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Diagnosis_Management 1 > Personality disorders > Flashcards

Personality disorders Flashcards

1
Q

clinical presentation of paranoid personality disorder

A

suspicious/distrustful
refuse responsibility for feelings (assigns blame to others)
often hostile, irritable, angry

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2
Q

clinical presentation of schizoid personality disorder

A

lifelong pattern of social withdrawal
seem eccentric, isolated, lonely
uncomfortable w/ human interaction
introverted

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3
Q

clinical presentation of schizotypal personality disorder

A

very odd
magical thinking/peculiar notions
ideas of reference
derealization

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4
Q

clinical presentation of antisocial personality disorder

A

inability to conform to social norms
often characterized by criminal acts

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5
Q

clinical presentation of borderline personality disorder

A

borders between psychosis and neurosis
unstable affect, mood, behavior, and self-image

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6
Q

clinical presentation of histrionic personality disorder

A

excitable/emotional
colorful, dramatic, extroverted
often unable to maintain lasting sincere attachments

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7
Q

clinical presentation of narcissistic personality disorder

A

sense of self-importance
lack of empathy
grandiose feelings of uniqueness
fragile self-esteem
vulnerable to minor criticism

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8
Q

clinical presentation of avoidant personality disorder

A

extremely sensitive to rejection
may be social withdrawn
shy
desire for companionship but requires certainty of acceptance

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9
Q

clinical presentation of dependent personality disorder

A

subordinate to other’s needs
others assume responsibility for significant areas of life
lacks self-confidence
intense discomfort when alone

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10
Q

clinical presentation of obsessive-compulsive personality disorder

A

orderly, stubborn, indecisive
perfectionistic
inflexible

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11
Q

cluster A personality disorders (odd/eccentric)

A

paranoid
schizoid
schizotypal

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12
Q

cluster B personality disorders (dramatic, impulsive)

A

borderline
antisocial
narcissistic
histrionic

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13
Q

cluster c personality disorders (anxious, fearful)

A

avoidant
dependent
obsessive-compulsive

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14
Q

projective identification

A

defense mechanism used by borderlines
project intolerable aspects about self onto another and induce them to play the projected role so the two act in unison

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15
Q

defining characteristics of paranoid personality disorder

A

-misinterprets others actions as malevolent or deceptive
-pathologically jealous
-uses defense mechanism of projection

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16
Q

defining characteristics of schizoid personality disorder

A

-appear unsocial
-little want for close relationships
-indifferent to criticism/praise

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17
Q

defining characteristics of schizotypal personality disorder

A

-peculiar or magical thinking
-vivid imaginary relationships
-isolated d/t inappropriateness
-may have psychotic symptoms

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18
Q

key characteristics of antisocial personality disorder

A

-disrespect for the rights of others
-superficially charming
-manipulative
-lack of remorse for actions

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19
Q

age limits on dx of antisocial personality disorder

A

must be at least 18 and have exhibited symptoms since 15 or earlier

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20
Q

key characteristics of borderline personality disorder

A

-almost always in state of crisis
-frequent mood swings
-unpredictable/self-destructive
-poor interpersonal relationships
-splitting is common

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21
Q

how are relationships distorted in borderline personality disorder

A

tend to see people as all good or all bad

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22
Q

key characteristics of histrionic personality disorder

A

-attention-seeking
-exaggerate/dramatic
-outbursts when not center of attention

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23
Q

relationships of people with histrionic personality disorder

A

-tend to be superficial
-deep dependence needs make gullible

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24
Q

defense mechanisms of histrionic personality disorder

A

repression and dissociation
(often unaware of true feelings and unable to explain motivations)

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25
Q

key characteristics of narcissistic personality disorder

A

-sense of entitlement
-enraged at criticism/indifference
-incapable of empathy
-sympathy only to achieve selfish needs
-ambitious for fame/fortune

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26
Q

relationships with narcissistic personality disorder

A

tenuous
frequent exploitation

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27
Q

key characteristics of avoidant personality disorder

A

-hypersensitive to rejection
-timid
-lacks self-confidence

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28
Q

relationships with avoidant personality disorder

A

unwilling to engage unless absolutely sure they will be liked

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29
Q

key characteristics of dependent personality disorder

A

-cannot make decisions independently
-avoids responsibility
-fear of expressing sexual/aggressive feelings

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30
Q

relationships with dependent personality disorder

A

distorted by their need to not be alone

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31
Q

key characteristics of obsessive-compulsive personality disorder

A

-preoccupied w/ rules, neatness, perfection
-lack flexibility
-unable to compromise
-overthinkers
-stiff, formal, or rigid demeanor

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32
Q

defense mechanisms of obsessive-compulsive personality disorder

A

rationalizing
isolation
intellectualization
reaction formation
undoing

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33
Q

pharmacotherapy for paranoid personality disoder

A

low dose antipsychotics
anticonvulsants for irritability

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34
Q

pharmacotherapy for schizotypal personality disorder

A

-antipsychotics for psychotic symptoms
-antidepressants if necessary

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35
Q

pharmacotherapy for aggression in antisocial personality disorder

A

anticonvulsants, lithium, antipsychotics

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36
Q

psychotherapies that work well for borderline personality disorder

A

DBT
mentalization-based tx
transference-focused therapy

37
Q

pharmacotherapy for borderline personality disorder

A

antipsychotics, antidepressants, anticonvulsants

38
Q

what medications should you avoid with borderline personality disorder

A

benzodiazepines d/t abuse risk

39
Q

pharmacotherapy for histrionic personality disorder

A

antidepressants, antianxiety meds, antipsychotics

40
Q

pharmacotherapy for narcissistic personality disorder

A

lithium for mood swings
SSRIs

41
Q

pharmacotherapy for dependent personality disorder

A

antianxiety agents
antidepressants

42
Q

limited evidence for the use of what medications in obsessive-compulsive personality disorder

A

fluvoxamine
carbamazepine

43
Q

approach when fantasy is defense mechanism

A

quiet interest w/o insisting on responses
recognition for fear of closeness and eccentricity

44
Q

dissociation

A

unconscious mechanism that involves separating mental/behavioral processes from rest of psychic activity

45
Q

isolation defense mechanism

A

separation of idea/memory from its attached emotion

46
Q

4 major temperment traits

A

harm avoidance
novelty-seeking
reward dependence
persistence

47
Q

emotion associated with harm avoidance

A

fear

48
Q

emotion associated with novelty-seeking

A

anger

49
Q

emotion associated with reward dependence

A

attachment

50
Q

emotion associated with persistence

A

ambition

51
Q

high harm avoidance characteristics

A

fear of uncertainty
shyness
passive avoidance of problems
pessimism

52
Q

low harm avoidance characteristics

A

carefree
energetic
outgoing
optimistic

53
Q

which type of medication is used to decrease harm-avoidance behvior

A

serotonin drugs

54
Q

high novelty-seeking characteristics

A

quick-tempered
easily bored
impulsive
extravagant
curious

55
Q

low novelty-seeking characteristics

A

slow-tempered
uninquiring
reserved
orderly

56
Q

what causes novelty-seeking behaviors

A

increased dopamine reuptake at presynaptic terminal resulting in the need for frequent stimulation to maintain adequate dopamine levels

57
Q

high reward dependence characteristics

A

tender-hearted
sensitive
dedicated
warmly social

58
Q

low reward-dependent characteristics

A

practical
cold
socially insensitive
indifferent

59
Q

highly persistent characteristics

A

hard-working
ambitious overachievers
increase effort if possible reward
look at frustration as personal challenge

60
Q

low persistence characteristics

A

inactive
unstable
give up easily

61
Q

paranoid personality disorder has an increased risk of what other mental disorders

A

MDD
OCD
agoraphobia
substance abuse

62
Q

best treatment approach for personality disorders

A

meds and therapy

63
Q

how do you pick the correct pharmacotherapy for personality disorders

A

target symptoms you want to treat

64
Q

what is the treatment of choice for paranoid personality disorder

A

psychotherapy

65
Q

key points to psychotherapy with paranoid personality disorder

A

be straightforward
dont get defensive
be professional (not overly warm)

66
Q

what increases mistrust with paranoid personality disorder

A

overuse of interpretation, especially involving deep feelings

67
Q

medication treatment for paranoid personality disorder

A

-low-dose antipsychotics for psychotic symptoms
-anticonvulsants for irritability

68
Q

medication options to target affective aggression

A

lithium
SSRIs
anticonvulsants
low-dose antipsychotics

69
Q

therapy of choice for histrionic personality disorder

A

psychoanalytically oriented therapy

70
Q

what type of therapies can be useful for avoidant personality disorder

A

assertiveness training
group therapy

71
Q

psychotherapies that are good for treatment of dependent personality disorder

A

insight-oriented
behavioral therapy
assertiveness training
family/group therapy

72
Q

which disorders are more common in biologic relatives of those with schizophrenia

A

cluster A personality disorders

73
Q

which personality disorder clusters have a genetic basis

A

cluster B and cluster C

74
Q

what is common with antisocial personality disorder

A

substance abuse

75
Q

there is an association between histrionic personality disorder and what other disorder

A

somatic symptom disorder

76
Q

what is commonly found in avoidant personality disorder

A

high anxiety levels

77
Q

fantasy as a coping mechanism

A

seeking solace in self by creating imaginary friends/lives

78
Q

who is most likely to use dissociation as a coping mechanism

A

borderline personality disorder

79
Q

isolation as a coping mechanism for

A

separation of an idea/memory from its attached emotion

80
Q

projection

A

attributing unacknowledged feelings to someone else

81
Q

splitting

A

dividing people into absolute good or bad

82
Q

3 steps of projective identification

A

-projects aspect of self onto someone else
-tries to coerce other person into identifying what has been projected
-both parties feel union

83
Q

4 major temperments

A

harm avoidance
novelty-seeking
reward dependence
persistent

84
Q

fear is associated with which temperment

A

ham avoidance

85
Q

anger is associated with which temperament

A

novelty-seeking

86
Q

attachment is associated with which temperament

A

reward dependence

87
Q

which temperament is associated with ambition

A

persistence

88
Q
A

Diagnosis_Management 1 (16 decks)

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