Personality Disorders

Question 1

Axis I

Answer 1

Clinical disorders and other conditions that may be focus of clinical attention

-Major depressive disorder, alcohol abuse

Question 2

Axis II

Answer 2

Consists of personality disorders and mental retardation

Question 3

Axis III

Answer 3

Physical disorder or general medical condition present in addition to mental disorder

-may be causative or result of mental disorder or entirely unrelated

Question 4

Axis IV

Answer 4

Psychosocial and environmental problems that significantly contribute to development/exacerbation of current disorder

-ACE score, pending job loss

Question 5

Axis V

Answer 5

Global assessment of functioning (GAF) where overall function level is judged at a specific time

Question 6

Cluster A, B, C pneumonic

Answer 6

A = mad

B = bad

C = sad

Question 7

Cluster A Personality disorders

Answer 7

Paranoid

Schizoid

Schizotypal

Question 8

Paranoid

Answer 8

Lack of trust

Fear that friends are disloyal/unfaithful

More common in men

Read into benign actions as threatening

Tx: CBT, SSRI to reduce suspicions, day treatment program

Question 9

Schizoid

Answer 9

No delusions/hallucinations/psychosis

Feel no desire to form relationships - prefers solitary activities

Appears indifferent to praise/criticism

Emotionally cold/detached

Tx: social skills training, low-dose antipsychotics/antidepressants

Question 10

Schizotypal

Answer 10

Acute Discomfort with social relationships

Eccentric behavior - no delusions/hallucinations/psychosis

Suspicious/paranoid ideation, excessive social anxiety

Tx: Social skills training, low dose antipsychotics/antidepressants

Question 11

Cluster B Personality Disorders

Answer 11

Antisocial

Borderline

Histrionic

Narcissistic

Question 12

Antisocial

Answer 12

Pattern of disregard for others rights since 15 yo

Conduct disorder manifestation - fail to conform to social norms/laws

Deceitful/lying/conning others for profit/pleasure - lack remorse

Have to be at least 18 years old

Tx: court-ordered anger management/harm reduction

• meds to tx impulsivity/aggressiveness/explosiveness
• Group therapy effective only w/ other antisocial pts

Question 13

Borderline

Answer 13

Most common PD - between mood disorder and impulse control disorder

Unstable mood, impulse, avoid real/imagined abandonment

Fluctuated between idealizing&clinging to individual then devaluing and opposing

Tx: Meds to treat target symptoms, acute inpatient psychiatry

-Dialectal behavioral therapy is TOC

Question 14

Histrionic

Answer 14

Excessive emotionality and attention-seeking behavior

Self-centered, vain, demanding -> dresses eccentrically/seductively

Tx: CBT, group therapy

Question 15

Narcissistic

Answer 15

Grandiosity in fantasy and behavior

Need admiration

Lack empathy

Tx: Anger management, psychotherapy (for Axis I), group therapy

Question 16

Cluster C Personality Disorders

Answer 16

Avoidant

Obsessive-Compulsive Personality Disorder (OCPD)

Dependent

Question 17

Avoidant Disorder

Answer 17

PErvasice pattern of social inhibition

Feel inadequate, hypersensitive to negative evaluation

Avoid interpersonal contact - fear rejection, criticism, restraint w/ intimate relationship

Tx: CBT, group therapy, social skills training, SSRI

Question 18

Obsessive-Compulsive Personality Disorder (OCPD)

Answer 18

Orderliness, perfection, control freaks

Rigid, devoted to work

Inflexible, stubborn

Preoccupied w/ rules or lists

Tx: CBT, psychotherapy

Question 19

Dependent

Answer 19

Difficulty making everyday decisions w/o advice/reassurance

Needs others to assume responsibility for major areas of life

Tx: Meds for specific symptoms (Axis 1), CBT, psychotherapy