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2. General adult psychiatry > Personality disorders > Flashcards

Personality disorders Flashcards

1
Q

Percentage of the population with at least one personality disorder

A

4.4%

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2
Q

Most prevalent personality disorder in psychiatric settings

A

EUPD - borderline type

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3
Q

Most prevalent personality disorder in prison settings

A

Antisocial PD

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4
Q

Prevalence of any PD in male prisoners on remand

A

78%

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5
Q

Prevalence of any PD in male sentenced prisoners

A

64%

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6
Q

Prevalence of any PD in female prisoners

A

50%

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7
Q

Prevalence of antisocial PD in male prisoners on remand

A

63%

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8
Q

Prevalence of antisocial PD in male sentenced prisoners

A

49%

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9
Q

Prevalence of antisocial PD in female prisoners

A

31%

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10
Q

Prevalence of antisocial PD in the general population

A

0.6%

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11
Q

Prevalence of antisocial PD in the general male population

A

1%

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12
Q

Prevalence of antisocial PD in the general female population

A

0.2%

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13
Q

Prevalence of EUPD in the general population

A

2%

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14
Q

Prevalence of EUPD in the psychiatry outpatient population

A

10%

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15
Q

Prevalence of EUPD in the psychiatry inpatient population

A

15-20%

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16
Q

Male:female ratio of EUPD

A

1:3

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17
Q

Most stable traits of EUPD

A

Depression
Anger
Loneliness/emptiness

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18
Q

Traits of EUPD most likely to decrease with time

A

Quasi-psychotic thoughts
Self harm
Help-seeking suicide attempts
Treatment regressions
Counter transference issues

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19
Q

PD clusters where symptoms usually increase with age

A

A
C

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20
Q

PD cluster where symptoms usually decrease with age

A

B

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21
Q

Cluster A personality disorders

A

Paranoid
Schizoid
Schizotypal

22
Q

PD which is found in the schizophrenia umbrella in ICD 10 and 11

A

Schizotypal

23
Q

Features of paranoid PD

A

Suspicious of others
Hold longstanding grudges
Believe others are not trustworthy
Emotionally detached
Feel others are deceiving or making plans against them

24
Q

Features of schizoid PD

A

Difficulty in expressing warm emotions
Aloof or remote
Prefer to be alone
Difficulty making and maintaining relationships
Unaware of social trends
Unresponsive to praise or criticism

25
Q

Features of schizotypal PD

A

Odd or eccentric
Magical thinking
Obsessions (which are not distressing)
May be members of fringe cultural groups
May believe in ESP, clairvoyance etc.
Transient psychotic features
Paranoia

26
Q

Cluster B personality disorders

A

Antisocial
BPD/EUPD
Histrionic
Narcissistic

27
Q

Features of antisocial PD

A

Lack of regard for others
Lack of remorse for actions which harm others
Ignore law or social norms
Make and break relationships easily
May be psychopathic

28
Q

Features of BPD/EUPD

A

Poor self image
Unstable relationships
Impulsive behaviours
Self harm and suicidal behaviours
Quasi-psychotic symptoms
Feelings of chronic emptiness
Mood instability

29
Q

Features of histrionic PD

A

Extreme and dramatic behaviour
Form relationships quickly
Shallow emotions
Attention seeking behaviour
Appear self centred
Sexually provocative behaviour

30
Q

Features of narcissistic PD

A

Exaggerated sense of self importance
Self centred
Intolerant of others
Cravings for attention and admiration
Grandiose plans and ideas

31
Q

Cluster C personality disorders

A

Avoidant
Dependent
Obsessive compulsive/anankastic

32
Q

Features of avoidant PD

A

Fears of being judged
Discomfort in group or social settings
Socially withdrawn
Low self esteem
Fears of being rejected but craves affection

33
Q

Features of dependent PD

A

Passive
Allows others to take responsibility for their daily life
Low self confidence
Unable to function independently
Lack of regard for own needs

34
Q

Features of obsessive compulsive/anankastic PD

A

Perfectionist
Difficulty expressing emotions
Unable to see other points of view
Rigid attention to detail that means tasks are not completed
May be frugal with money
Unable to delegate tasks

35
Q

NICE guidelines for pharmacological management of PDs

A

Not recommended unless for comorbid illness e.g. depression

36
Q

Trait domains for personality disorders in ICD 11

A

Negative affect
Detachment
Dissociality
Disinhibition
Anankastia
Borderline pattern (a combination of the above)

37
Q

PD cluster most often seen in psychiatric outpatient settings

A

Cluster C

38
Q

Lifetime prevalence of obsessive compulsive personality disorder

A

2-3%

39
Q

Medication associated with increased impulsivity in patients with borderline personality disorder

A

Benzodiazepines

40
Q

Most common personality disorder in the general population

A

Anankastic/obsessive compulsive

41
Q

Most common personality disorder in primary care/GP services

A

Anankastic/obsessive compulsive

42
Q

Medication class which reduces aggressive and impulsive behaviour in patients with borderline and aggressive personality disorders

A

SSRIs

43
Q

Medications which may improve affective dysregulation in patients with cluster B personality disorders

A

Lithium
Anticonvulsants

44
Q

Medication class which may be beneficial in low doses for patients with borderline or schizotypal personality disorders

A

Antipsychotics

45
Q

Psychological therapy suggested for women with EUPD and self harm

A

Dialectical behavioural therapy

46
Q

Therapy recommended by NICE for treatment of antisocial personality disorder

A

Group based cognitive interventions

47
Q

Most common psychiatric comorbidity seen in BPD

A

Depression

48
Q

Cut off for psychopathy on the PCL-R

A

30/40

49
Q

Percentage of people who meet criteria for psychopathy

A

<1%

50
Q

Percentage of patients with EUPD who have been sexually abused

A

40-71%

51
Q

Personality disorder which cannot be diagnosed under the age of 18 as per DSM V

A

Antisocial personality disorder

52
Q

Psychodynamic intervention not recommended for patients with BDP

A

Brief psychotherapeutic interventions

2. General adult psychiatry (9 decks)

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