Personality Disorders Flashcards
According to the old DSM-4, what are the 5 axis, and which types of disorders do each encompass?
1 = psychiatric disorder 2 = mental retardation & personality disorder 3 = contributing medical conditions 4 = psychosocial stressors 5 = global assessment of functioning (0-100)
are psychiatric disorders typically ego-dystonic or ego-syntonic?
ego-dystonic
there is conflict between patient and the world (a depressed person knows they are depressed and wants to change it)
are personality disorders typically ego-dystonic or ego-syntonic?
ego-syntonic
no conflict between person and the way they view the world; they think they are fine and rarely seek help
in order to diagnose generalized personality disorder, a pattern of deviated behavior must manifest in 2+ of which areas?
1) cognition (ways of perceiving and interpreting self, other people, events)
2) affectivity (ie range, intensity, lability, appropriateness)
3) interpersonal functioning
4) impulse control
what happens if someone comes in with an abrupt personality change (esp. if over 50)?
do a brain scan! more likely to be tumor
what is true in terms of treatment of personality disorders?
MOST difficult to treat; ZERO medications are FDA approved to treat, nor are there any psychotherapies
exception: dialectical behavioral therapy for borderline personality disorder
which disorder is characterized by intense distrust, belief that other’s motivates are malicious, and perception of character assassination?
paranoid
which disorder is characterized by an expressionless affect, feelings of detachment, and a solitary lifestyle?
schizoid
which disorder is characterized by cognitive distortions, odd speaking patterns, being friendless, and eccentric appearance/behavior?
schizotypal
which disorder is characterized by unlawful activities, frequent lying, and a general lack of remorse? at what age must you be to DX this?
antisocial
must be 18 to dx’ before that its conduct disorder
which disorder is characterized by frequent cutting and self-harm, being promiscuous to fill the void, and and overall instability and wild fluctuations?
borderline
which disorder is characterized by attention seeking behavior, interacting in inappropriate sexual manners, and being overly dramatic yet very superficial & rapidly fluctuating?
histrionic
what is true of the relationships of a histrionic person?
they see relationships as closer than they actually are
in which disorder (as opposed to the others), do patient’s tend to do okay in life?
histrionic
which disorder is characterized by a sense of entitlement, lack of empathy, a feeling of superiority, and feeling overly jealous when others receive praise?
narcissistic
which personality disorder has the worst treatment success rate?
narcissistic
which type of people crave friendships but have such a strong sense of fear, shame, guilt, and ridicule that they avoid relationships to avoid rejection?
avoidant
which two personality disorders are often linked to domestic abuse?
avoidant and dependent
which types of people are excessively clingy, have a constant need to be cared for, and won’t make big decisions on their own?
dependent
which types of people hold an inflexible and rigid strive for perfection, often being unable to complete projects on time because they are so preoccupied with details?
obsessive compoulsive
how do we treat personality disorders
no FDA approved meds
drugs are used to treat symptoms + CBT with whoever will take it
TX of borderline personality disorder?
1) quetiapine (but weight gain)
2) dialectical behavior therapy is mainstay (core mindfulness, distress tolerance, emotion regulation, intrapersonal effectiveness)
polypharmacy is common in borderline personality disorder, what percentage of patients are on 2 psychotrophics? how many on 5+?
2 = 50 percent
5+ = 11 percent
