Personality Disorders Flashcards
What is meant by ego-syntonic?
behaviors/symptoms of a personality disorder are consistent with the persons ego therefore the person has no insight into their problems
What is the criteria for a personality disorder?
Persons behavior/inner experience deviates from the culture and is manifest in 2 or more of the following ways:
- cognition
- Affect
- Personal Relations
- Impulse control
[capri]
When must a personality disorder be established by?
Onset is no later than adolescence/early adulthood
-stable, pervasive, inflexible
What are the cluster A personality disorders?
What axis I disorders do they have familial association with?
- schizoid
- schizotypal
- paranoid
familial association with psychotic disorders
What are the cluster B personality disorders?
What axis I do they have familial associations with?
- histrionic
- borderline
- narcissistic
- antisocial
familial association with mood disorders
What are the cluster C personality disorders?
What axis I do they have familial association with?
- avoidant
- dependent
- OCPD
familial association with anxiety disorders
A 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 he was laid off from the last job because he did a better job than the boss. He refuses couples therapy because he thinks the psychologist will side with his wife. What personality disorder does he likely have?
Paranoid
A man dresses in a space suit and uses computers in his house to detect the exact time of alien invasions. He does not have auditory or visual hallucinations. What personality disorder is likely?
schizotypal
In which gender is paranoid personality disorder more common?
men
What 3 group of people commonly are misdiagnosed with paranoid personality disorder?
- minorities
- immigrants
- deaf people
What is the treatment of choice for paranoid personality disorder?
- Psychotherapy
2. anti-anxiety meds or short course anti-psychotics
How does a person with schizoid personality disorder differ from someone with paranoid schizophrenia?
Schizoid people do not have fixed delusions
A 30yo unemployed man killed 3 senior citizens after robbing them. He is charming in his interview and shows no remorse. As a youth, he was arrested several times for stealing cars. What is his likely axis II?
Antisocial personality disorder
A 23yo attempted to slit her wrists because things did not work out with the guy she was dating for 3wks. She said he was a “total jerk and not even worth her time”. She says she feels alone in the world. What axis II is likely?
borderline personality
Children of parents with antisocial personality disorder are at increased risk for what 3 disorders?
- antisocial
- somatization
- substance-related disorder
What is highest on the DDx for antisocial personality?
Drug abuse- often if drug abuse comes before their antisocial behavior started, the behavior may be attributable to the addiction
What is treatment for antisocial personality disorder?
- DBT and behavioral therapy
[psychotherapy does not work]
In what personality disorder is there a higher rate of childhood sexual physical and emotional abuse? (25-35% report no such abuse)
borderline
Which gender has higher incidence of borderline?
women
What is suicide rate for borderline?
10%
Which personality disorder is most responsive to pharmacotherapy?
borderline
What is treatment of choice for borderline?
DBT- behavior therapy, cognitive therapy, social skills training
What defense mechanism is most frequently used by borderline?
Histrionic?
Borderline- splitting
Histrionic- regression to childlike state
What is the treatment of choice for narcissistic personality disorder?
- psychotherapy
- group may help them learn empathy
- antidepressants or lithium as needed
