personality disorders Flashcards
• Choose the correct diagnosis for a vignette based on listed signs and symptoms • Name the type of psychotherapy most often cited as evidence-based for Borderline PD • Describe a strategy often helpful with people with significant narcissistic traits
difficulty in diagnosting PDs
their ego-syntonic nature, reluctance to acknowledge unflattering traits, denia/exaggeration may be characteretic of the PD, clinicians biases may interfere
dx criteria of PD
enduring pattern, deviates from cultural expectations, manifets in (cognition/affectivity/interpersonal functing/impulse control) significant distress or impairment, stable and long duration
cluster A PDs
paranoid, schizoid, schizotypical,
sx of Paranoid PD
suspicious, mistrustful, hypervigilant, preoccupied with being exploited or betrayed
schizoid PD sx
indifferent, aloof, detached, doesn’t want relationships
schizotypal PD sx
eccentric beliefs, perceptual illision, unusal apperance, inappropriate affect
the cat lady has…
schizotypal PD
cluster B PDs
antisocial, borderline, histrionic, narcisistic
antisocial PD sx
socialy irresponsable, deceives and manipulates, fails to abide by the law, lacks remorse
borderline PD sx
intense and chaotic relationships, ego splitting, self-destructive behavior, emotional dysregulation, suicide attempts
PD that has suicide/self-mutilation risk
borderline
treatment for borderline PD
dialectical behavioral therapy
histrionic PD sx
attention-seeking, seductive/exhibitionistic, abile, vain, considers relationships to be more intimate than they really are
narcissistic PD
grandiose, place excessive emphassis on beauty, power, fame, wealth, feels entitled
how to treat a narcissist
“play to them” by getting them to talk about themselves. Do NOT get into power struggles, reinfirce autonomy
