personality disorders

Question 1

what are obsession

Answer 1

unwanted intrusive thoughts

Question 2

what is a complusion

Answer 2

repetitive behaviour or mental acts eg repeating a phrase in your head to reduce anxiety

Question 3

RF OCD

Answer 3

FH, age 10-20, pregnancy or postnatal, history of abuse, bullying, neglect

Question 4

what scale is used for ocd

Answer 4

Y-BOCS

Question 5

what is considered severe OCD

Answer 5

a person spends 3+ hours on obsessions/ compulsions and has severe interference with QOL, no control

Question 6

1st mx mild funcional impairment OCD

Answer 6

mild CBT and exposure response

Question 7

2nd mx mild funcional impairment OCD

Answer 7

SSRI or more intense CBT

Question 8

1st line mx moderate OCD

Answer 8

SSRI (or clomipramine if they prefer) and intensive CBT

Question 9

SSRI for body dysmorphia

Answer 9

fluoxetine

Question 10

mx severe OCD

Answer 10

refer to pysch - while waiting offer SSRI + CBT

Question 11

if SSRI effective in OCD how long should it be continued

Answer 11

12 months

Question 12

dose of SSRI for OCD

Answer 12

higher and longer (12 weeks minimum) than depression

Question 13

cluster A personality disorder

Answer 13

odd + eccentric: paranoid, shizoid, schizotypal

Question 14

cluster B personality disorders

Answer 14

dramatic, emotional, erratic: antisocial, borderline (emotionally unstable), histrionic, narcissistic

Question 15

cluster C personality disorder

Answer 15

anxious + fearful: obsessive, avoidant, dependent

Question 16

symptoms paranoid personality

Answer 16

hypersensitive and bear grudges // question loyalty of friends + partner // secretive // conspiracy theories and hidden meanings // perceive neutral actions as personally offensive

Question 17

symptoms schizoid personality

Answer 17

indifferent to praise or criticism // prefers to be alone // no interest in sex, relationships, friends // emotionally cold // few interests

Question 18

symptoms schizotypal

Answer 18

ideas of reference (news aimed at them) // odd and magical thinking // paranoid // lack of close friends except family // inappropriate affect (no forward thinking)

Question 19

symptoms antisocial

Answer 19

men // lying, conning, profit themselves // impulsive // reckless and disregard safety // irresponsible // lack remorse // bully, vandal, steal, violent

Question 20

borderline personality

Answer 20

impulsive and no thought of consequences // suicidal + self harm // intense and unstable relationships // feel empty // angry + outbursts

Question 21

histronic personality

Answer 21

sexual in appearance and act // centre of attention // shallow and rapidly changing emotions // easily influenced // consider relationships more intimate than they are

Question 22

narcissistic personality

Answer 22

grandoise self importance // fantasy of success and power // entitled // take advantage of others // lack empathy // envy

Question 23

obsessive-compulsive personality

Answer 23

preoccupied with rules + lists // perfectionist // meticilous and judgy on ethics and morals // has to be their way // stiff and stubborn

Question 24

avoidant personality

Answer 24

avoid social interactions from fear of criticism or rejection// worried about being liked // resistant in intimate relationship but craves social contact// feels inferior

Question 25

dependent personality

Answer 25

need help and reassurance with minor decisions // difficulty in disagreement // lack of iniative // worried of being left to care themselves // always in a relationship

Question 26

mx personality disorders

Answer 26

dialectical behaviour therapy