Personality Disorders

Question 1

Cluster A

Answer 1

weird, wild, worried
Paranoid
Schizoid
Schizotypal

Question 2

Paranoid: looks for

Answer 2

wrong-doings, hidden malicious meanings
partner infidelity
doubts of other’s motives

Question 3

Paranoid: acts like

Answer 3

rigid, defensive, self-righteous, pre-occupied

Question 4

Paranoid: defense mechanism

Answer 4

projection (blaming)

Question 5

solitary loner
Does not seek close relationships
Chooses solitary jobs/ night shifts
Takes pleasure in few (if any) activities

Answer 5

schizoid

Question 6

Schizoid: emotionally

Answer 6

cold, detached

Question 7

How is schizoid personality related to schizophrenia?

Answer 7

May be a premorbid phase

Question 8

How are schizoid personality and social phobia compared?

Answer 8

Schizoid: does not desire social relationships

Social phobia: desires friends, afraid of embarrassment, avoids social contacts because of anxiety

Question 9

cognitive and perceptual distortions and eccentricities

• no close friends
• suspicious and magical thinking
• *may be odd enough to suspect psychosis

Answer 9

schizotypal

Question 10

Schizotypal: appearance

Answer 10

odd appearance

Question 11

Schizotypal: speech

Answer 11

odd: vague, methaporical, over-elaborate, but still in touch with reality

Question 12

How is schizotypal personality related to schizophrenia?

Answer 12

May be a premorbid phase

Question 13

Dramatic, emotional, erratic

• impulsive, erratic, mood swings
• life-long pattern
• high on “extraversion” dimension
• short attention span
• seeks stimulation

Answer 13

Cluster B

Question 14

Cluster B: married life

Answer 14

Often multiple marriages and divorces

Question 15

Cluster B: defense mechanism

Answer 15

somatization, denial, preojection

Question 16

Can be mistaken for bi-polar

Answer 16

Cluster B illness: borderline personality

Question 17

What will medication do for Cluster B patient?

Answer 17

Usually will NOT improve symptoms, unless personality problems are also addressed with psychotherapy

Question 18

the patients “defies social rules”

-Must be 18 or older to diagnose, with symptoms of conduct disorder before age 15 (pattern)

Answer 18

Antisocial personality disorder

Question 19

Cluster B disorders

Answer 19

antisocial, no conscience, histrionic, narcissistic personality, borderline personality

Question 20

No conscience: married life

Answer 20

multiple marriages, act as superficial charmers

Question 21

Life long pattern

• never at fault, no guilt or remorse
• social class differences
• Attracted to other Cluster B people

Answer 21

No conscience

Question 22

Histrionic: family history

Answer 22

Antisocial and alcohol

Question 23

Mostly women

• multiple somatic complaints
• highly suggestible, naive
• sexually seductive (unaware)
• emotionally labile

Answer 23

Histrionic

Question 24

Narcissistic: must watch for

Answer 24

may become suicidal when rejected

Question 25

Borderline Personality

Answer 25

unstable moods, mood swings - all-or-nothing thinking: "splitting" - poor choices

Question 26

Bordeline: married life

Answer 26

Stormy relationships

Question 27

grandiose sense of self-importance and entitlement - overlaps with antisocial - can be arrogant and devalue others - demand special treatment

Answer 27

Narcissistic Personality

Question 28

Seeing the world in only black or white - friends or not - good or bad * defense mechanism

Answer 28

splitting

Question 29

Borderline personality: must watch for

Answer 29

- self-injurious: wrist cutting, stabbing, piercing, slashing to see blood - suicidal gestures or attempts

Question 30

Patient in acute emotional distress that requires special treatment. May cause great deal of strife and confusion in social environment, with rapid shifts in mood and manner

Answer 30

Borderline personality behavior

Question 31

Cluster C

Answer 31

anxious, fearful - obsessive-compulsive - dependent - avoidant

Question 32

- substance abuse or mis-use - Hx: severe physical, emotional, or sexual abuse (alcoholic or mentally ill parent) - chronic feeling of emptiness

Answer 32

Borderline personality features

Question 33

- rigid, orderly, miserly, "anal" - excessive devotion to work - humorless - hoarder - preoccupied with details - schedules everything - gets upset when things don't go as planned

Answer 33

Obsessive-compulsive personality disorder

Question 34

Excessive need to be cared for - urgently seeks attachment - cannot be alone - cannot make independent decisions - clinging - insecure

Answer 34

Dependent personality

Question 35

closely linked to anxiety - cannot take risks - avoids conflict and responsibility - procrastinates - passive-aggressive - goes to great lengths to avoid being judged

Answer 35

avoidant

Question 36

Externalizing disorders

Answer 36

"disruptive, impulse-control, conduct disorders - intermittent explosive disorder - kleptomania (stealing) - pyromania (setting fire)

Question 37

What type of disorder is gambling according to DMS-5?

Answer 37

addictive

Question 38

Trichotillomania

Answer 38

compulsive hair pulling | *part of obsessive-compulsive disorder

Question 39

``` Odd or eccentric -inability to develop meaningful social relationships. -no psychosis -genetic association with schizophrenia (which Cluster) ```

Answer 39

Cluster A

Question 40

-Pervasive distrust and suspiciousness -projection is the major defense mechanism (disorder)

Answer 40

paranoid

Question 41

-voluntary social withdrawal -limited emotional expression -content with social isolation (vs avoidant) (disorder)

Answer 41

schizoid

Question 42

-eccentric appearance -odd beliefs or magicaly thinking -interpersonl awkwardness (disorder)

Answer 42

schizotypal

Question 43

-darmatic, emotional, erratic -genetic association with mood disorders and substance abuse (Cluster Type)

Answer 43

Cluster B

Question 44

- disregard for and violation of rights of others - criminality, impulsivity - male>female * *what is the time course required?

Answer 44

antisocial must be >18 yo to diagnose with conduct disorder before age 15

Question 45

- unstable mood and interpersonal relationahips - impulsiveness, self-mutilation, boredom, sense of emptiness - Female > male - splitting is major defense mechanism

Answer 45

Borderline

Question 46

- excessive emotionally and excitability - attention seeking, sexually provacative - overly concerned with appearance

Answer 46

histrionic

Question 47

- grandiosity, sense of entitlement - lacks empathy and requires excessive admiration - often demands the "best" and reacts to criticism with rage

Answer 47

narcissistic

Question 48

Anxious or fearful -genetic association with anxiety disorders (cluster type)

Answer 48

Cluster C

Question 49

-hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships with others

Answer 49

avoidant

Question 50

- preoccupation with order, perfectionism and control | - ego-syntonic: behavior consistent with one's own beliefs and attitudes

Answer 50

obsessive-compulsive personality disorder

Question 51

- submissive and clinging, excessive need to be taken care of - low self-confidence

Answer 51

dependent