personality disorders Flashcards
define personality traits
a stable, recurring pattern of human behaviour
define personality type
a constellation of personality traits recognisable as frequent familiar combination
define personality disorder
a constellation of personality traits that are inflexible and maladaptive, leading to difficulties in work or interpersonal relations
personaility disorders have enduring patterns in two or more areas. what are they
cognition; distorted thinking patterns
affectivity: emotional dysregulation - rnage, intensity, liability and appropriateness of these emotions
behaviour over or under regulation of impulse control
interpersonal difficulties: these are attachment related.
these features are stable, long lasting, pervasive, dysfunctional and a deviation from societal norms
define cluster A personaility disorders and what are they
odd, eccentric, bizzare behaviour, often low self awareness.
paranoid PD, Schizoid PD and schizotypal PD
define cluster B personality disorders and what are they
the emotional, dramatic and erratic disorders, often seeing difficultues with impulsivity.
antisocial PD, borderline PD, narcissistic PD and Histrionic
define cluster C and what are the disorders
the anxious and fareful disorders
avoidance PD, dependant PD and obcessive compulsive PD
what does paranoid personality disorder look like and what are treatments
chronically suspicious, distrusting others to excessive degree, assuming the worse intentions in people, doubting others loyalty, unforgiving and holding grudges
treatment considerations:
needs cognitive therapy to counter assumptions and negative beliefs around others
no pharmacotherapies exist
schizoid personality disorder, what it look like and treatmens
emotionally cold and distant, difficulty forming relationshops, social isolation, restricted affect - lac of emotional expresssiveness
lack of interest in people, relationships and most activities
treatment considerations:
modelling of healthy relationship skills and emotional expression.
teaching how to identify, express and respond to emotion, social skills training. no evidence of working pharmacotherapy
what does schizotypal personality disorder look like and treatment options
social impairment, isolation, social disocomfort, anxiety, odd beliefs and thoughts, unusual perceptions and perceptual experiences. odd speech and presentation, eccentric and peculiar beahviour, inappropriate/blunted affect
treatment skills:
antipsychotics, cognitive and social skill training
antisocial personality disorder can only be diagnosed after what age and why
after 18 due to developmental factors that could look like this but is apart of development
presentation of antisocial personality disorder and treatment
looks like: agressive, superficial charm, self centered, easily bored, high need for stimulation, sensation/thrill seeking, manipulative, lack of remorse/empathy, enjoy testing boundaries and provoking others, endulging in criminal behavior
treatments:
no solid grounds for pharmacotherapy due to nature of condition around misuse and adherence. possible group based CBT
what does narcissistic personality disorder look like and treatments
pattern of grandiosity - overevaluation of abilites and accomplishments, may come across as boastful and pretentious, achievements not aligned with reality, lack of empathy for others, seek admiration from others, self worth that is fragile and dependant on how people percieve them
treatment considerations:
some psychotherapy may work, no pharmacotherapy
what is histrionic personality disorder and what does it look like
flamboyant in expression and presentation, may use physical gestures and mannerisms along with grandiose language, high need for attention from others, require excessive approval and reassurance, impressionistic and superficial, overly concerned with appearance
treatment: some psychotherapy, no evidence for pharmacological intervention
what is borderline personailty disorder and treatments
intense mood changes with periods of numbness, unstable and intense interpersonal relationships, strong reactions to actual or perceived rejection or abandonment, periods of intense anger, poor sense of self, feelings of emptiness, impulsivity such as spending, eating, substance abuse and sex. recurrent self harm or threats
treatment: dialectual behavioural therapy to manage behaviours that interfere with life, group and individual therapy, pharmacotherapy to assisst mood