Personality Disorders Flashcards
What personality disorder can you NOT diagnosis before 18
Cant diagnosis antisocial under 18
but have to see symptpms since 15
Premorbid specifier
If criteria are met prior to the onset of screener diagnosis, add “premorbid,” i.e., “schizoid personality disorder (premorbid).”
Clustered by themes
odd-centric
- paranoid, schizoid, schizotypal
Dramatic-emotion-erratic:
- antisocial, borderline, histrionic, narcissistic
anxious-fearful:
- avoidant, dependent, OCPD
Two-steps to diagnosing personality disorders
Step one: make sure works for general personality disorder
pick distinct one
Overall Personality Diagnosis
Pattern of inner experience and behavior that deviates from norm. Manifested in 2/4 situations
Pattern is inflexible and pervasive across personal and social situation
Leads to significant distress or impairment
pattern is stable and long duration, traced to adolescence
not another mental disorder
not substance or medical condition
Pattern manifested in what areas
2/4
cognition (ways of perceiving self, other, and events)
affectivity (range, intensity, etc. of emotions)
interpersonal functioning
impulse control
Paranoid personality Disorder
Distrust and suspiciousness of others, indicated by 4/7
- suspects that others are exploiting them
- preoccupied with unjustified doubts about trustworthiness
- reluctant to confide in others
- reads hidden messages in benign remarks
- bears grudges
- perceives comments to be attacking them
- recurrent suspicious regarding fidelity
Not during schizophrenia, bipolar, depressive with psychotic
Schizotypal
social and interpersonal deficits marked by acute discomfort with close relationships, paired with distortions and eccentricities of behavior, shown by 5/9
- ideas of reference
- odd beliefs
- unusal perceptual experiences
- odd thinking/speech
- suspicious/paranoid
- inappropriate/constricted affect
- odd, eccentric behavior
- lack of close friends
- excessive social anxiety based on paranoid fears
Not during schizophrenia, bipolar, depressive with psychotic
Schizoid Personality Disorder
Detachment from social relationships and restricted expression of emotion, 4/7
- doesn’t desire/enjoy close relationships
- chooses solitary
- little interest in sex
- pleasure in few activities
- lacks close friends
- indifferent to praise
- emotional coldness
not during schizo, bipolar, etc.
Antisocial personality disorder
disregard for and violation of rights of others (since 15!) by 3/4
- No respect lawful behaviors (illegal acts)
- deceitfulness
- impulsivity
- irritability, aggressiveness
Disregard for safety of self and others
irresponsibility
lack of remorse
at least 18
conduct disorder onset before 15!
not schizo or bipolar
Antisocial personality vs conduct disorder
Conduct disorder is about behavior, antisocial personality is about behavior and disregard towards others (lack of remorse, etc.)
like a mix of all of them
Schizotypal vs Schizoid
Schizotypal: discomfort with close relationships AND odd behavior/distortions
Schizoid: Detachment from social relationships AND restricted emotion
Conduct disorder – brief
not personality
repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated
aggression to people and animals
destruction of property
serious violation in rules
Intermittent explosive disorder – brief
not personality
Looking for aggressiveness that is not premeditated or for gain, and grossly unproportional
behavioral outbursts representing failure to control aggressive impulses
At least 6
Intermittent vs conduct
not personality
Intermittent: not-premeditated agressiveness, lack of control over feelings of angry. behavior outbursts
Conduct: more thought out, not just “in the moment”, behavior
Oppositional defiant: mood and defiant behavior
Oppositional defiant disorder
not personality
Pattern of angry/irritable mood, argumentative/defiant behavior, vindictive
Pyromania
Fire
kelptomania
theft
Borderline Personality Disorder
Pattern of instability of relationships, self-image, affects and marked impulsivity, beginning in early adulthood, with 5/9
- efforts to avoid abandonment
- unstable relationships (idealization and devaluation)
- identity disturbance
- impulsivity in self-damaging acts
- recurrent suicidal behavior
- reactive mood (instability)
- emptiness
- intense anger
- paranoid ideation, dissociation, etc.
Histrionic
excessive emotionality and attention seeking, present in 5/8
- uncomfortable when not center of attention
- seductive behavior
- rapid shifting and shallow emotions
- uses physical appearance to draw attention
- impressionistic speech
- self-dramatization, theatricality, exaggerated emotion
- suggestible
- relationships closer than they are
THINK A.V
Narcissistic
grandiosity, need for admiration, lack of empathy, present in 5/9
- grandiose, self-important
- fantasies of unlimited power/sucess/love
- belief they are special, and should only be around other special people
- needs admiration
- sense of entitlement
- interpersonally exploitative
- lacks empathy
- envious of others, thinks people envious of them
- arrogant, haughty behavior
Avoidant personality disorder
social inhibition, feelings of inadequacy, hypersensitive to negative evaluation
- avoids occupation becasue fear of criticism
- unwilling to get involved becuase worrried won’t be liked
- Shows restraint within intimate relationships because of the fear of being shamed or ridiculed. ‘
- Is preoccupied with being criticized or rejected in social situations.
- Is inhibited in new interpersonal situations because of feelings of inadequacy.
- Views self as socially inept, personally unappealing, or inferior to others.
- Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.
Dependent Personality
pervasive and excessive need to be taken care of, leads to submissive and clinging behaviors, fears of separation. 5/8
- cant make decisions
- others to resume responsibility over life
- can’t express disagreement
- difficulty initiating projects on own because of lack of self-confidence
- excessive lengths to obtain nurturance and support
- uncomfortable or helpless alone
- seeks relationships as source of care and support
- preoccupied with being left alone to take care of self
THINK OF LIV lol
or me to the extreme
Obsessive-Compulsive Personality Disorder
Orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency
- preoccupied with details and schedules
- perfectionism interferes with task completion
- devoted to work and productivity
- overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values
- unable to discard worn-out or worthless objects even when they have no sentimental value.
- reluctant to delegate tasks
- wont spend money
- rigidity and stubbornness
