personality disorders Flashcards
1
Q
cluster A
A
- eccentric, peculiar, w/drawn
- familial assoc with psychotic d/os
schizoid, schizotypal, paranoid
2
Q
cluster B
A
- emotional, dramatic, inconsistent
- familial assoc with mood d/os
antisocial, borderline, narcissistic, histrionic
3
Q
cluster C
A
- anxious, fearful
- familial assoc with anxiety d/os
avoidant, dependent, OCPD
4
Q
paranoid personality do: diagnosis
A
- general distrust of others in variety of contexts
4+ of:
- suspicion that others are plotting to exploit/deceive
- preoccupation with doubts of loyalty/trustworthiness of acquaintances
- reluctance to confide in others
- interpretation of benign remarks as threatening or demanding
- persistence of grudges
- perception of attacks on his/her character
- recurrence of suspicions regarding fidelity of spouse
5
Q
paranoid personality do: epidem
A
- 0.5-2.5% prevalence
- men > women
- higher incidence w/family hx of SCZ
- misdiagnosed in minority groups, immigrants, deaf people
6
Q
paranoid personality do: treatment
A
- psychotherapy
- short term: antianxiety or antipsychotics
7
Q
schizoid personality do: diagnosis
A
- VOLUNTARY social withdrawal and restricted range of emotional expression
4+ of:
- not desiring close relationships
- choosing solitary activities
- little interest in sex
- pleasure in few/no activities
- few close friends
- indifference to praise/criticism
- emotional coldness, detachment, flat affect
8
Q
schizoid personality do: epidem
A
- 7% prevalence
- men»_space; women
- no increased risk with family hx of schizophrenia
9
Q
schizoid personality do: treatment
A
- psychotherapy
- group therapy often helpful
- short term low-dose anti-psychotics
- antidepressants if comorbid MDD
10
Q
schizotypal personality do
A
- pattern of eccentric behavior, cognitive/perceptual distortions, discomfort with close relationships
5+ of:
- ideas of reference
- odd beliefs or magical thinking
- unusual perceptual experiences
- suspiciousness
- inappropriate/restricted affect
- odd/eccentric appearance/behavior
- few close friends
- odd thinking or speech
- excessive social anxiety
11
Q
schizotypal personality do: epidem
A
3% prevalence
12
Q
schizotypal personality do: treatment
A
- psychotherapy
- short course of low dose antipsychotics
- risk of development of SCZ
13
Q
antisocial personality do: diagnosis
A
- pattern of disregard for others and violation of rights of others since age 15
(conduct do in children)
3+ of:
- unlawful acts
- deceitfulness/lying/manipulation for personal gain
- impulsivity
- irritability and aggressiveness/fights
- recklessness
- irresponsibility
- lack of remorse
14
Q
antisocial personality do: epidem
A
- 3% in men, 1% in women
- higher incidence in poor urban areas and prisoners
- 5x risk in first degree relatives
15
Q
antisocial personality do: treatment
A
- psychotherapy INEFFECTIVE - DBT and behavioral therapy best choice
- pharmacotherapy to treat sx of anxiety/depression - CAREFUL FOR ADDICTION (high incidence of comorbid substance abuse and/or major depression)