Personality Disorders Flashcards

1
Q

Personality disorder - pathology

A

Condition that affects how you think, feel, behave or relate to other people

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2
Q

Personality disorder - aetiology

A
  • Environmental
    • Attachment difficulties
    • Family dysfunction
  • Neurological
    • Electroencephalogram (EEG) abnormalities in some groups
  • Genetic
    • Especially schizotypal and antisocial
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3
Q

Personality disorder - epidemiology

(prevalence)

A
  • 10% prevalence community
  • 20% prevalence GP
  • 30% prevalence psychiatric outpatients
  • 40% prevalence psychiatric in patients
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4
Q

Personality disorder - classification

A
  • Borderline personality disorder
  • Antisocial personality disorder
  • Schizoid
  • Dissocial (antisocial)
  • Emotionally unstable (impulsive/borderlines)
  • Histrionic
  • Anakastic
  • Anxious
  • Dependent
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5
Q

Borderline personality disorder - aetiology

A
  • When relationships are strained, real distress, frantic efforts to avoid abandonment
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6
Q

Borderline personality disorder - symptoms

A
  • Symptoms – self-injury to regulate feelings, transient stress-related mood and psychotic like disturbances
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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)
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8
Q

Antisocial personality disorder - presentation

A
  • Tendency towards offending behaviour, difficulties with impulse control and anger, often difficulty emphasising for others
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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
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10
Q

What age must somone be to have personality disorder diagnosed?

A

Diagnosis inappropriate before 16/17

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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
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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)
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