personality disorders Flashcards

1
Q

personality disorders

A

enduring pattern of subjective experiences and behavior that deviate from cultural standards

pattern is rigidly pervasive

significant distress and impairment in social functioning

not due to mental illness or substance abuse

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2
Q

3 clusters

A

1) ODD=paranoid,schizoid,schizotypal
2) SAD=antisocial,borderline,histrionic,narcissistic
3) ANXIOUS=avoidant,dependent,obsessive compulsive

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3
Q

paranoid

A

suspect being exploited or deceived

doubts loyalty or trustworthiness of friends

reluctant to confide

reads hidden meaning

bear grudges

perceives attacks on reputation and quick to react

suspicious about spouse fidelity

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4
Q

paranoid Dx and Tx

A

differentials:schizo.,delusional disorder

lifelong and may go to have schizophrenic breakdown

Tx with psychotherapy,don’t do well in groups.may consider antianxiety and neuroleptics

more common in males,immigrants,deafs,minorities

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5
Q

schizoid

A

no desire nor enjoy close relationships

solitary activities

no interest in sexual relationship

no close friends

indifferent to praise or criticism

emotional detachment

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6
Q

schizoid Tx

A

men>women

onset early in childhood–> lifelong

Tx.psychotherapy,neuroleptics,benzos,SSRI

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7
Q

schizotypal

A

ideas of reference

odd beliefs

unusual perceptual experiences

odd thinking

suspecious

inappropriate or constricted affect

odd behavior or appearance

brief psychotic episodes

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8
Q

schizotypal Tx

A

more likely in relatives of schizophrenia

risk of suicide

schizophrenic breakdown

Tx.neuroleptics and psychotherapy

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9
Q

antisocial

A

inability to conform to social norms

multiple criminal acts

impulsivity or failure to plan ahead

aggressiveness

lack of remorse

Hx of conduct disorder in childhood

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10
Q

Dx and Tx

A

high in prison mates

EEG abnormalities

Tx.self-help groups,psychotherapy,antiepileptics,beta adrenergic antagonist for aggression

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11
Q

borderline (BPD)

A

symptoms in 4 domains of psychopathology

1) affective disturbance
2) disturbed congnition
3) impulsivity
4) intense unstable relationships

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12
Q

BPD

A

pervasive pattern of instability of interpersonal relationships,self-image and affects as well as marked impulsivity beginning early adulthood and present in a variety of contexts as indicated by 5 or more of following:

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13
Q

contexts of BPD

A

1) frantic efforts to avoid real or imagined abandonment
2) pattern of unstable and intense interpersonal relationships charecterized by alternating between extremes of idealization and devaluation
3) identity disturbances
4) impulsivity in at least 2 areas that are self damaging
5) recurrent suicidal behavior
6) affective instability due to marked reactivity of mood
7) chronic feeling of emptiness
8) difficulty controling anger
9) transient stress-related paranoid ideation or severe dissociative symptoms

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14
Q

Tx of BPD

A

psychotherapy is recommended primary technique

dialectical behavior therapy superior

most common in women

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15
Q

other factors for BPD

A

adverse childhood experiences major effect

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16
Q

2 parts of dialectical behavior therapy

A

1) individual component:meeting with therapist to discuss issues came up during the week
2) group component:once weekly for 2-2.5 hours

17
Q

histrionic

A

colorful dramatic and extroverted

uncomfortable if they are not in center of attention

sexually promiscuous

exaggerated display of emotion

considers relationsships to be more intimate than they are

more common in women

18
Q

narcissistic

A

grandiose sense of self importance

preoccupied of fantasies of unlimited success and power

they’re special

requires excessive admiration

sense of entitlement

unable to show empathy

ARROGANT

19
Q

avoidant

A

extreme sens. to criticism

not asocial but fear rejection

preoccupied with fear of being criticized or rejected in a social situation

view self as socially inept and unappealing

20
Q

dependent

A

needs lots of advise to make decisions

difficulty expressing disagreement

can’t initiate projects on their own

dysfunctional relationships because they don’t like to be alone

chronic pessimism and self doubt

21
Q

obsessive compulsive

A

emotional constriction

orderliness

stubbornness

indecisiveness

does not get the big picture

pervasive pattern of perfectionism and inflexibility

22
Q

personality disorder NOS

A

passive aggressive

depressive