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Personality Disorders Flashcards

0
Q

Personality disorder - population?

A

NOT under the 18yo (b/c the brain is still growing and developing)

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1
Q

Personality disorder?

A

enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture and affects life

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2
Q

Personality disorder -before dx?

A

LONG TERM PATTERNS- multiple interview
EARLY adulthood
cautious of 3rd party info

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3
Q

Personality disorder - dx?

A 
pattern of two or more areas:
-cognition: ways of perceiving and interpreting self and others
-affectivity
-interpersonal fxning
-impulse control 
pattern is INFLEIBLE and PERSVASIVE
distress in life 
pattern is STABLE
18+yo
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4
Q

Personality disorder - etiology?

A

genetics
cultures
environmental factors: foster care, large family

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5
Q

Personality disorder - 3 clusters?

A

Cluster A, B, and C

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6
Q

Personality disorder - Cluster A?

A

paranoid
schizoid
schizotypal

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7
Q

Personality disorder - Cluster B?

A

antisocial
narcissistic
borderline
histrionic

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8
Q

Personality disorder - Cluster C?

A

avoidant
obsessive
dependent

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9
Q

Other specified PD and unspecified?

A

personality change d/ to another medical condition

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10
Q

PD - Paranoid personality disorder?

A

cluster A

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11
Q

Paranoid PD - dx?

A 
4+: SUSPECT
Spousal infidelity suspected
Unforgiving 
Suspicious
Perceives attacks
Enemy or friend binary
Confiding in other is feared
Threats perceived in benign events
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12
Q

Paranoid PD - prevalence?

A

males > females

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13
Q

70 yr male, war veteran
hx of chronic back and knee pain (war) + fibromyalgia
emotional, psychological and physical abuse in childhood
alienated family and friends d/t lack of trust
demanding of friends and family
self sufficient and active
unable to calm down - uses drugs

A

paranoid PD

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14
Q

Paranoid PD?

A

blame on others
outside party feels “walking on egg shells”
suspicious
distrust

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15
Q

Schizoid PD?

A

detachment from social relationships AND restricted range of expression of emotions in interpersonal settings

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16
Q

Schizoid PD - dx?

A 
4+: DISTANT
Detached affect
Indifferent to criticism or praise
Sexual experience of little interest (sex w/self - not with others)
Tasks performed solitarily
Absence of close friends
Neither desires nor enjoys close relations
Takes pleasure in few activities
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17
Q

Schizoid PD - discriminating feature?

A

socially indifferent

lack social skills and lack of desire for sexual experiences

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18
Q

Schizoid PD - comorbid?

A

autsim

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19
Q

33 male
no hx of romantic relationships, only family
childhood - isolation, friendless
no motivation to seek friends, get good grades, career goals

A

Schizoid PD

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20
Q

Schizotypal PD?

A

cognitive or perceptual distortions and eccentricities of behavior
“magical thinking”
salad words
“ODD”

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21
Q

Schizotypal PD - dx?

A 
5+: ME PECULIAR 
Magical thinking/odd beliefs
Experiences unusual perceptions
Paranoid ideation
Eccentric behavior or appearance
Constricted/inappropriate affect
Unusual thinking and speech
Lack close friends
Ideas off reference
Anxiety in social situation 
Rule out psychotic disorder
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22
Q

Schizotypal PD - discriminating features?

A

eccentric

how they cope w/ stress

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23
Q

31 female
OCD sx to pandas
magical and eccentric thinking in childhood
no hx of pervasive developmental disorders
lives alone
wars specific articles of clothing to act as “barrier” to others in public
rich and detailed fantasy life

A

Schizotypal PD

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24
Antisocial PD?
pervasive pattern of disregard of AND violation of the rights of others MUST have CONDUCT DISORDER @ 15 yo - but must be 18yo
25
Conduct disorders @ 16yo?
OTHER specific
26
Antisocial PD -dx?
``` 3+: CORRUPT Conformity to law is lacking Obligations ignored Reckless disregard for safety of self or others Remorseless underhanded Planning insufficient (impulsive) Temper ```
27
Antisocial PD - discriminating features?
``` disagreeable callous deceitful lack empathy selfish ```
28
Antisocial PD - prevalence?
male > female
29
27 yo male hx of conduct disorder, acting out (arson, car theft), drug seeking quick tempered attempted to manipulate staff in hospital
Antisocial personality disorder
30
Borderline personality disorder?
instability of interpersonal relationships, self-image and affects frantic, desperate, dramatic presentation threats of suicide, self mutilating behavior (now called: non suicide self injury)
31
Borderline personality PD- dx?
5+ I DESPAIRR: Identity disturbance Disordered, unstable affect Emptiness is chronic Suicidal behavior, gestures, and/or threats Paranoid ideation can be transient, stress-related Avoids abandonment Impulsivity Rage is inappropriate and intense Relationships are unstable, intense extreme
32
Borderline PD - prevalence?
women > male
33
Borderline PD - discriminated feature?
unstable self-image/sense of self self destructive suicidal behavior attention seeking
34
Borderline PD - comorbid?
eating disorders
35
Borderline PD - ddx r/o?
hypomanic depressive manic
36
38 male no hx dx significant hx of childhood emotional, psychologicalc, physical, sexual abuse relationships characterized by instability hx of suicide attempts
Borderline PD
37
Histrionic PD?
pattern of excessive emotionality and attn seeking | sexually seductive or provocative behavior
38
Histrionic PD - discriminating feature?
attention seeking seek to control romanic partners through emotional manipulation romantic relationships characterized by lack of emotional intimacy will dress seductively or extravagantly, often inappropriate for setting
39
Histrionic PD - dx?
``` 5+ PRAISE ME: Provocative behavior Relationships considered more intimate than really are Attn seeking Influenced easily Speech affected Emotions rapidly shift and are shallow Manipulative ```
40
Histrionic PD vs antisocial PD?
histrionic: attn seeking antisocial: profit, power, material gain
41
30 bisexual female complains of abdominal pain presents in revealing, provocative clothing idealization of providers and dismissive of support staff significant hx of childhood/adolescent emotional, psychological and sexual abuse romantic relationships: little emotional intimacy and/or domestic violence
Histrionic PD
42
Narcissistic PD?
``` grandiosity need for admiration lack of emphty superficial beginning by early audlthood ```
43
Narcissistic PD - dx?
``` 5+ SPEECIAL: Special Preoccupied with fantasies of success and power Envious Entitled Excessive need for admiration Conceited Interpersonally exploitive Arrogant Lack of empathy ```
44
Narcissistic PD - discriminated feature?
``` self-centered entitled grandiose expect others to agree w/ them and go alone w/t their desires/plans lack empathy ```
45
Narcissistic PD - prevalence?
male > female
46
Histrionic PD vs Narcissistic PD?
excessive pride in achievements
47
Borderline PD vs Narcissistic PD?
relative stability of self-image, lack of self-destructiveness
48
Avoiddant vs Social phobia?
avoidant: -inhibited -avoid ANY opportunity to be neg evaluated -suspicious of compliments social phobia: -avoid performance situations and social interactions -estabilsh and maintain close interpersonal relationships w/select others
49
Avoidant PD - dx?
``` 4+ CRINGES: Certainty of being liked required Rejection-phobic Intimacy is avoided New relationships are avoided Gets around interpersonal contact Embarrassment is expected, prevents new activities Self viewed as inept, inferior, unappealing ```
50
Avoidant PD - comorbid?
panic disorder w// agoraphobia
51
35 gay man computer programmer hx of social phobia interpersonal distant - avoids eye contact anxious in social settign: clammy palms, tightness in chest, flush easily, freezes when noticed avoid intimate social gathering anxious about medical appointments due to fear of being criticed or negaitve eval
Avoidant PD
52
Dependent PD?
submissive and clinging behavior and fears of separation
53
Dependent PD - prevalence?
female > male
54
Dependent PD - dx?
``` 5+ RELIANCE: Require reassurance and advice Expressing disagreement is difficult Life responsibilities are assumed by others Inability to initiate projects Avoid being alone Nurturance is ultimate goal Companionship sought urgently Exaggerated fears of being left to care for self ```
55
Dependent PD - discriminating feature?
submissive clinging behaviors intense fear of seperation from care givers timid and afraid to disagree/disapprove of others opinions or actions
56
58 female hx dx: panic disorder w/ agoraphobia refuses to be alone w/out husband or son husband and son assume majority of responsibility for her care taking intense and unrealistic fear of abandoment, chronic care seeking inappropriate for developmentla dn chronological age
Dependent PD
57
Obsessive compulsive PD?
preoccupation with orderliness, perfectionism and mental interpersonal control
58
OCPD- discriminated feature?
perfectionistic preoccupie w/ orderliness and mental and interpsonal control rigid maintenance of rituals, schedules
59
OCPD-dx?
``` 4+ LAW FIRMS: Loses sight of greater pic d/t rules and details Ability to complete tasks Worthless objects retained Friends and leisure << WORK Inflexible Reluctant to delegate Miserly Stubborn ```
60
OCPD vs narcissistic PD?
NPD: achieved perfectionism OCPD: more self critical in striign to obtain and maintain perfectionism
61
OCPD vs OCD?
OCD: true obsessiona dn compulsoins and should be considered when hoarding is extreme
62
``` 65 male type A personality numerous car accidents due to distraction by min details while driving hx of nervous breakdown hoards money (but not poor) rigid routine ```
OCPD
63
Personality change d/t another medical condition?
d/t medical condition (primary)
65
Other specified PD & Unspecified PD?
``` Other: -full criteria for ANOTHER PD NOT met Unspecified PD? -full criteria for another PD not met and clinician does not indicate specific reason -not enough info ```
66
"Others are untrustworthy and they try to take advantage of me"
paranoid PD
67
"I'd like to have friends but its hard b/c people find me pretty strange"
schizotypal PD
68
"I enjoy taking advantage of people and I never feel bad"
antisocial PD
69
"I need people desperately and fall apart completely when they reject me"
borderline PD
70
"I'm emotional and sexually charming person and I need to be the center of attn!"
histrionic PD
71
"I'm talented and special and I get angry and depressed when ppl don't recognize me"
narcissistic PD
72
"I'm really afraid of what people will think of me so I avoid making new friends"
avoidant PD
73
"I'm passive and dependent on other and I go far out of my way to please those who are important to me"
dependent PD
74
"I'm perfectionist, I keep lists, drive myself hard, and I'm very serious about life"
OCPD

Behavioral Med (17 decks)

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