Personality disorders Flashcards
1
Q
Personality disorder
A
- Enduring pattern that deviates from expectation of individ. culture
- Maifests in 2: cognition, affectivity, interpersonal or impulse control
- Broad range of situations
- Sig. distress and impairment
- Stable and long duration
2
Q
Schizoid- Sx
A
- Detachment from social relationships
- Restricted range of emotions
- Doesn’t enjoy relationships
- Little interest in sex
- Indifferent to praise and critisims
- Emotional coldness, detachment, flat affect
3
Q
Schizoid- Eti
A
Manifests early
- Infreq in clinical settings
4
Q
Schizotypal- Sx
A
- Acute discomfort with close relationships
- Eccentricities of behavior
- Odd, magical beliefs
- Odd thinking and speech
- Suspicious/ paranoid
- excessive social anxiety, paranoid fears
5
Q
Schizotypal- Tx
A
- Antipsych meds
- CBT
- Litium, mood stalizers
6
Q
Schizotypal- Eti
A
- High assoc with depression and anxiety
- Schizophrenia spectrum
7
Q
Paranoid- Sx
A
- Suspiciousness and distrust
- Recurrent suspicions of spouse, partner
- Preoccupied with doubts of loyalty
- Bears grudges
- Reluctant to confide
- Reads hidden meaning into benign remarks
8
Q
Paranoid- Tx
A
- Antipsych
- CBT
9
Q
Antisocial- Sx
A
- Disregard for and violation of rights of others
- Fail to conform to laws
- Lack of remorse
- Arrests
- Lying, conning, aliases
- Impulsive, agressive, irritable, irresponsible
10
Q
Antisocial- Eti
A
M>W
- Antisocial father, low education, bullying, criminal
- Developmental lack of emotional support
- Most tx refractory
11
Q
Antisocial- Tx
A
- SSRIs
- Antipsychs
- CBT, group
12
Q
Borderline- Sx
A
- Instability of interpersonal relationships and impulsivity
- Effort to avoid abandonment
- Unstable self image or sense of self
- Self damaging impulsivity
- Chronic feelings of emptiness
- Spending, sex, substance abuse, binge eating
- Difficulty controlling anger
- Suicidal behaviors
13
Q
Borderline- Eti
A
F>M
- Common in clinical settings
- Childhood abuse
- Genetic factors- anxiety, lability and instability
14
Q
Borderline- Tx
A
- Dialectical behavior tx
- Tx symptoms
- Avoid benzos
15
Q
Histrionic- Sx
A
Excessive emotionality and attention seeking
- Sexual, seductive
- Shallow, shifting emotions
- Appearance to draw attention
- Easily suggestible
- Relationships more intimate than they are
- Self-dramatization, theatricality
16
Q
Histrionic- Tx
A
- Anxiety and depression
- CBT in group
- Time, social feedback
17
Q
Narcissistic- Sx
A
- Need for admiration, lack of empathy
- Grandiose sense of self importance
- Preoccupied with fantasies
- Special and unique
- Entitlement
- Interpersonally exploitive
- Envious of others, want others to be envious of them
18
Q
Narcissistic- Tx
A
- Therapy
- Little role for meds
- Worsen over time
19
Q
Avoidant- Sx
A
- Inadequacy, hypersensativity to negative emotion
- Avoid activities involving interpersonal contact
- Unwilling to get involved with people
- Restrained intimate relationships
- Preoccupation with criticism
- Views self as inept, unappealing, inferior
20
Q
Avoidant- Tx
A
- SSRIs, MAOIs, Beta blockers for social phobia
- Group tx
- CBT
21
Q
Dependent- Sx
A
- Excessive need to be taken care of, clinging, fears of separation
- difficulty making decisions
- others assume responsibility for areas of life
- difficulty expressing disagreement
- lack of self confidence
- Fear of being able to care for self
- Preoccupied with being left alone
22
Q
Dependent- Eti
A
- Common in HC
- F>M
23
Q
Dependent- Tx
A
- Meds for anxiety, depression
- Psychotherapy
24
Q
Obsessive-compulsive PD- Sx
A
- Orderlieness, perfectionism, mental and interpersonal control
- Lack flexibility, openness and efficiency
- Preoccupied with details, lists, order, organization
- Perfectionism interferes with task completion
- Excessively devoted to work
- Rigid and stubborn
- Miserly spending style
- Hoarding
25
Q
Obsessive-compulsive PD- Eti
A
M>F
- Egosyntonic with obsessions and orderliness
- Depression, dysthymia, generalized anxiety
26
Q
Obsessive-compulsive PD- Tx
A
- SSRIs and TCAs may help
- Group, marital tx
