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psychiatric principles > Personality disorders > Flashcards

Personality disorders Flashcards

1
Q

List the cluster A (odd, eccentric) personality disorders

A
  • paranoid
  • Schizoid
  • Schizotypal
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2
Q

List the cluster B (dramatic, emotional) personality disorders

A
  • antisocial
  • borderline
  • histrionic
  • narcissistic
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3
Q

List the cluster C (anxious, fearful) personality disorders

A
  • avoidant
  • dependent
  • obsessive-compulsive
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4
Q

DSM-5 for Paranoid personality disorder

A
  • a pervasive distrust and suspiciousness of others is present without justification
  • begins in early adulthood
  • has at least 4/7 characteristics
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5
Q

DSM-5 for Schizoid personality disorder

A
  • a pervasive pattern of social detachment with a restricted affect
  • beginning by early adulthood
  • has has least 4/7 characteristics
    • does not desire or enjoy close relationships
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6
Q

DSM-5 for Schizotypal personality disorder

A
  • a pervasive pattern of interpersonal deficits marked by discomfort and reduced capacity for close relationships as well as perceptual distortions and eccentricities of behavior
  • beginning in early adulthood
  • at least 5/9 present
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7
Q

DSM-5 for Antisocial personality disorder

A
  • displays disregard for, and the violation of the rights of others
  • onset since age 15; individual is at least 18
  • has 3/7 characteristics
    • disregard for social norms
    • lying
    • impulsivity
    • aggressive
    • reckless disregard for safety of others
    • irresonsible
    • lack of remorse
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8
Q

In order to be diagnosed with antisocial personality disorder, a person must have a history of symptoms of conduct disorder before what age? what are some examples?

A
  • age 15
  • aggression against people, animals
  • destruction of property
  • lying
  • violation of rules
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9
Q

DSM-5 for Borderline personality disorder

A
  • unstable interpersonal relationships, unstable self image, unstable affects, and poor impulse control
  • beginning by early adulthood
  • at least 5/9
    • recurrent suicidal behavior
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10
Q

DSM-5 for Histrionic personality disorder

A
  • excessive emotionality and attention seeking
  • beginning in early adulthood
  • at least 5/8
    • needs to be center of attention
    • sexually seductive
    • dramatic, theatrical
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11
Q

DSM-5 for Narcissistic personality disorder

A
  • a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy
  • begins in early adulthood
  • at least 5/9
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12
Q

DSM-5 for Aviodant personality disorder

A
  • a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity
  • beginning by early adulthood
  • 4/7
    • desire to have attachments with others but restrained due to fear of being shamed or ridiculed
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13
Q

DSM-5 for Dependent personality disorder

A
  • a pervasive and excessive need to be cared for. this need leads to submissive behavior and fears of seperation
  • beginning in early adulthood
  • 5/8
    • unable to make own decisions
    • difficulty expressive disagreement
    • urgently seeks another relationship when a close one ends
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14
Q

DSM-5 for Obsessive compulsive personality disorder

A
  • a pervasive pattern of preoccupation with orderliness, perfectionsim and control, at the expense of flexibility, openness, and efficiency
  • beginning by early adulthood
  • 4/8
    • preoccupied with details, rules, schedules
    • perfectionism interferes with task completion
    • unable to discard worthless objects
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15
Q

how should you handle a patient with cluster A personality disorder who comes to you with a medical illness

A
  • cluster A will be more withdrawn or suspeicious
  • take your time to establish trust
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16
Q

how should you handle a patient with cluster B personality disorder who comes to you with a medical illness

A
  • Cluster B becomes more emotional and seductive
  • set limits on inappropriate behavior
  • use closed ended questions
17
Q

how should you handle a patient with cluster C personality disorder who comes to you with a medical illness

A
  • Cluster C will have increased anxiety, fear, and more controlling, angry, needy
  • do not take the manifestations of their illness personally
18
Q

treatment objectives for personality disorders

A
  • to facilitate patient’s highest level and most flexible degree of interpersonal functioning
  • ensure patient connects to a therapist, clinic, group, or institution to whem they can attach and trust
19
Q

types of psychotherapy

A
  • supportive
  • interpersonal
  • CBT
  • DBT (Dialectical behavioral therapy)
20
Q

how should you treat cognitive distortions - Paranoia - psychotic symptoms associated with personality disorders

A
  • low dose antipsychotics
21
Q

how should you treat spectrum of irritability, impulsivity, rage and violence against self or others associated with personality disorders

A
  1. mood stabilizers
  2. SSRI
  3. antipsychotics
22
Q

how should you treat emotional/affect instability symptoms associated with personality disorders

A
  1. mood stabilizers
23
Q

how should you treat persistent anxiety symptoms associated with personality disorders

A
  1. anti-anxiety (buspar first)
  2. beta-blockers
  3. SSRI
24
Q

how should you treat dysphoria and depression symptoms associated with personality disorders

A
  1. antidepressants
  2. lithium
25
Q

how should you treat acute insomnia associated with personality disorders

A
  1. low dose trazodone
  2. sedating TCA
26
Q

how should you treat persistent and pervasive attention difficulties associated with personality disorders

A
  1. stimulants
  2. buproprion (wellbutrin)
27
Q

how should you treat severe obsessive-compulsive symptoms associated with personality disorders

A
  1. clomipramine (anafranil)
  2. SSRI

psychiatric principles (8 decks)

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