Personality Disorders Flashcards
1
Q
Personality disorder - pathology
A
Condition that affects how you think, feel, behave or relate to other people
2
Q
Personality disorder - aetiology
A
- Environmental
- Attachment difficulties
- Family dysfunction
- Neurological
- Electroencephalogram (EEG) abnormalities in some groups
- Genetic
- Especially schizotypal and antisocial
3
Q
Personality disorder - epidemiology
(prevalence)
A
- 10% prevalence community
- 20% prevalence GP
- 30% prevalence psychiatric outpatients
- 40% prevalence psychiatric in patients
4
Q
Personality disorder - classification
A
- Borderline personality disorder
- Antisocial personality disorder
- Schizoid
- Dissocial (antisocial)
- Emotionally unstable (impulsive/borderlines)
- Histrionic
- Anakastic
- Anxious
- Dependent
5
Q
Borderline personality disorder - aetiology
A
- When relationships are strained, real distress, frantic efforts to avoid abandonment
6
Q
Borderline personality disorder - symptoms
A
- Symptoms – self-injury to regulate feelings, transient stress-related mood and psychotic like disturbances
7
Q
Borderline personality disorder - treatment
A
- Treatment – mentalisation-based treatment (improve capacity to keep reflective function at times of distress), or dialectical behaviour therapy (improve skills for distress tolerance)
8
Q
Antisocial personality disorder - presentation
A
- Tendency towards offending behaviour, difficulties with impulse control and anger, often difficulty emphasising for others
9
Q
Personality disorder - general presentation
A
- General
- Severe disturbance in behaviour/behaviour
- Usually involving several areas of personality
- Associated with considerable personal/social distress
10
Q
What age must somone be to have personality disorder diagnosed?
A
Diagnosis inappropriate before 16/17
11
Q
Personality disorder - management
A
- Thorough assessment and biopsychotherapy approach
- MDT approach
- Psychotherapy
- Prescribing in short-term indicated for co-morbidity and crises
- Discouraged prescribing in medium to long term
12
Q
Personality disorder - prognosis
A
- High morbidity and mortality
- High rate co-morbidity such as with psychosis or affective disorder
- High risk of suicide (6x standard)