personality disorders

Question 1

what is personality

Answer 1

behaviours, thoughts, feelings

Question 2

what is a personality disorder

Answer 2

persistent and pervasive abnormality in social relationships and functioning

Question 3

what is the prevalence of PD in general pop, GP attendees, psych out and inpatients

Answer 3

general- 5%, 20% GP attendees, 30% outpatients, 40% inpatients

Question 4

aetiology

Answer 4

genetics, perinatal/postnatal factors, poor parenting, sexual abuse, adverse childhood environment, unhelpful coping strategies

Question 5

cluster A PDs

Answer 5

odd, eccentric- schizoid, paranoid, schizotypal

Question 6

cluster B PDs

Answer 6

dramatic, emotional- antisocial, borderline (emotionally unstable icd), histrionic (dsm), narcissistic (dsm)

Question 7

cluster C PDs

Answer 7

anxious, fearful- avoidant, anxious, dependent, anankastic (dsm) obsessive (icd)

Question 8

schizoid

Answer 8

emotionally cold, lack of interest in anyone

Question 9

schizotypal

Answer 9

peculiar ideas, perceptions appearance and behaviour

Question 10

dissocial (antisocial)

Answer 10

lack of concern for others, irresponsible, irritable, aggressive

Question 11

emotionally unstable/borderline

Answer 11

unclear identity, intense, unstable, unpredictable affect, threats of self harm

Question 12

histrionic

Answer 12

self dramatization, shallow affect, craves attention, manipulative

Question 13

narcissistic

Answer 13

grandiose, lack of empathy, need for admiration

Question 14

anankastic

Answer 14

obsessive, doubt, indecisive, caution,pedantic, perfectionist

Question 15

what are some specialist interventions

Answer 15

DBT, mentalisation, transference focused, cognitive analytical therapy, schema focused

Question 16

what is DBT

Answer 16

dialectical behavioural therapy- therapy interfering behaviours. CBT approach to self harm- tolerance of distress, emotional regulation, interpersonal skills

Question 17

what are the features of psychopathy

Answer 17

grandiose sense of self worth, lack of remorse and empathy, irresponsible, promiscuous, shallow affect

Question 18

what is a severe personality disorder

Answer 18

severe impact on social functioning, multiple categories of ICD and DSM