personality disorders

Question 1

DSM-5 personality disorder 5 essential features for personality trait diagnosis

Answer 1

1) significant impairment in self (identity, direction) and interpersonal (empathy, intimacy)
2) pathological personality trait
3) impairments are consistent
4) can’t be explained by development or environment
5) not due to substances

Question 2

pathological personality trait domains in personality disorder

Answer 2

• negative affectivity
• detachment
• antagonism
• disinhibition
• psychoticism

Question 3

three symptom clusters of PD

Answer 3

A - odd and eccentric (paranoid, schizotypal, schizoid)
B - dramatic, emotional, erratic (BPD, histrionic, narcissistic)
C - anxious and fearful (avoidant, dependent, OCD)

Question 4

men or women get paranoid PD more?

Answer 4

men

Question 5

paranoid PD traits

Answer 5

• suspects with no basis
• preoccupied with loyalty
• reluctant to confide in others
• sees hidden meaning
• grudges
• perceives attacks on character
• suspects partner
• DOES NOT OCCUR EXCLUSIVELY DURING PSYCHOTIC DISORDER

Question 6

schizotypal PD more prevalent in men or women?

Answer 6

men

Question 7

schizotypal PD traits

Answer 7

• ideas of reference
• odd beliefs/magical thinking
• unusual perceptual experiences
• excessive social anxiety that does not subside and has more to do with paranoid fears than with self

Question 8

schizoid PD men or women?

Answer 8

men more

Question 9

schizoid PD traits

Answer 9

• doesn’t like close relationships
• solitary activities
• no sex
• no pleasure
• no close friends or confidants
• indifferent to praise or criticism
• DOES NOT OCCUR EXCLUSIVELY DURING PSYCHOTIC DISORDER

Question 10

BPD men or women?

Answer 10

twice as common in women

Question 11

common comorbidities with BPD

Answer 11

MDD, SUD found in first degree relatives

Question 12

BPD traits

Answer 12

• avoiding abandonment
• unstable and intense relationships
• unstable self image
• impulsivity in at least two of the following: (spending, sex, substance abuse, reckless driving, binge eating)
• emptiness
• suicidal behavior
• instability of affect
• anger

Question 13

histrionic PD men or women?

Answer 13

women more

Question 14

histrionic PD traits

Answer 14

• center of attention
• inappropriately sexual or provocative
• shifting and shallow emotions
• uses physical appearance to draw attention
• theatrical
• easily influenced by others
• considers relationships more intimate than they actually are

Question 15

narcissistic PD traits

Answer 15

• grandiose sense of self
• unlimited success and power fantasies
• special/unique, requires admiration
• entitlement
• arrogant
• envious
• takes advantage of others for gain
• high suicide rate

Question 16

anti-social PD prevalence

Answer 16

• 3:1 men
• prison populations
• EtOH abuse common
• aggression, callousness

Question 17

antisocial PD traits

Answer 17

• no conformity to social norms
• deceitful
• impulsivity
• irritability
• recklessness
• over 18, likely with conduct disorder
• NOT EXCLUSIVELY DURING PSYCHOTIC EPISODE

Question 18

avoidant PD traits

Answer 18

• avoids interactions due to fear of criticism
• must be certain of being liked
• restraint in intimate relationships

Question 19

dependent PD men or women more prevalent?

Answer 19

women

Question 20

dependent PD traits

Answer 20

• can’t make decisions on own
• needs others to take responsibility for well being
• can’t disagree with others

Question 21

obsessive compulsive PD (not to be confused with OCD) traits

Answer 21

• preoccupied with details, rules, lists, etc
• perfectionism
• devoted to work
• scrupulous with morality, ethics, values
• miserly
• can’t discard things