Personality Disorders Flashcards

1
Q

What is personality?

A

Personality refers to characteristics, emotional traits, and how we see, think and feel about the world around us.

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2
Q

What is a personality disorder?

A
  • An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the persons culture
  • Manifested in two (or more) of the following: cognition, affect, interpersonal functioning and impulse control
  • Considered inflexible; pervasive; constant crisis and functional impairment; early onset and long duration
  • An Axis II disorder (personality/developmental disorders, as opposed to psychotic/schizo Axis I disorders)
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3
Q

What are personality disorders NOT due to?

A
  • Other mental disorders
  • Effects of a substance
  • General medical conditions
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4
Q

What is the etiology of personality disorders?

A
  • Psychological factors (often occurs with traumatic events, such as crime or sexual violence; it has to be something that really affects the way you see the world around you)
  • Under psych factors, also include Freud’s incomplete psychosexual development, and object relations, the ability to relate to others as personality develops
  • Genetic factors
  • Neurochemical factors
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5
Q

Describe the epidemiology of personality disorders:

A
  • Occurs in 10% of population
  • High comorbidity rates with depression and panic disorders (25-50%), eating disorders, chronic pain, PTSD and substance abuse
  • Wide range of disability from mild to severe
  • 10 disorders organized into 3 clusters
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6
Q

What is Cluster A?

A

Odd and eccentric disorders

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7
Q

What is Cluster B?

A

Dramatic and erratic disorders

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8
Q

What is Cluster C?

A

Anxious and fearful disorders

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9
Q

What personality disorders fall under cluster A?

A
  • Paranoid personality disorder
  • Schizoid personality dis
  • Schizotypal personality dis
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10
Q

What personality disorders fall under cluster B?

A
  • Antisocial personality dis
  • Borderline personality dis
  • Histrionic personality dis
  • Narcissistic personality dis
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11
Q

What personality disorders fall under cluster C?

A
  • Dependent personality dis
  • Obsessive compulsive personality dis
  • Avoidant personality dis
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12
Q

Describe cluster A disorders:

A
  • Odd, eccentric
  • Difficulty relating to others
  • Isolation
  • Unusual ideas or perceptions
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13
Q

Describe cluster B disorders:

A
  • Dramatic, emotional, erratic, flamboyant
  • Dramatic approach to life situations
  • Difficulty maintaining interpersonal relationships
  • Impulsive, highly emotional; high risk of self-harm
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14
Q

Describe cluster C disorders:

A
  • Anxious, fearful
  • Excessive fear
  • Social inhibition
  • Internalize blame and emotions
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15
Q

Describe the treatment modalities for personality disorders:

A
  • Team approach
  • OT
  • Art
  • Music
  • Movement
  • Recreational
  • Individual
  • Group
  • Family
  • Milieu (structuring daily life in low-stimulation, positive, safe environment)
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16
Q

What are some medications patients with personality disorders can use?

A
  • Antipsychotics
  • Mood stabilizers
  • Antidepressants
  • Benzodiazepines
17
Q

What is involved in discharge planning?

A
  • Safety (crisis planning)
  • Arrange follow-up/outpatient care
  • Set appointment dates
  • Address acute symptoms (education re: how to manage alone, when to go to hospital, etc.)
  • Medication teaching