Personality Disorders Flashcards

1
Q

Characteristics of PDs

A
  1. Experience and behavior very different from norms
  2. Pervasive and inflexible
  3. Onset = adolescence, early adulthood
  4. Stable over time
  5. Distress OR impairment
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2
Q

PD clusters

A
  1. A = odd (paranoid, schizoid, schizotypal)
  2. B = dramatic (antisocial, borderline, histrionic, narcissistic)
  3. C = fearful (avoidant, dependent, obsessive-compulsive)
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3
Q

PD age limits

A
  1. Usually > 18 yo (required for APD)
  2. Can be under 18 yo IF symptoms > 1 year
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4
Q

Paranoid PD

A
  1. Distrust
  2. Suspiciousness
  3. Interpreting others’ intentions as harmful without justification
  4. 4+ symptoms
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5
Q

Schizoid PD

A
  1. Detachment in relationships
  2. Restricted emotional expression
  3. 4+ symptoms
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6
Q

Schizotypal PD

A
  1. Discomfort in relationships
  2. Cognitive distortions
  3. Eccentric behaviors
  4. 5+ symptoms
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7
Q

Schizoid v. Schizotypal PD

A

Schizoid = don’t want relationships

Schizotypal = want relationships, but struggle due to behavior/fear

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8
Q

Antisocial PD

A
  1. Violation of others’ rights
  2. Evidence of symptoms/CD at 15 yo
  3. 3+ symptoms
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9
Q

Antisocial PD course

A
  1. Evidence of symptoms or CD at 15 yo
  2. Symptoms decrease by 40 yo
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10
Q

Antisocial PD comorbidities

A
  1. SUDs*
  2. Mood disorders
  3. Borderline PD
  4. Anxiety disorders
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11
Q

Antisocial PD treatment

A

Some evidence for:
1. CBT (especially groups) for recidivism
2. Contingency management for positive behaviors
3. Medication for comorbid SUDs

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12
Q

Borderline PD

A
  1. Unstable relationships
  2. Unstable self-image
  3. Affective instability
  4. Risky behavior
  5. 5+ symptoms
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13
Q

Borderline PD course

A
  1. Onset = late adolecence
  2. Peak severity = early adulthood
  3. Symptoms decrease by 40 yo
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14
Q

DBT assumption about Borderline PD

A
  1. Stems from emotion dysregulation (biosocial model)
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15
Q

DBT phone coaching purpose

A
  1. Generalizing skills
  2. Repairing therapeutic relationship
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16
Q

Histrionic PD

A
  1. Excessive emotionality
  2. Attention seeking
  3. 5+ symptoms
17
Q

Narcissistic PD

A
  1. Grandiosity
  2. Need for admiration
  3. Lack of empathy
  4. 5+ symptoms
18
Q

Avoidant PD

A
  1. Social inhibition
  2. Inadequacy
  3. Hypersensitivity to negative evaluation
  4. 4+ symptoms
19
Q

Dependent PD

A
  1. Need to be taken care of
  2. Fear of separation
  3. Submissive, clinging behavior
  4. 5+ symptoms
20
Q

Obsessive-Compulsive PD

A
  1. Preoccupation with perfectionism and control
  2. Limited flexibility and efficiency
  3. 4+ symptoms