Personality Disorders

Question 1

Does Every Passage from Childhood to Adulthood cause Problems for Self and Others? 6 criteria for PD diagnosis

Answer 1

Disharmonious causing internal conflict between attitudes and behaviours, often in multiple areas of functioning
Enduring
Pervasive and maladaptive to broad range of situations
Appears in childhood/adolescence and persists into adulthood
Causes significant personal distress
Causes significant occupational and social problems

Question 2

What are the 2 main types of Cluster A - eccentric type PDs?

Answer 2

Schizoid

Paranoid

Question 3

What is schizoid PD?

Answer 3

Prefers solitude, introspective and emotionally cold
Indifferent to praise or criticism, often associate with major depression
‘Dead inside’

Question 4

What is paranoid PD?

Answer 4

Suspicious and unable to trust
Injustice and persecution
Risks of agoraphobia, depression, OCD and substance abuse

Question 5

What are the 3 types of Cluster B Flamboyant type PDs?

Answer 5

Dissocial (antisocial, psychopathic) PD
Histrionic/narcissistic PD
EUPD

Question 6

What is dissocial PD?

Answer 6

No concerns for feelings of others, no guilt, tendency to blame others
Can’t sustain relationships
Impulsive actions
Failure to learn from consequences

Question 7

What personality disorder may stem from early conduct disorder?

Answer 7

Dissocial PD

Question 8

What are the subtypes of EUPD?

Answer 8

Impulsive type

Borderline type

Question 9

Features of EUPD?

Answer 9

Often related to childhood difficulties, bullying or trauma
Tendency towards impulsivity
Variable and unpredictability of mood
Chronic boredom and unsatisfaction; often feel empty
Self harm and substance abuse common
Difficulty in maintaining work and relationships
Intolerance of being left alone and doubts about personal identity

Question 10

What is histrionic/narcissistic PD?

Answer 10

Self dramatisation and self centred
Easily suggestible
Inappropriately seductive but sexually frigid
Shallow or labile affect
Often associated with somatoform disorders

Question 11

What are the 3 Cluster C Anxiety type disorders?

Answer 11

Anxious avoidant PD
Dependent PD
Anankastic (obsessional/compulsive PD)

Question 12

What is anxious avoidant PD?

Answer 12

Limited by fear of rejection or negative evaluation, feeling of ineptitude
Apprehensive
Begging for acceptance and to be liked

Question 13

What is dependent PD?

Answer 13

Pervasive need to be cared for by others do deliberately subordinates self
Let’s others make decisions
Feels loneliness and abandonment so high risk of adjustment disorders

Question 14

Which PD has a high risk of somatoform disorders?

Answer 14

Histrionic/narcissistic PD

Question 15

What PD has a high risk of adjustment disorder?

Answer 15

Dependent PD

Question 16

What is anankastic PD?

Answer 16

Compulsive part of OCD but the actions are not discordant with self
Perfectionist, inflexible, preoccupied with detail
Type ‘A’ personality - high risk MI

Question 17

CHASM of assessing premorbid personality?

Answer 17

Character
Hobbies
Attitude
Sociability
Mood

Question 18

One of the PDs may show EEG changes. Which type?

Answer 18

Dissocial PD