Personality Disorders Flashcards
What is the essential feature of borderline personality disorder?
A pervasive pattern of instability of interpesonal relationships, self-image, and affects, and marked impulsivity that beings by early adulthood
What is dialectical behavior therapy (DBPT)?
DBT is a modified form of cognitive behavioral therapy that incorporates the concept of “mindfulness” from Buddhist philosophy
DBT focuses on emotional regulation, distress tolerance, and interpersonal effectiveness through individual therapy, group skills training, and telephone coaching
DBT has also been adapted for adolescents with BPD
Which personality disorders are in cluster B?
These disorders are marked by dramatic, wild, impulsive, or emotional behavior.
- Antisocial personality disorder
- Borderline personality disorder
- Histrionic personality disorder
- Narcissistic personality disorder
What are the highlights of Schizoid Personality Disorder?
What is the treatment for schizoid personality disorder?
- Detachment from social relationships
- Restricted range of expression
- Solitary activities
- Emotionally cold or flat
- Avoidance of close relationships
- Pleasure in few activities
Psychotherapy first-line, +/- antipsychotics, SSRI or Benzo’s for - sx
Schizoid personality disorder often goes undiagnosed because of the patients poor insight
What is the difference between schizophrenia and schizophreniform?
What is schizoaffective disorder?
In schizophreniform disorder, all the criteria for schizophrenia are met, but the total duration of the disorder is at least a month but < 6 months
psychosis + mania or depression
Which of the following disorders belongs to the cluster B personality disorders?
A. Antisocial personality disorder
B. Dependent personality disorder
C. Obsessive-compulsive personality disorder
D. Paranoid personality disord
Antisocial Personality Disorder
The three others (Dependent, OCD, and Paranoid) belong to catagory C (defined as disorders provoking fear, need for control, anxiosness, and isolation)
A 24-year-old woman presents to her counselor due to relationship difficulties. She frequently engages in self-mutilating behavior and reports a fear of abandonment. The counselor talks with her friends who state that one day she says she loves them and the next day she says she hates them. Which personality disorder does this patient most likely have?
What catagory personality disorder does it fit into?
Borderline Personality Disorder
Catagory B
When do symptoms of borderline personality disorder usually present?
Early adulthood
What is the treatment for borderline personality disorder?
First Line: Behavioral Therapy and/or psychotherapy
Second Line: SSRI (paroxetine, sertraline, flouxetine) or Rispiradone
What are the “H’s” of historionic personality disorder?
What is the first line treatment for historionic personality disorder?
- Hey look at me - attention seeking
- Hissy fits - temper tantrums, self-absorbed
- Come Hither - often inappropriate, sexually provocative, seductive
- Hype me up - seeks reassurance and praise often
- Hyperinflated- may believe their relationships are more intimate than they really are
Behavioral Therapy (cognitive or dialectical)
What condition is a precursor to antisocial personality disorder?
Conduct Disorder
A 25-year-old man has a long history of criminal behavior, and he has been in and out of prison for assaultive behavior, theft, armed robbery, and sexual assault. He shows no remorse for his behavior and states that he is the real victim. He also shows little emotion regarding his family history, and he prefers to brag about his sexual exploits. The patient denies a history of mood disorders or schizophrenia.
What is the most likely diagnosis?
What disorder commonly co-occurs with this patient’s symptoms?
Antisocial Personality Disorder
Substance Use Disorder
What is paranoid personality disorder?
What is the treatment?
Characterized by a persistent pattern of distrust or suspiciousness of other people
CBT, short-term antipsychotics for agitation or benzo’s for anxiety
Is schizoid personality disorder associated with schizophrenia?
No, there is no bizzare thoughts present in schizoid personality disorder
