Personality Disorders Flashcards
Types of personality disorder and groupings
Paranoid A
Schizoid A
Emotionally unstable B
Dissocial B
Histrionic B
Dependent C
Anxious avoidant C
Anankastic obsessional C
Personality disorder
Deeply engrained and enduring pattern of inner experience and behaviour Leads to distress or impairment
It is persuasive and inflexible and has an onset in adolescence or early adulthood and is stable overtime.
3 types of personality disorder
ABC
WWW - A = weird, B = Wild, C = Worriers
RF of PD
Society - Low SES and social reinforcement of abnormal behaviour are linked
Genetics - Monozygotic twin show a high concordance rate
Dysfunctional Family - Poor parenting and parental deprivation are risks
Abuse during childhood - This includes physical, sexual and emotional abuse as well as neglect.
Paranoid PD
SUSPECTS
- Suspicious
- Unforgiving
- Spouse fidelity questionned
- Perceives attack
- Envious
- Criticism not liked / cold affect
- Trust in others reduced
- Self-reference
Schizoid PD
DISTANT
- Detached affect
- Indifferent to praise or criticism
- Sexual drive reduced
- Tasks done alone
- Absence of close friends
- No emotion
- Takes pleasure in few activities
Borderline PD
AM SUICIDE
- Abandonment feared
- Mood instability
- Suicidal behaviour
- Unstable relationships
- Intense relationships
- Control of anger is poor
- Impulsivity
- Disturbed sense of self
- Emptiness
Dissocial PD
CORRUPT
- Callous
- Others are blamed
- Reckless disregard for safety
- Remorseless - lack of guilt
- Underhanded - deceitful
- Poor planning
- Temper / Tendency to violence
Histrionic PD
PRAISE
- Provocative behaviour
- Real concern for physical attractiveness
- Attention seeking
- Influenced easily
- Shallow / Seductive
- Egocentric
- Exaggerated emotions
Dependent PD
RELIANCE
- Reassurance required
- Expressing disagreement is difficult
- Lack of self confidence
- Initiating projects is difficult
- Abandonment feared
- Needs others to assume responsibility
- Companionship sought
- Exaggerated fears
Anxious Avoidant PD
CRIES
- Certainty of being liked needed before being involved with people
- Restriction to lifestyle in order to maintain security
- Inadequacy felt
Anankastic obsessional PD
LAW FIRMS
- Loses point of activity due to preoccupation with detail
- Ability to complete tasks compromised
- Workaholic at the expense of leisure
- Fussy
- Inflexible
- Rigidity
- Meticulous attention to detail
- Stubborn
Ix PD
- Questionnaires - personality diagnostic questionnaire, Eysenck personality questionnaire
- Psych testing - MMPI
- CT or MRI head - rule out organic causes
General treatment PD
RA - self, others in emotionally unstable
Written crisis plan - crisis resolution team and mental health act
Identify and treat co-morbid mental health disorders
Treat any substance misuse
Help patient to deal with situations that provoke behaviour or traits
Provide general support to reduce tension and anxieties
Give support and reassurance to family and friends
Biological treatment PD
- Atypical antipsychotics - short term for transient psychotic periods
- Mood stabilisers - emotionally unstable
- Antidepressants
