Personality Disorders

Question 1

4 Big Traits of Personality Disorders

Answer 1

Not just traits - pervasive and inflexible
Impaired sense of self-identity
Failure to develop effective interpersonal functioning

Question 2

Cluster A Personality Disorders (what they are + 3)

Answer 2

Odd or Eccentric: Paranoid, schizoid, and schizotypal

Question 3

Cluster B Personality Disorders (what + 4)

Answer 3

Dramatic, Emotional, Erratic: Antisocial, borderline, histrionic, and narcissistic

Question 4

Cluster C (what + 3)

Answer 4

Anxious or Fearful: Avoidant, dependent, and obsessive compulsive

Question 5

Paranoid PD

Answer 5

Distrust and suspiciousness w/ self as blameless - not full delusional. Often suspect cheating and shit

Question 6

Schizoid PD

Answer 6

Detachment from social relationships and restricted range of expressions (flat affect) - basically just prefer being alone, like lighthouse worker

Question 7

Schizotypal PD

Answer 7

Discomfort w/ social interactions and relationships w/ a huge element of eccentricity - think they’re hobbits and shit. Odd thinking/speech and impaired reality

Question 8

Schizotypal Family History and Treatment

Answer 8

Schizophrenics more likely to have 1st deg relatives w/ SPD. May benefit from low doses of 2nd gen antipsychs or antianxiety agents

Question 9

Antisocial PD

Answer 9

Pattern of disregard for and violation of rights of others (killers, liars, etc)

Question 10

Antisocial Physiological Findings and Treatment Problem

Answer 10

Depressed 5HT, and lower = aggression. Difficult to treat bc patients just don’t give a shit, not motivated to change

Question 11

Borderline PD

Answer 11

Unstable pattern of being: affect regulation, interpersonal relations, everything. Always need attention, interpret everything as abandonment, destroy shit if feel slighted. Aspects of hypomania, but entire pattern of being

Question 12

Borderline PD Hallmark Defense Mech, Cause, and Treatment

Answer 12

Splitting
Early trauma like abuse/neglect (didn’t receive right comforting/discipline)
ONLY PD w/ verified treatment: Dialectical behavioral therapy, although antideps/mood stabilizers can help short term too

Question 13

Histrionic Personality Disorder

Answer 13

Excessive attention seeking. Similar to borderline bc manipulative and emotional, but better relationships and sense of identity

Question 14

Obsessive Compulsive Personality Disorder

Answer 14

Pattern of orderliness and shit. NOT OBSESSIONS OR COMPULSIONS. Can have “too high” standard of ethics or morals, like Lord Stannis Baratheon