxiety in social situation Rule out other disorders
Treat with low dose antipsychotic or phenelzine
Antisocial criteria
3/7
Conforming to law is lacking Obligations ignored Reckless disregard for safety Remorseless Underhanded Planning insufficient Temper
Prior diagnosis of conduct disorder
Usually diminish with age
Borderling criteria
5/9
Abandonment issues Mood instability Suicidal Unstable relationships Impulsive Control of anger lacking Identity disturbance Dissociative Emptiness
SSRI like fluoxetine
Dialectical behavioral therapy
Histrionic criteria
Appearance focused to draw attention Center of attention Theatrical Relationships considered more intimate than they are Easily influenced Seductive Shallow emotions Speech is vague
Some SI in regards to getting attention
Narcissistic criteria
5/8
Special Preoccupied with fantasies Envious Entitlement Excess admiration required Conceited Interpersonal expoitation Arrogant Lacks empathy
Consider SSRI
Avoidant criteria
4/7
Avoids social work Views self an inept Occupied with fear of criticism Inhibited in new relationships Don't get involved when uncertain of being liked Embarassment prevents new activities Restraint with intimate relationships
Different than schizoid becasue can develop relationships when assurance of uncritical acceptance
Dependant criteria
5/8
Reassurance required Expressing disagreement is difficult Life responsibilities assumed by others Initiating projects is difficult Alone=discomfort Nurtrance needed Companionship sought after Exaggerated fears of being left to self
Unlike borderline when faced with abandonment gets more appeasing
OCPD criteria
4/8
Obsessed over details Both miserly with self and others Shows perfectionism that interferes with task completion Excessively devoted to work Super consciousness (inflexible in ethics) Supervision required for delegated tasks Object hoarder Rigidity
Treat with CBT
