Personality Disorders Flashcards

1
Q

What personality disorder can you NOT diagnosis before 18

A

Cant diagnosis antisocial under 18

but have to see symptpms since 15

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2
Q

Premorbid specifier

A

If criteria are met prior to the onset of screener diagnosis, add “premorbid,” i.e., “schizoid personality disorder (premorbid).”

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3
Q

Clustered by themes

A

odd-centric
- paranoid, schizoid, schizotypal

Dramatic-emotion-erratic:
- antisocial, borderline, histrionic, narcissistic

anxious-fearful:
- avoidant, dependent, OCPD

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4
Q

Two-steps to diagnosing personality disorders

A

Step one: make sure works for general personality disorder

pick distinct one

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5
Q

Overall Personality Diagnosis

A

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

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6
Q

Pattern manifested in what areas

A

2/4

cognition (ways of perceiving self, other, and events)

affectivity (range, intensity, etc. of emotions)

interpersonal functioning

impulse control

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7
Q

Paranoid personality Disorder

A

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

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8
Q

Schizotypal

A

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

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9
Q

Schizoid Personality Disorder

A

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.

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10
Q

Antisocial personality disorder

A

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

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11
Q

Antisocial personality vs conduct disorder

A

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

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12
Q

Schizotypal vs Schizoid

A

Schizotypal: discomfort with close relationships AND odd behavior/distortions

Schizoid: Detachment from social relationships AND restricted emotion

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13
Q

Conduct disorder – brief

not personality

A

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

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14
Q

Intermittent explosive disorder – brief

not personality

A

Looking for aggressiveness that is not premeditated or for gain, and grossly unproportional

behavioral outbursts representing failure to control aggressive impulses

At least 6

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15
Q

Intermittent vs conduct

not personality

A

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

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16
Q

Oppositional defiant disorder

not personality

A

Pattern of angry/irritable mood, argumentative/defiant behavior, vindictive

17
Q

Pyromania

A

Fire

18
Q

kelptomania

A

theft

19
Q

Borderline Personality Disorder

A

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.
20
Q

Histrionic

A

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

21
Q

Narcissistic

A

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
22
Q

Avoidant personality disorder

A

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.
    1. Views self as socially inept, personally unappealing, or inferior to others.
    1. Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.
23
Q

Dependent Personality

A

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

24
Q

Obsessive-Compulsive Personality Disorder

A

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