Personality Disorders Flashcards

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1
Q

Symptoms of Personality Disorders

A

Must be:

  • pervasive
  • inflexible
  • stable
  • long duration
  • impairs functioning
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2
Q

Cluster A

A
  • paranoid
  • schizoid
  • schizotypal

odd or eccentric with unusual behaviors like distrust, suspiciousness, detachment

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3
Q

Cluster B

A
  • histrionic
  • narcissistic
  • antisocial
  • borderline

dramatic, emotional, erratic

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4
Q

Cluster C

A
  • avoidant
  • dependent
  • OCD pd

anxiety & fearfulness

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5
Q

Paranoid PD

A
  • suspiciousness
  • distrust
  • leads to interpersonal difficulties
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6
Q

Symptoms of Paranoid PD

A
  1. suspiciousness
  2. unjustified doubts
  3. reluctance to confide in others
  4. reading into remarks with threat
  5. bears grudges
  6. angry reactions to percieved attacks
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7
Q

Schizoid PD

A
  • unable to form social relatonships
  • lack interest, apathy
  • inability to show emotions
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8
Q

Symptoms of Schizoid PD

A
  1. no desire enjoyment in close relations
  2. solitary
  3. litttle sexual interest
  4. little pleasure
  5. lacks close friends
  6. indifferent to comments of others
  7. coldness, detachment, flat affect
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9
Q

Schizotypal PD

A
  • excessively introverted
  • social deficits
  • cognitive, perceptual distortions
  • eccentric behavior
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10
Q

Symptoms of Schizotypal PD

A
  1. ideas of reference
  2. odd beliefs, magical thinking
  3. unusual perceptions
  4. odd thinking, speech
  5. suspiciousness, paranoid ideation
  6. inappropriate affect
  7. lack of close friends
  8. social anxiety
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11
Q

Histrionic PD

A
  • attention seeking behavior
  • emotionality, extroversion
  • seductive
  • need to be center of attention
  • concerned with approval
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12
Q

Symptoms of Histrionic PD

A
  1. discomfort when not center of attention
  2. provocative behavior
  3. shifting of shallow emotions
  4. uses physical appearance to draw attention
  5. impressionistic speech style
  6. dramatic
  7. overly suggestible
  8. thinks relationships are more intimate than they are
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13
Q

Narcissistic PD

A
  • exaggerate self importance
  • preoccupied with being admired
  • lack of empathy
  • overestimate accomplishments/abilities
  • easily offended
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14
Q

Symptoms of Narcissistic PD

A
  1. grandiosity
  2. preoccupied with fantasies
  3. belief that they are special
  4. need for admiration
  5. sense of entitlement
  6. exploitative
  7. lacks empathy
  8. envious
  9. arrogant
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15
Q

Antisocial PD

A
  • shows disregard for the rights of others, safety
  • decietful, aggressive, antisocial behavior
  • no remorse
  • no loyalty
  • impulsive
  • irritable
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16
Q

Symptoms of Antisocial PD

A
  1. fail to conform to social norms
  2. decietfulness
  3. impulsive
  4. irritable, aggrassive
  5. reckless
  6. irresponsible
  7. no remorse
17
Q

Causes for Antisocial PD

A
  • deficient in fear, anxiety
  • antisocial as coping style
  • low MAO-A gene activity, leads to aggression
  • bad fear conditioning
  • parental rejection, neglect
  • early signs of misconduct
18
Q

Borderline PD

A

impulsitvity & instability in:

  • interpersonal relationships
  • self image
  • mood

Often comorbid with Axis I

19
Q

Symptoms of Borderline PD

A
  1. efforts to avoid abandonment
  2. unstable relationships
  3. unstable sense of self
  4. impulsivity
  5. self mutilating behavior
  6. unstable mood
  7. feelings of emptiness
  8. intense anger
  9. paranoid ideation
20
Q

Cuases of Borderline PD

A
  • low seratonin
  • abuse, neglect
  • trauma, loss
21
Q

Avoidant PD

A
  • socially inhibited
  • introverted
  • hypersinsitivity to criticism
  • causes anxiety, low self esteem, self consciousness, depression
  • feels socially inadequate
22
Q

Symptoms of Avoidant PD

A
  1. avoids interpersonal contact
  2. unwillingness to get involved with others
  3. restraint in relationships for fear of being shamed
  4. preoccupied with being rejected
  5. feelings of inadequacy
  6. feeling socially inept & inferior
  7. doesn;t take risks for fear of embarrassment
23
Q

Dependednt PD

A
  • need to be taken care of
  • clinging, submissive behavior
  • fear of separation, solidarity
  • lack of self confidence
24
Q

Symptoms of Dependent PD

A
  1. difficulties making decisions
  2. needs other to take responsibility
  3. difficulty disagreeing
  4. difficulty initiating, doing things on teir own
  5. needs nurturance
  6. uncomfortable being alone
  7. jumps immediately into new relationship
  8. fears of being left
25
Q

OCPD

A
  • perfectionism
  • need to maintain order and control
  • rigid, stubborn
  • overconscientious
  • reluctance to delegate
26
Q

Symptoms of OCPD

A
  1. preoccupied with details, order
  2. perfectionism
  3. devotion to work
  4. inflexible, conscientious
  5. inability to throw shit out
  6. reluctance to delegate
  7. miserly
  8. rigid, stubborn
27
Q

Tx of Borderline PD

A
  • Meds: SSRI’s, antipsychotics, mood stablizing drugs.
  • Dialectic behavior therapy: encourage pts to accept moods without destructive behavior. Decrease suicidal behavior, escapist behavior. Regulate emotions.
28
Q

Tx of Cluster A and B

A
  • Meds: Antipsychotics, SSRI’s
  • not studied well
29
Q

Tx of cluster C

A
  • Meds: SSRI’s
  • psychotherapy
  • CBT
  • more promising
30
Q

Tx of Antisocial PD

A
  • Meds: lithium, anticonvulsants, SSRI’s
  • CBT: increase self control, victim awareness, anger management, changing attitudes, curing drug addiction