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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Schizoid- Eti

A

Manifests early

- Infreq in clinical settings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Schizotypal- Tx

A
  • Antipsych meds
  • CBT
  • Litium, mood stalizers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Schizotypal- Eti

A
  • High assoc with depression and anxiety

- Schizophrenia spectrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Paranoid- Tx

A
  • Antipsych

- CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Antisocial- Eti

A

M>W

  • Antisocial father, low education, bullying, criminal
  • Developmental lack of emotional support
  • Most tx refractory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Antisocial- Tx

A
  • SSRIs
  • Antipsychs
  • CBT, group
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Borderline- Eti

A

F>M

  • Common in clinical settings
  • Childhood abuse
  • Genetic factors- anxiety, lability and instability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Borderline- Tx

A
  • Dialectical behavior tx
  • Tx symptoms
  • Avoid benzos
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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