Personality Disorders

Question 1

What are the components of Personality Functioning?

Answer 1

Self: Identity, Self Direction
Interpersonal: Empathy, Intimacy

Question 2

What are components of a healthy Personality?

Answer 2

1) Flexible
2) Varied Coping Strategies
3) Response driven by current conditions
4) Responds to External reality rather than internal beliefs

Question 3

What are Pathological Personality Traits?

Answer 3

Negative Affectivity:
Detachment
Antagonism
Disinhibition
Psychotim

Question 4

_________is Freq intense experiences of high levels of wide range of neg. emotions.

Answer 4

Negative Affectivity:

Question 5

________is Avoidance of Socioemotional experience

Answer 5

Detachment

Question 6

________is Behaviors that put the individual at odds with other people. Self-important

Answer 6

Antagonism

Question 7

________ is Orientation toward immediate gratification leading to impulsive behavior without regard for past learning or future consequences

Answer 7

Disinhibition

Question 8

________is Exhibiting a wide range of culturally incongruent odd, eccentric, or unusual behaviors or cognitions.

Answer 8

Psychotim

Question 9

What is the DSM-5 Definition of a personality disorder?

Answer 9

> 2 of: Cognition, Affectivity, Interpersonal functioning, impulse control

• Range of Situations and Inflexible
• Significant distress or impairment
• Onset in adolescence or EAdulthood

Question 10

What are char of Encounters w/ patients with Personality Disorder?

Answer 10

Akward and Uncomfortable
Clinician has strong unusual emotions
Pt mispercieves clinician intent
Pt and Clin can’t comprehend E/o perspective

Question 11

What are Gen char of all Personality Disorders?

Answer 11

Sx appear early
Sx in variety of interactions and stable across time
Sx feel norma for Pt
Maladaptive patterns inc during stress
Malad patt, elicit malad beh from others
Others more distressed by Beh than Pt is

Question 12

What is PD Cluster A?

Answer 12

ODD, ECENTRIC
Paranoid
Schizoid
Schizotypal

Question 13

What is PD Cluster B?

Answer 13

DRAMATIC, EMOTIONAL
Antisocial
Borderline
Histrionic
Narcissistic

Question 14

What is PD Cluster C?

Answer 14

ANXIOUS, FEARFUL
Avoidant
Dependent
Obsessive-Compulsive

Question 15

What is the Approach to Paranoid PD?

Answer 15

Be open about what you are doing and Why. Avoid being defensive or dismissive

Question 16

What is the Approach to Schizoid PD?

Answer 16

Maint Professional Style and interest in their well-being. Respect privacy. EXPLAIN reasoning for advice. May not volunteer info unless you ask

Question 17

What is the Approach to Schizotypal PD?

Answer 17

Avoid confronting odd beliefs or behaviors and accept their reality. Gently confront belief or beh if causing medical problems

Question 18

What is the Approach to Antisocial PD?

Answer 18

Unlikely to follow rules of clin-Pt relationship. Set/enforce clear boundaries. Drug seeking or malingering?
Lack of Remorse

Question 19

What is the Approach to Borderline PD?

Answer 19

Rel w/ HCP intense and idealizing or devaluing
Be predictable and Stable. Set/enforce clear boundaries.
Avoid Rescuing or abandoning. SPLITTING

Question 20

What is the Approach to Histrionic PD?

Answer 20

Take Dramatic nature into account. Maint clear boundaries. neither too formal or too casual. SUGGESTABLE

Question 21

What is the Approach to Narcissistic PD?

Answer 21

Avoid Confronting entitlement directly. Frame suggestion as giving the best care possible.

Question 22

What is the Approach to Avoidant PD?

Answer 22

Pt fearful of you disliking them.

Be calm, transparent, and reassuring, Matter-of-fact, relaxed style

Question 23

What is the Approach to Dependent PD?

Answer 23

Avoid Making decisions for Pt. Offer options and support the Pt in making a decision. Slow process. Reg visits. Reward independence.

Question 24

What is the Approach to Obsessive- Compulsive PD?

Answer 24

Lengthy lists at Appts or need to share detail. Upset about sched or billing errors.