Personality Disorders

Question 1

Personality disorders are what axis diagnoses

Answer 1

axis II

Question 2

Personality disorder criteria?

Answer 2

Pattern of behavior/inner experience that deviates from the person’s culture and is manifested in two or more of the following ways:
Cognition, Affect, Personal Relations, Impulse Control
(CAPRI)

Question 3

Cluster A personality disorders

Answer 3

schizoid (Aloof), schizotypal (Awkward) and paranoid (Accusatory)

Question 4

Patients with Cluster A personality disorders seem?

Answer 4

Eccentric, withdrawn, peculiar and have familial associations with psychotic disorders. They are just “weird”

Question 5

Cluster B personality disorders

Answer 5

antisocial, borderline, histrionic and narcissistic (bad to the bone)

Question 6

Cluster B patients seem?

Answer 6

emotional, dramatic or inconsistent and have a familial association with MOOD disorders

Question 7

Cluster C personality disorders

Answer 7

avoidant (Cowardly), dependent (Clingy), and obsessive-compulsive (compulsive)

Question 8

Cluster C patients seem

Answer 8

anxious or fearful and familial association with anxiety disorders. “WORRIED”

Question 9

Most helpful tx for personality disorders

Answer 9

Psychotherapy and group therapy. (pharm tx has limited usefullness)

Question 10

A 30 year old man says his wife has been cheating on him because he does not have a good enough job to provide for her needs. He also claims that on his previous job, his boss fired him because he did a better job than his boss.

Answer 10

Paranoid Personality Disorder

Question 11

a 45 year old scientist works in the lab most of the day and has no friends, according to his coworkers. Has not been able to keep a job because of failure to collaborate with others. he expresses no desire to make friends and is content with his single life. no evidence of a thought disorder

Answer 11

Schizoid Personality Disorder

Question 12

Criteria for a Cluster A personality disorder ( at least 4 of these 7 things must be present)

Answer 12

General distrust of others, beginning by early adult hood and present in a variety of contexts. At least 4 of the following must also be present:
Suspicion (without evidence) that others are exploiting or deceiving him/her
preoccupation with doubts of loyalty or trustworhiness of aquaintances
Reluctance to confide in others
Interpretation of benign remarks as threatening or demeaning
persistence of grudges
perception of attacks on his or her character that are not apparent to others, quick to counteratack
Recurrence of suspicions regarding fidelity of spouse or lover

Question 13

Tx of choice for Paranoid Personality disorder?

Answer 13

psychotherapy

Question 14

Have no desire for close relationships and prefer to be alone

Answer 14

Schizoid Personality disorder

Question 15

Patient with little interest in sexual activity if any with another person, taking pleasure in few activities (if any) and has a few close friends if any, and indifferent to praise or criticism

Answer 15

Schizoid (presence is twice that in men then in women)

Question 16

Tx of choice for schizoid personality disorder

Answer 16

psychotherapy

Question 17

tx of choice for anti-social personality disorder

Answer 17

dialectical behavior therapy and behavioral therapy are the best choice! psychotherapy is NOT useful

Question 18

Impulsive, Moody, Paranoid under stress, Unstable self image, labile, intense relationships, suicidal, inappropriate anger, vulnerable to abadonment and emptiness. At least 5 of these have to be present to be dx with?

Answer 18

Borderline Personality disorder

Question 19

Borderline personality disorder patients have higher rates of what?

Answer 19

Childhood physical, emotional and sexual abuse.

Question 20

Borderline personality disorder patients commonly use which defense mechanism?

Answer 20

Splitting- you are the only doctor who has ever helped me. every doctor I met before was horrible.

Question 21

Borderline personality disorder gender difference?

Answer 21

twice as likely in women

Question 22

Pharmacotherapy has been shown to be more useful in this personality disorder then any other personality disorder?

Answer 22

Borderline Personality disorder

Question 23

High incidence of what 2 things with borderline personality disorder?

Answer 23

Major depression and or substance abuse

Question 24

Tx of choice for borderline personality disorder

Answer 24

Psychotherapy

Question 25

Attention seeking behavior and excessive emotionality, they are dramatic, flamboyant and extroverted but are unable to form long lasting, meaningful relationships?

Answer 25

Histrionic Personality Disorder

Question 26

Men or Women are more likely to have Histrionic Personality Disorder?

Answer 26

Women!!

Question 27

Tx of choice for Histrionic PD?

Answer 27

Psychotherapy

Question 28

Difference between narcissistic pts vs. antisocial pts?

Answer 28

Narcissistic pts want status and recognition

Antiosocial pts want material gain or simply subjugation of others

Question 29

Tx of choice for Narcissistic PD

Answer 29

Psychotherapy