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Psych Shelf Exam > Personality Disorders > Flashcards

Personality Disorders Flashcards

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1
Q

What is meant by ego-syntonic?

A

behaviors/symptoms of a personality disorder are consistent with the persons ego therefore the person has no insight into their problems

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2
Q

What is the criteria for a personality disorder?

A

Persons behavior/inner experience deviates from the culture and is manifest in 2 or more of the following ways:

  1. cognition
  2. Affect
  3. Personal Relations
  4. Impulse control

[capri]

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3
Q

When must a personality disorder be established by?

A

Onset is no later than adolescence/early adulthood

-stable, pervasive, inflexible

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4
Q

What are the cluster A personality disorders?

What axis I disorders do they have familial association with?

A
  1. schizoid
  2. schizotypal
  3. paranoid

familial association with psychotic disorders

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5
Q

What are the cluster B personality disorders?

What axis I do they have familial associations with?

A
  1. histrionic
  2. borderline
  3. narcissistic
  4. antisocial

familial association with mood disorders

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6
Q

What are the cluster C personality disorders?

What axis I do they have familial association with?

A
  1. avoidant
  2. dependent
  3. OCPD

familial association with anxiety disorders

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7
Q

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?

A

Paranoid

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8
Q

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?

A

schizotypal

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9
Q

In which gender is paranoid personality disorder more common?

A

men

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10
Q

What 3 group of people commonly are misdiagnosed with paranoid personality disorder?

A
  1. minorities
  2. immigrants
  3. deaf people
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11
Q

What is the treatment of choice for paranoid personality disorder?

A
  1. Psychotherapy

2. anti-anxiety meds or short course anti-psychotics

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12
Q

How does a person with schizoid personality disorder differ from someone with paranoid schizophrenia?

A

Schizoid people do not have fixed delusions

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13
Q

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?

A

Antisocial personality disorder

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14
Q

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?

A

borderline personality

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15
Q

Children of parents with antisocial personality disorder are at increased risk for what 3 disorders?

A
  1. antisocial
  2. somatization
  3. substance-related disorder
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16
Q

What is highest on the DDx for antisocial personality?

A

Drug abuse- often if drug abuse comes before their antisocial behavior started, the behavior may be attributable to the addiction

17
Q

What is treatment for antisocial personality disorder?

A
  1. DBT and behavioral therapy

[psychotherapy does not work]

18
Q

In what personality disorder is there a higher rate of childhood sexual physical and emotional abuse? (25-35% report no such abuse)

A

borderline

19
Q

Which gender has higher incidence of borderline?

A

women

20
Q

What is suicide rate for borderline?

A

10%

21
Q

Which personality disorder is most responsive to pharmacotherapy?

A

borderline

22
Q

What is treatment of choice for borderline?

A

DBT- behavior therapy, cognitive therapy, social skills training

23
Q

What defense mechanism is most frequently used by borderline?
Histrionic?

A

Borderline- splitting

Histrionic- regression to childlike state

24
Q

What is the treatment of choice for narcissistic personality disorder?

A
  1. psychotherapy
  2. group may help them learn empathy
  3. antidepressants or lithium as needed
25
Q

What is the most common phobia in avoidant personality disorder?

A

social phobia

26
Q

What is the treatment for avoidant personality disorder?

A
  1. psychotherapy - assertiveness training

2. bblockers, SSRIs as needed

27
Q

Which gender is more likely to have OCPD?

A

men

Psych Shelf Exam (8 decks)

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