Personality Disorders Flashcards
What is the lifetime prevalence of personality disorders?
12%
When personality rigidity reaches a point where it significantly, consistently, and chronically interferes with daily functioning, or causes significant distress to the individual and those around him/her, a ____________ may be diagnosed.
a personality disorder.
KEY: interfering with the life of the patient or those around them.
_____________ are characterized by an enduring pattern on experience and behavior that is maladaptive, inflexible, and pervasive, affecting the individual across a broad range of personal and social situations and deviating markedly from the expectations of an individual’s culture.
Personality Disorders
To make a diagnosis of a personality disorder, a patient’s rigid and maladaptive patterns must lead to ______________.
must lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning.
By definition, personality disorders begin by _____________ and are persistent across time.
adolescence or young adulthood
The DSM-5 specifies that to meet diagnostic criteria for a personality disorder, personality rigidity must manifest in >= 2 of the following 4 areas of psychological functioning:
- Cognition
- Affectivity
- Interpersonal functioning
- Impulse control
What are the 3 clusters of personality disorders?
Cluster A: Odd or Eccentric
Cluster B: Dramatic, Emotional, or Erratic
Cluster C: Anxious or Fearful
What personality disorders are in Cluster A: Odd or Eccentric?
Paranoid
Schizoid
Schizotypal
What personality disorders are in Cluster B: Dramatic, Emotional, or Erratic?
Antisocial
Borderline
Histrionic
Narcissistic
What personality disorders are in Cluster C: Anxious or Fearful?
Avoidant
Dependent
Obsessive Compulsive
Cluster ____________ personality disorders are profound problems in interpersonal relationships, characterized by severe mistrust or lack of interest in others and a tendency towards paranoid or idiosyncratic thinking in the absence of frank psychosis. These its rarely seek psychiatric treatment.
Cluster A: Odd and Eccentric (involving Paranoid, Schizoid, and Schizotypcal PDs)
The features shared by Cluster __________ include emotional reactivity, poor impulse control, and an unclear sense of identity. Patients with borderline, narcissistic, and antisocial personality disorders also classically have high levels of aggression.
Cluster B: Dramatic, Emotional, or Erratic (including Antisocial, Borderline, Histrionic, and Narcissistic PDs).
What is the prevalence of borderline personality disorder?
estimated at approximately 1.6-5.9% (6% in primary care settings).
The key features of ___________ are emotional dysregulation, pathology of interpersonal relationships, and poor impulse control, often associated w recurrent self-destructive behavior and a poorly integrated and unstable sense of self.
borderline personality disorder
What is the prevalence of narcissistic personality disorder?
0-6.2%
Is narcissistic personality disorder diagnosed more frequently in men or women?
Narcissistic personality disorder is diagnosed more commonly in men.
The core features of ___________ are a grandiose sense of self, fantasies of unlimited success and power, and excessive need for admiration from others. Underneath this, these patients are often plagued by painful feelings of inferiority and envy.
narcissistic personality disorder
What is the prevalence of antisocial personality disorder?
1.7% of the population
Is antisocial personality disorder more common in women or men?
Antisocial personality disorder is MUCH more common in men than women. Specifically, it is greatest among men with alcohol use disorders and in individuals affected by adverse socioeconomic events/factors.
The core feature of _________ is a pervasive pattern of behavior reflecting disregard for and violation of the rights of others.
antisocial personality disorder
Matt has been a “troublemaker” for nearly his entire life. He has served several jail sentences for stealing, lying to police officers, speeding at 130 miles per hour and therefore crashing into a car and killing the driver of that car. Upon speaking to him, he does not seem to have remorse for these actions, and believes that you have to be tough in this world to survive. He is irritable, aggressive, and has a lack of concern for the consequences of his actions. What personality disorder does Matt have, and which diagnostic criteria does he exhibit?
Matt has antisocial personality disorder. Diagnostic criteria include: engaging in repeated illegal acts, lying, conning or use of aliases, reckless disregard for the safety of self and/or others, a lack of remorse for the unlawful, dishonest, destructive, or exploitative acts.
Many individuals with antisocial PD show evidence of impulsivity, irritability, aggressiveness, and lack of concern for the consequences of their actions.
The key features shared by Cluster _____ personality disorders is a propensity towards anxiety.
Cluster C: Anxious or Fearful (including Avoidant, Dependent, and Obsessive Compulsive PDs)
What is the prevalence of avoid ant personality disorder?
2.4%
Is avoidant personality disorder more common in men or women?
Avoidant personality disorder is more common in women.
