Personality Disorders Flashcards
What is personality disorder?
Extreme inflexible and problematic personality
Only in 18+
Not a mental illness (stable)
Leads to stress or impairment to themselves or others
What is the DSM system?
Diagnostic and statistical manual of mental disorder. Definitive diagnostic criteria. Has 5 axes.
Which disorders are cluster a?
Paranoid - distrust and suspicious
Schiziod- flattened emotions
Such izotypial
Cluster b?
Histrionic - attention seeking
Narcistic - lacks empathy
Cluster c?
Dependant
Avoidant
Obsessive
(Anakastic)
Why do personality disorders persist and be pervasive?
Patterns repeat
What is transference?
View of the past projects to future events.
Need to not ‘confound the blueprint’
How do personality disorders present?
X
Risk factors for personality disorders
Sexual abuse
Poor upbringing
Lack of nurture
What will you see on MSE of PD?
A/B - stitches, ‘I hate you, don’t leave me’,
S- angry at you,
M- hostile,
T-form - no
-content - suicide/homocide - “poor me” or “bad me” - “you’re useless” - splitting (pick a favourite)-
Abreaction?
P- pseudo hallucinations (no responding to voices)
C- no problems
I- partial insight usually.
Risks -
The most common PD type?
Emotionally unstable personality disorder (BORDERLINE).
They flit between PD and psychotic symptoms.
What are thE features of an anankastic personality disorder?
Train spotting (anorak) DETAILED Doubtful, excessive detail, tasks not completed, adheres to rules, inflexible, likes own way, excludes pleasure and relationships, dominated by intrusive thoughts
What is anxious avoidant personality disorder?
Not want to got to a party without going with a friend
Restive lifestyle
Fears rejection and criticism
What’s the difference between schizoid and schizotypal
Schizoid personality disorder - day dreamer, fantasy life
Schizotypal - odd, eccentric
Simple schizophrenia -
What are the 2 types of emotionally unstable personality disorder
Impulsivity
Borderline
